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Contemp Clin Dent. 2018 Sep;9(Suppl 2):S382-S387. doi: 10.4103/ccd.ccd_484_18.

Surgical Management of Hyperdivergent Class II Malocclusion with Vertical Maxillary Excess: A 2-year Follow-up.

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Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.


Skeletal Class II malocclusions with vertical maxillary excess (VME) present with an amalgamation of several problems pertaining to psychological, esthetics, and function. The optimal treatment plan in such cases includes a synchronized orthodontic-surgical approach through superior repositioning and setback of maxilla by means of Le Fort I osteotomy and augmentation genioplasty. This case report describes a multidisciplinary approach in the successful management of a patient with VME to achieve superior esthetics and function.


Genioplasty; Le Fort I osteotomy; presurgical orthodontics; vertical maxillary excess

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