Case Report

Penatalaksanaan disgnati kelas II skeletal dengan bilateral sagital split osteotomy

Muhammad Ruslin , Ida Ayu Astuti, D. Bram Tuinzing

Muhammad Ruslin
Bagian Bedah Mulut dan Maksilofasial FKG-Universitas Hasanuddin Makassar, Indonesia. Email: m.ruslin@unhas.ac.id

Ida Ayu Astuti
Bagian Bedah Mulut dan Maksilofasial FKG-UNPAD/RSUP dr. Hasan Sadikin Bandung, Indonesia

D. Bram Tuinzing
Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center/ Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
Online First: October 30, 2010 | Cite this Article
Ruslin, M., Astuti, I., Tuinzing, D. 2010. Penatalaksanaan disgnati kelas II skeletal dengan bilateral sagital split osteotomy. Journal of Dentomaxillofacial Science 9(2): 69-77.


This case reported a female patient aged 30 years was treated with orthognathy
surgery in Hasan Sadikin Hospital, Bandung. Based on clinical and radiological
examinations, model study and photography, diagnosis of skeletal dysgnathy class II
was established. The orthodontic treatment is a preparation before surgical operation
to achieve stability in optimal dental interdigitation. In operation, BSSO, chinplasty,
and V-Y plastic upper lip as well as intermaxillary fixation (IMF) ligation was carried
out at the dentofacial position class I. At day-16, radiography was carried out to
evaluate the surgical outcome and the bone position. At day-21, the opening of jaws
was 1.5 cm; and at day-42, the patient was reconsulted to orthodontist, and to
physical medicine and rehabilitation In month-3, occlusion, facial profile and
harmony, and jaw functions showed the satisfying outcome, though for the
interdigitation stabilization, the rubber elastics was still installed.

References

Blakey GH, White RP. Mandibular surgery. In: Contemporary treatment of dentofacial deformity. St Louis: Mosby; 2003.

Tuinzing DB, Greebe RB, Dorenbos J, Becking AG. Surgical orthodontics: Classification, diagnosis and treatment classification, diagnosis and treatment. Maarssen: Elsevier; 2005. p.50-68, 79-86.

Ghali GE, Sikes JW. Intraoral vertical ramus osteotomy as the preferred treatment for mandibular prognathism. J Oral Maxillofac Surg 2000; 58: 313-5.

Wolford LM. The sagittal split ramus osteotomy as the preferred treatment for mandibular prognathism. J Oral Maxillofac Surg 2000; 58: 310-2.

Westermark A. Inferior alveolar nerve function after mandibular osteotomies. Br J Oral Maxillofac Surg 1998; 36 (6): 425-8.

Tan JC. Practical manual of physical medicine and rehabilitation. St. Louis: Mosby Inc.; 1998.p. 514-37.


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