patients with significant skeletal discrepancies
requiring combined orthodontics and orthognathic surgery,
can be further classified whether the discrepancy is sagittal, transverse or vertical3.
The ability to determine individual skeletal maturity and percentage of remaining growth is important in optimal timing of correction of skeletal discrepancies
in orthodontic treatment planning and age estimation (1-4).
A nonradiographic approach to detect Class III skeletal discrepancies
The results of this study confirm the importance of individualized diagnoses for the treatment of orthodontic patients, since the growth of the facial bones and periods of intensive or accelerated physiological growth should be analyzed individually in order to make better use of bone remodeling and the correction of skeletal discrepancies
In general, orthodontic treatments have failed to focus on adjusting the occlusal plane and hence the posterior vertical dimension but simply concentrate on achieving harmony of the dental arches instead of focusing on the osseous bases, (22) which implies treatments of dentoalveolar compensation even in patients with skeletal discrepancies
including extractions (especially of premolars) to facilitate the achievement of dental objectives and occlusal harmony.
Antero-posterior skeletal discrepancies
of more than 2mm
Orthognathic surgery is used to correct any skeletal discrepancies
of jaws and face, related with structure, growth, malocclusion, TMJ disorders, sleep apnea, and in which orthodontic treatment alone cannot correct the condition.
The optimal timing to take advantage of bone remodeling for correcting skeletal discrepancies
, often involved in the development of malocclusions, depends on the identification of periods of accelerated or intense growth that can contribute significantly to the correction of these problems in a patient.
The appraisal of the biological aspects of mandibular growth is of fundamental importance in dentofacial orthopedics, especially with regard to the use of functional appliances to correct Class II skeletal discrepancies
However, the repositioning of the apical bases for the correction of skeletal discrepancies
with orthopedic appliances requires the support of facial growth.
Extraction and non extraction decisions correction of skeletal discrepancies
correction of spacing or crowding in dental arches considerably effect facial esthetics.