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Interdisciplinary treatment for an adult patient with anterior open bite, severe periodontitis, and intellectual disability

Authors
 Kang, Da-Young  ;  Choi, Sung-Hwan  ;  Jung, Young-Soo  ;  Hwang, Chung-Ju 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.26(3) : 240-244, 2015 
Journal Title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN
 1049-2275 
Issue Date
2015
MeSH
Adult ; Cephalometry ; Female ; Humans ; Intellectual Disability/complications* ; Open Bite/complications ; Open Bite/therapy* ; Orthodontics, Corrective/methods* ; Osteotomy, Sagittal Split Ramus/methods* ; Periodontitis/complications ; Periodontitis/therapy*
Keywords
Foreign bodies ; nasopharynx ; infratemporal fossa ; complications ; aesthetic surgery
Abstract
This case report describes the beneficial effects of the interdisciplinary treatment of an adult patient with severe skeletal periodontal problems. A 30-year-old female patient presented with anterior open bite, gummy smile, and facial asymmetry. The patient had chronic generalized severe periodontitis with pathologic maxillary anterior teeth migration and mild intellectual disability. Treatment included 6 months of periodontal treatment, followed by presurgical orthodontic treatment, a Le Fort I osteotomy with anterior segmental osteotomy, a bilateral sagittal split ramus osteotomy, and postsurgical orthodontic treatment. After treatment completion, the patient exhibited functional and aesthetic improvements. Her periodontal condition improved and was maintained after the treatment. Here, we demonstrate a successful treatment outcome in a complicated case following a systematic interdisciplinary approach performed with the correct diagnosis and treatment planning.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201505000-00144&LSLINK=80&D=ovft
DOI
10.1097/SCS.0000000000001545
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Da Young(강다영)
Jung, Young Soo(정영수) ORCID logo https://orcid.org/0000-0001-5831-6508
Choi, Sung Hwan(최성환) ORCID logo https://orcid.org/0000-0002-1150-0268
Hwang, Chung Ju(황충주) ORCID logo https://orcid.org/0000-0003-3024-4551
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140648
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