This 23 year old male originally presented only for wisdom teeth removal.

The lower jaw was extremely short, and the teeth so crowded, that there was simply no room for the lower wisdom teeth to erupt; and so they were impacted and infected.

The surgeon suggested that the patient consider orthodontics follow wisdom teeth surgery, but the patient seemed worried over the prospect of previous advice which was simply to remove the crowded upper teeth to create "room".

The surgeon suggested that he reconsider orthodontics (but without the need for premolar extractions), and to also consider jaw advancement surgery.

Lateral photos showing pre-surgical and post-surgical profiles. Comparison demonstrates changes to lower lip and chin projection, and blending of the lower face into an overall aesthetically balanced profile.

Before & after frontal, and lateral smile photos showing ~6mm mandible advancement of retruded mandible, on background of orthodontic intra-arch alignement of teeth.

Post-operative OPG showing bilateral telescope-like advancement of the mandible; with internal fixation using titanium plates. Fixation devices may be removed later in a separate and minimal ½ hr general anaesthetic procedure.

The combination of classic non-extraction orthodontics, and mandibular advancement surgery produced a perfect profile and occlusion.

Orthodontics provided by Dr Peter Vaughan, specialist orthodontist, and surgery provided by Dr Paul Coceancig, specialist oral & maxillofacial surgeon.

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