Severe Underbite Treated with Braces and Orthognathic Surgery

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He was a severe Class III (underbite or anterior crossbite) with maxillary constriction (posterior crossbite). The timetable when patient's need jaw surgery is typically like this. I place braces first to get general alignment for 9-12 months. I then send them to the oral surgeon for the surgery. He usually stays 1-2 days in the hospital to rest. In this case, upper and lower jaw surgery was required. We allow him to heal for about 6 weeks i.e. no adjustments on his braces. I then finish his orthodontic work over the next 6-12 months depending on severity of case.

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