Oral and Maxillofacial Surgery

Case of the Month


December, 1998

Subjective:

The patient is a 17 y.o. female referred to our office by her orthodontist for evaluation and treatment of her dentoskeletal malocclusion.

Objective:

Medical history revealed a well developed white 17 y.o. female, with no allergies or past operations.

Oral-Facial examination revealed maxillary and mandibular orthodontic appliances. A hypoplastic maxilla was noted with congenitally missing teeth #'s 1, 4, 5, 12, 13, 16, 17, and 32. Peg lateral incisors were noted with a maxillary diastema. Teeth #'s 2 and 15 had not completed eruption. A Class III canine and molar relationship was present bilaterally. Flat nasolabial folds and infranasal region were associated with a concave facial profile.

Assessment:

Plan:

  1. Le Fort I Osteotomy
  2. Mandibular Intraoral Vertical Oblique Osteotomy

Results:


Before
After
Before
After


Le Fort I Osteotomy with Rigid Internal Fixation
5 mm advancement
Intraoral Vertical Oblique Osteotomy




Before
After		To enlarge, click on the cephalometric x-ray.




Patient still in active treatment.




To enlarge, click on the panoramic x-ray.


Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery
  • Dr. Brad Baker Orthodontist 


 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-502-926-4107
 fax: 1-502-926-4166
 url: http://www.srt-psc.com

steven@occ-uky.campus.mci.net

Last Modified: December 2, 1998

Index Back