Surgical correction of a Class II skeletal malocclusion associated with anterior open bite and temporomandibular joint pain

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Surgical correction of a Class II skeletal malocclusion associated with anterior open bite and temporomandibular joint pain
American Journal of Orthodontics and Dentofacial Orthopedics
Volume 132, Issue 3, September 2007, Pages 400-407

Jos» Augusto Mendes Miguel, a, Julio Pedra e Cal-Neto, b and Henrique Martins da Silveira, c
a - Professor, Department of Orthodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
b - Graduate student, Department of Orthodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
c - Professor, Department of Oral and Maxillofacial Surgery, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Received 24 April 2005; revised 3 January 2006; accepted 3 January 2006. Available online 7 September 2007.

This case report describes the treatment of a 25-year-old woman with anterior open bite, Class II skeletal malocclusion, and a history of temporomandibular joint pain and sounds. She also had significant anteroposterior and vertical discrepancies and a convex profile with protrusive lips. Intraorally, she had an anterior open bite of 3 mm and an overjet of 5 mm. Mandibular surgical rotation, associated with mandibular incisor extraction, was performed to reduce the protrusion, close the open bite, and minimize the temporomandibular joint disorder.

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