Manejo quirúrgico para corrección de paciente clase II dentoesqueletal: reporte de caso

Abstract

Class II malocclusions represent the majority of cases treated in orthodontics. In some instances, they can be corrected with orthopedic and orthodontic treatments; however, in specific cases where the skeletal discrepancy is severe, a combined approach with orthognathic surgery is required. The objective is to improve function, occlusion, and harmonize the facial profile. Below is presented the clinical case of a 26-year-old female patient with a dentoskeletal Class II condition, who had previously initiated orthodontic treatment and was referred by the orthodontist to the Oral and Maxillofacial Surgery specialist for evaluation. It was concluded that she was a suitable candidate for dentoskeletal correction surgery. To achieve this, a series of steps were undertaken, starting with presurgical planning using study models and tomographic imaging, culminating in the performance of a minimally invasive orthognathic surgery involving mandibular advancement and mentoplasty. This approach resulted in an uncomplicated recovery, reduced hospital stay, and satisfactory functional and aesthetic outcomes for the patient.