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Anterior mandibular apical base augmentation in the surgical orthodontic treatment of mandibular retrusion.

Brusati R, Giannì AB

Department of Maxillo-Facial Surgery, S. Paolo Hospital Milan, University of Milan Italy, Via A. di Rudinì 8, 20142 Milan, Italy.

The authors describe a surgical technique alternative to traditional pre-surgical orthodontics in order to increase the apical base in mandibular retrusion (class II, division I). This subapical osteotomy, optimizing inferior incisal axis without dental extractions and a long orthodontic treatment, associated to genioplasty permits to obtain an ideal labio-dento-mental morphology. This procedure avoids in some cases the need of a mandibular advancement and, if necessary, it reduces his entity with obvious advantages.

Published 31 October 2005 in Int J Oral Maxillofac Surg, 34(8): 846-50.
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