ORTHOSURGICAL MANAGEMENT OF SEVERE SKELETAL CLASS III MALOCCLUSION BY A SYSTEMATIC APPROACH: A CASE REPORT

Class III malocclusions stem from insufcient forward growth of the maxilla, excessive forward mandibular growth, or a combination of both. In severe cases, where growth modication or camouage is inadequate, surgery to realign the jaws or reposition dentoalveolar segments becomes necessary. Advances in recent years have enabled successful combined surgical and orthodontic treatments for complex dentofacial issues. This case report details the management of a 19-year-old male with skeletal Class III malocclusion, compromised aesthetics, and poor functional adaptation. Treatment included pre-surgical orthodontics with the extraction of four premolars, followed by orthognathic surgery to achieve structural balance, improved aesthetics, and stable functional occlusion.