{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:32:48Z","timestamp":1787776368457,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale and Patient Concerns:<\/jats:title>\n                    <jats:p>A 19-year-old male patient presented with a dentoalveolar Class III malocclusion on a Class III skeletal base with facial asymmetry, increased facial proportions, complicated by anterior open bite of 6.2 mm, unilateral posterior crossbite with Index of Orthognathic Functional Treatment Need score of 5.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis and Treatment:<\/jats:title>\n                    <jats:p>The patient\u2019s maxillary arch was bonded initially and 4 months post alignment, pre-surgical intraoral scanning and full skull computed tomography were obtained and subjected to virtual surgical planning (NemoFAB Version 22, Nemotec, Madrid, Spain). Counterclockwise rotational bilateral sagittal split osteotomy setback and genioplasty was performed to close the open bite and correct the Class III skeletal discrepancy with the aid of intermaxillary fixation screws placed in the midline of upper and lower maxillary and mandibular arches for heavy elastic engagement post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome:<\/jats:title>\n                    <jats:p>Facial balance was restored, profile was improved, ideal overjet and overbite established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons:<\/jats:title>\n                    <jats:p>This approach combines the benefits of conventional three-phase surgery and surgery first orthognathic approach by meticulous planning of the intended transitional malocclusion to achieve a stable occlusion. Longer follow-ups in future studies can be investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_219_24","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T04:00:15Z","timestamp":1748404815000},"page":"128-132","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Management of Vertical Class III Malocclusion with Severe Skeletal Openbite Using Minimum Pre-surgical Orthodontics - A Case Report"],"prefix":"10.4103","volume":"15","author":[{"given":"Seerab","family":"Husain","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayeemullah","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anantanarayanan","family":"Parameswaran","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manini","family":"Nagi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratna","family":"Parameswaran","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"R1-20250710","doi-asserted-by":"crossref","first-page":"100099","DOI":"10.1016\/j.adoms.2021.100099","article-title":"Short and long term stability of open bite surgical treatment: A systemic review","volume":"3","author":"Elhajoubi","year":"2021","journal-title":"Adv Oral Maxillofac Surg"},{"key":"R2-20250710","doi-asserted-by":"crossref","first-page":"73","DOI":"10.4103\/ams.ams_104_16","article-title":"A retrospective analysis of dentofacial deformities and orthognathic surgeries","volume":"7","author":"Eslamipour","year":"2017","journal-title":"Ann Maxillofac Surg"},{"key":"R3-20250710","doi-asserted-by":"crossref","first-page":"2","DOI":"10.38209\/2708-2636.1335","article-title":"Surgical-orthodontic correction of skeletal class III anterior open bite with facial asymmetry","volume":"35","author":"Chang","year":"2023","journal-title":"Taiwan J Orthod"},{"key":"R4-20250710","doi-asserted-by":"crossref","first-page":"111","DOI":"10.2478\/aoj-2024-0013","article-title":"A retrospective investigation of orthognathic patients and functional needs","volume":"40","author":"Borzabadi-Farahani","year":"2024","journal-title":"Australas Orthod J Sci"},{"key":"R5-20250710","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1177\/10556656231216833","article-title":"Systematic review and meta-analysis of the index of orthognathic functional treatment need for detecting subjects with great need for orthognathic surgery","volume":"62","author":"Borzabadi-Farahani","year":"2025","journal-title":"Cleft Palate Craniofac J"},{"key":"R6-20250710","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.bj.2021.02.005","article-title":"One-year stability of the mandibular advancement and counterclockwise rotation for correction of the skeletal class II malocclusion and high mandibular plane angle: Dental and skeletal aspect","volume":"45","author":"Ruslin","year":"2022","journal-title":"Biomed J"},{"key":"R7-20250710","doi-asserted-by":"crossref","first-page":"478","DOI":"10.3390\/app13010478","article-title":"Surgical complications of orthognathic surgery","volume":"13","author":"Joachim","year":"2022","journal-title":"Appl Sci"},{"key":"R8-20250710","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4103\/2278-0203.176657","article-title":"Surgery-first orthognathic approach case series: Salient features and guidelines","volume":"5","author":"Gandedkar","year":"2016","journal-title":"J Orthod Sci"},{"key":"R9-20250710","first-page":"393","article-title":"Miniplate removal in operated cases of maxillofacial region in a dental institute in Rajasthan, India","volume":"92","author":"Khandelwal","year":"2019","journal-title":"Med Pharm Rep"},{"key":"R10-20250710","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.joms.2005.02.005","article-title":"Removal of miniplates in maxillofacial surgery: A follow-up study","volume":"63","author":"Bhatt","year":"2005","journal-title":"J Oral Maxillofac Surg"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_219_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:07:43Z","timestamp":1787774863000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_219_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_219_24","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}