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Article Abstract
Background: Orthognathic surgery without a well-coordinated orthodontic plan can compromise aesthetic and functional outcomes, potentially necessitating complex orthodontic retreatment.
Case Presentation: This case report presents a 28-year-old female with residual extraction spaces and upper incisor proclination following a failed bimaxillary anterior segment osteotomy. Clinical examination revealed a convex profile, Class I skeletal base relationship, hyperdivergent facial pattern, full-cusp Class II subdivision on the left side, excessive overjet, and significant lower dental midline deviation. Treatment involved digitally planned straight-wire lingual appliances combined with miniscrew anchorage to distalize the entire upper arch and lower right quadrant, while mesializing the lower left quadrant. This approach successfully corrected the malocclusion, achieving a solid Class I relationship, normal overbite and overjet, and a harmonious profile.
Conclusions: This case highlights the effective management of complex malocclusions arising from suboptimal orthognathic surgery through a combination of miniscrew-assisted distalization and mesialization techniques, aided by digital planning and lingual appliances.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013146 | PMC |
| http://dx.doi.org/10.1186/s12903-025-06000-7 | DOI Listing |
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