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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <Volume-Issue>Volume 3; Issue 4</Volume-Issue>
      <Season>(Jul-Aug, 2022)</Season>
      <ArticleType>Surgical Case Reports</ArticleType>
      <ArticleTitle>Early Orthosurgical Treatment of a Skeletal Class III: Can the Self-Esteem Be Improved?</ArticleTitle>
          <FirstName>Julio P.</FirstName>
      <Abstract>Young patients with a skeletal Class III malocclusion with a strong psychological and appearance impact may require surgical correction during their growth. This case report describes the orthosurgical treatment of a 11-year-old boy with history of bullying, presenting severe Class III skeletal malocclusion, anterior cross-bite and mandibular prognathism. He also had significant vertical and anteroposterior discrepancies and a concave profile with prominent lips. The treatment plan included extraction of the first premolars, a maxillary LeFort I osteotomy and a mandibular bilateral sagittal split osteotomy. The orthodontic treatment combined with the two-jaw surgery improved his jaws alignment, occlusal function, and the most important: his self-esteem and quality of life.</Abstract>
      <Keywords>Class III Treatment,Orthodontic Treatment,Orthognathic Surgery,Quality of Life,Treatment Timing</Keywords>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=13994&amp;title=Early Orthosurgical Treatment of a Skeletal Class III: Can the Self-Esteem Be Improved?</Abstract>
        <References>Abreu LG. Orthodontics in Children and Impact of Malocclusion on Adolescentsand;#39; Quality of Life. Pediatr Clin North Am 2018; 65: 995-1006.&#13;
Baccetti T, Franchi L, McNamara Jr JA. Cephalometric variables predicting the long term success or failure of combined rapid maxillary expansion and facial mask therapy. Am J Orthod Dentofacial Orthop 2004; 126: 16-22.&#13;
Eslami S, Faber J, Fateh A, Sheikholaemmeh F, Grassia V, Jamilian A. Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics. Prog Orthod 2018; 19: 1-6.&#13;
Ghorbani F, Gheibollahi H, Tavanafar S, Eftekharian HR. Improvement of Esthetic, Functional, and Social Well-Being After Orthognatic Surgical Intervention: A Sampling of Postsurgical Patients Over a 10-Year Period From 2007 to 2017. J Oral Maxillofac Surg 2018; 76: 2398-2403.&#13;
Haryani J, Nagar A, Mehrotra D, Ranabhatt R. Management of severe skeletal Class III malocclusion with bimaxillary orthognathic surgery. Contemp Clin Dent 2016; 7: 574-578.&#13;
Helm S, Kreiborg S, Solow B. Psychosocial implications of malocclusion: a 15-year follow-up study in 30-year-old Danes. Am J Orthod 1985; 87: 110-118.&#13;
Hirjak D, Dvoranova B, Reyneke JP, Machon M, Neff A. Condylar position and mandibular function after bilateral sagittal split osteotomy. Bratisl Lek Listy 2020; 121: 379-385.&#13;
Maspero C, Galbiati G, Perillo L, Favero L, Giannini L. Orthopaedic treatment efficiency in skeletal Class III malocclusions in young patients: RME-face mask versus TSME. Eur J Paediatr Dent 2012; 13: 225-230.&#13;
Miguel JA, Palomares NB, Feu D. Life-quality of Orthognathic Surgery Patients: The Search for and Integral Diagnosis. Dental Press J Orthod 2014; 19: 123-137.&#13;
Ngan P and Moon W. Evolution of Class III treatment in orthodontics. Am J Orthod Dentofacial Orthop 2015; 148: 22-36.&#13;
Oand;#39;Keefe C, Sinnott P. Early orthognathic surgery in response to bullying due to malocclusion. J Ir Dent Assoc 2016; 62: 343-347.&#13;
Olate S, Sigua E, Asprino L, de Moraes M. Complications in Orthognathic Surgery. J Craniofac Surg 2018; 29: 158-161.&#13;
Rezaei F, Masalehi H, Golshah A, Imani MM. Oral health related quality of life of patients with class III skeletal malocclusion before and after orthognathic surgery. BMC Oral Health 2019; 19: 289.&#13;
Rongo R, Dand;#39;Antand;ograve; V, Bucci R, Polito I, Martina R, Michelotti A. Skeletal and Dental Effects of Class III Orthopaedic Treatment: A systematic Review and Meta-Analysis. J Oral Rehabil 2017; 44: 545-562.&#13;
Ryan FS, Barnard M, Cunningham SJ. Impact of dentofacial deformity and motivation for treatment: a qualitative study. Am J Orthod Dentofacial Orthop 2012; 141: 734-742.&#13;
Stojanovic LS, Mileusnic I, Mileusnic B, Cutovic T. Orthodontic-surgical treatment of the skeletal class III malocclusion: a case report. Vojnosanit Pregl 2013; 70: 215-220.&#13;
Teixeira AO, Medeiros PJ, Capelli Junior J. Orthodontic-surgical treatment in youthful patient with severe skeletal Class III malocclusion. Revista Dental Press de Ortodontia e Ortopedia Facial 2007; 12: 55-62.&#13;
Villegas C, Oberti G, Jimenez I, Franchi L, Baccetti T. Early Orthognathic Surgery in Growing Class III Patients. J Clin Orthod 2010; 44: 651-664.&#13;
Woon SC and Thiruvenkatachari B. Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017; 151: 28-52.&#13;
Xue F, Wong RW, Rabie AB. Genes, genetics, and Class III malocclusion. Orthod Craniofac Res 2010; 13: 69-74.&#13;
Zaroni FM, Cavalcante RC, Joand;atilde;o da Costa D, Kluppel LE, Scariot R, Rebellato NLB. Complications associated with orthognathic surgery: A retrospective study of 485 cases. J Craniomaxillofac Surg 2019; 47: 1855-1860.</References>