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Abstract

Treatment of Class III malocclusion in non growing patients usually involves either orthodontic camouflage or orthognathic surgery (OgS). Aesthetic outcome has gained in importance in the treatment of orthognathic patients . The surgery options of Class III malocclusions have historically been treated by isolated mandibular setback and maxillary advancement, or bimaxillary osteotomy. This is a case of 17-year-old female patient with skeletal Class III with mandibular prognathism, anterior crossbite and open bite, and severe crowding. Treatment plan included orthodontic treatment with orthognathic surgery, extraction of four first bicuspids and upper bilateral second molar due to poor position and inclination. We also use temporary anchorage device (TAD) for arch coordination. The final result was bilateral canine and molar Class I relation and balanced profile.

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