case_images: PMC4243605_01
case_images: Pretreatment facial (a)-(d) and intraoral photographs (e)-(j) and CBTC (k)-(m).
case_images: CRID2014-341752.001.jpg
case_images: PMC4243605_01_CRID2014-341752.001.jpg
case_images: fig1
case_images: Facial analysis revealed a Class III skeletal pattern with severe mandibular prognathism and vertical excess (Figures 1(a)-1(d)). Severe tooth compensation of mandibular teeth (lingual inclination of anterior and posterior teeth) and severe mandibular anterior crowding were observed (Figures 1(e)-1(j)). The analysis of initial CBCT images (Figures 1(k)-1(m)) showed very thin buccal and lingual bone plates in the maxillary and especially mandibular incisors.
case_images: PMC4243605_02
case_images: PMC4243605_03
case_images: Postdecompensation CBTC.
case_images: CRID2014-341752.002.jpg
case_images: PMC4243605_03_CRID2014-341752.002.jpg
case_images: fig2
case_images: After alignment and leveling and 30 days after placement of 0.019'' x 0.025'' archwires, the patient underwent a second CBCT scan in the same machine to evaluate the biological effects of orthodontic decompensation (Figure 2).
case_images: Postdecompensation facial and intraoral photographs.
case_images: CRID2014-341752.003.jpg
case_images: PMC4243605_03_CRID2014-341752.003.jpg
case_images: fig3
case_images: At this stage, the facial profile and occlusal relationships were worse than in the initial stage (Figure 3).
case_images: Final CBCT.
case_images: CRID2014-341752.004.jpg
case_images: PMC4243605_03_CRID2014-341752.004.jpg
case_images: fig4
case_images: Four months after surgery, the final CBCT was requested to evaluate the condyle morphology and evaluate postsurgical dentoskeletal changes (Figure 4).
case_images: Intraoral photographs, last phase.
case_images: CRID2014-341752.005.jpg
case_images: PMC4243605_03_CRID2014-341752.005.jpg
case_images: fig5
case_images: The postsurgical orthodontics involved finalization bends in the archwires and utilization of Class III intermaxillary elastics (Figure 5).
case_images: Final facial and intraoral photographs.
case_images: CRID2014-341752.006.jpg
case_images: PMC4243605_03_CRID2014-341752.006.jpg
case_images: fig6
case_images: After six months of surgery stabilization, the fixed appliance was removed and Hawley plate and 3 x 3 mandibular retainers were placed (Figure 6).
case_images: 30-month posttreatment facial and intraoral photographs.
case_images: CRID2014-341752.007.jpg
case_images: PMC4243605_03_CRID2014-341752.007.jpg
case_images: fig7
case_images: The facial and occlusal results remained stable 30 months after removal of appliances (Figure 7), including the clinical periodontal conditions.
case_images: Cephalometric superimposition: red line: pretreatment; green line: postdecompensation.
case_images: CRID2014-341752.008.jpg
case_images: PMC4243605_03_CRID2014-341752.008.jpg
case_images: fig8
case_images: Cephalometric superimposition: red line: pretreatment; black line: posttreatment.
case_images: CRID2014-341752.009.jpg
case_images: PMC4243605_03_CRID2014-341752.009.jpg
case_images: fig9