Mandibular Deviation and Unilateral Posterior Crossbite Treated with Intraoral Vertical Ramus Osteotomy and Sagittal Split Ramus Osteotomy

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Adult patients with severe mandibular asymmetry are often treated with a combination of surgery and orthodontic treatment to improve facial esthetics and occlusion. Intraoral vertical ramus osteotomy is a useful surgical procedure for mandibular setback in patients with mandibular prognathism or mandibular asymmetry. A 17-year-old woman presented with a Class III malocclusion with facial asymmetry and a unilateral posterior crossbite. The patient was treated orthodontically with edgewise appliances and surgically with intraoral vertical ramus osteotomy and sagittal split ramus osteotomy. The combined surgical-orthodontic treatment resulted in facial symmetry and optimal occlusion.

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