{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:39:48Z","timestamp":1787071188273,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Mandibular prognathism combined with a retrognathic maxilla is a skeletal discrepancy that is difficult to correct. We report a case of a 25-year-old Saudi male patient with skeletal class-III malocclusion due to severe prognathic mandible who was referred to an orthodontist at Prince Sultan Military Medical City. Complete clinical examination, radiographic assessment, and study models revealed class-III malocclusion due to anteroposterior deficiency of the maxilla and severe prognathic mandible. Orthognathic surgery was performed 18 months after the presurgical orthodontic phase. A 10-mm LeFort I advancement of the maxillary arch, with impaction of 3 mm, was performed with a bilateral sagittal split osteotomy (BSSO) of 11 mm. Stable occlusion and superior aesthetics were observed at the 1-year follow-up. Surgical\u2013orthodontic treatment endows an adult patient with a class-III malocclusion or mandibular prognathism with a stable occlusion and superior aesthetics.<\/jats:p>","DOI":"10.4103\/jpbs.jpbs_85_22","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T15:05:34Z","timestamp":1657724734000},"page":"S1054-S1058","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["A Case Report on Surgical\u2013Orthodontic Correction of Skeletal Class III Malocclusion with Severe Prognathic Mandible and Retrognathic Maxilla"],"prefix":"10.4103","volume":"14","author":[{"given":"Ali","family":"Barakat","sequence":"first","affiliation":[{"name":"Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al-Uloom University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasser","family":"Alasseri","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Salem","family":"Assari","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery and Diagnostic Sciences Department, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Koppolu","sequence":"additional","affiliation":[{"name":"Preventive Dental Sciences, College of Dentistry, Dar Al-Uloom University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman","family":"Al-Saffan","sequence":"additional","affiliation":[{"name":"Preventive Department, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,7,13]]},"reference":[{"key":"R1-20250925","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/S0929-6646(09)60264-3","article-title":"Treatment of mandibular prognathism","volume":"105","author":"Chang","year":"2006","journal-title":"J Formos Med Assoc"},{"key":"R2-20250925","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ajodo.2011.06.033","article-title":"Genetic variation in myosin 1H contributes to mandibular prognathism","volume":"141","author":"Tassopoulou-Fishell","year":"2012","journal-title":"Am J Orthod Dentofac Orthop"},{"key":"R3-20250925","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1179\/bjo.16.3.201","article-title":"Class III malocclusion: A cephalometric study of Saudi Arabians","volume":"16","author":"Toms","year":"1989","journal-title":"Br J Orthod"},{"key":"R4-20250925","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jcms.2014.10.028","article-title":"The effect of early physiotherapy on the recovery of mandibular function after orthognathic surgery for class III correction. 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