Jaw surgery Case# 124: Andrés- Class II, Open bite, Maxillo-mandibular retrusion

Andrés came on the recommendation of his orthodontist, to correct his Class II bite and improve his masticatory function and his facial image, which he was not satisfied with.

In our center, Prof. Federico Hernandez Alfaro performed bimaxillary surgery with mentoplasty and septoplasty to correct form and function in a procedure that lasted about two hours.

[hereyougofirst]

the smile changed completely! excellent!

[MZ-iqnz]

Well done ! It’s gonna change his life

[fierroman]

quedaste como una estrella de cine 10 de 10

[shuikai]

One of the best results you've had.

I think by and large the primary reasons this result turned out so well, are:

1. Minimal maxillary advancement (rotated), you can see the top of the maxilla where the LeFort is made, is moved forward very minimally. For class 2 I think this is often ideal.
2. Orientation is okay, maybe slightly too downwards. Even though orientation may be too downwards, the flaring of his incisors forced the planning to be advanced less, and A/B plane greater. I think orientation should be more precise to prevent variability in results.

I also think it would be nice to be able to reduce the flaring and allow for more advancement at the B point, but of course this is a complicated matter. It seems that genioplasty has the geniohyoid muscle attachments whereas B point has the genioglossus.

[dominikgolus]

Hi. Have any of your patients reported any positive impact that the surgery gad on his body posture (neck, /pelvis etc.)

[giantsguy]

Will insurance cover this procedure ? If not what does it cost out of pocket?

[Tai]

Hi, ill like to ask how long is the recovery, how painful it is and how risky is the surgery

[Riddick-]

Hello I love your work! I am from Israel and I need corrective jaw surgery for upper and lower I have class 2 and gummy smile if I come to you to Spain can you give me an offer for entire procedure?

[techwizard]

does every class 2 malocclusion need surgery?