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Orthognathic surgery, orthodontics and implant placement in these patients have been rarely reported and can pose significant challenges due to bony sclerosis. We present a male patient with CMD with class III incisors on a skeletal III base, with obstructive and central sleep apnea. Our patient successfully underwent orthodontic treatment, a Le Fort 1 osteotomy with refashioning of the nasal passages, and subsequent implant placement at the age of 16 due to psychosocial pressures. The surgical results have remained stable at 5-year review.<\/jats:p>","DOI":"10.1177\/10556656261466319","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:19:54Z","timestamp":1783433994000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Craniometaphyseal Dysplasia: A Multidisciplinary Approach and Orthognathic Management in an Adolescent Patient"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7555-7549","authenticated-orcid":false,"given":"Rosheen","family":"Fatima","sequence":"first","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Johnson King","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Haria","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brijesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Critchlow","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Mills","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeem","family":"Saeed","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"issue":"4","key":"e_1_3_2_2_2","first-page":"79","article-title":"Genetic craniotubular bone dysplasias and hyperostosis: a critical analysis","volume":"5","author":"Gorlin RJ","year":"1969","unstructured":"Gorlin RJ, Spranger J, Koszalka MF. 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