CASE REPORT 6

A PATIENT NAMED DINESH , 19 YEARS MALE REPORTED TO THE OUTPATIENT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY FACULTY OF DENTAL SCIENCES SGT UNIVERSITY WITH A CHIEF COMPLAINT OF FORWARD PLACED LOWER JAW SINCE LAST 10 YEARS. HISTORY OF PATIENT REVEALED TREATED BILATERAL CLEFT LIP AND PALATE ALONG WITH ALVEOLUS. EXTRAORAL EXAMINATION REVEALED A CONCAVE FACIAL PROFILE WITH RETRUDED MAXILLA, BILATERAL SCAR OF OPERATED CLEFT LIP. ON INTRAORAL EXAMINATION, A CLASS III MOLAR RELATION WAS SEEN WITH AN REVERSE OVERJET OF 8MM WITH MISSING 14 AND 24 CONGENITALLY. PATIENT IS UNDERGOING ORTHODONTIC TREATMENT SINCE 2 YEARS. PATIENT DIAGNOSED WITH HYPOPLASTIC MAXILLA.

ANTERIOR MAXILLARY OSTEOTOMY WITH FIXATION OF HYRAX EXPANSION SCREW WAS PERFORMED UNDER GENERAL ANESTHESIA. ACTIVATION OF HYRAX EXPANSION SCREW AT 1MM PER DAY AFTER 7 DAYS OF SURGERY WAS STARTED TO DISTRACT THE ANTERIOR MAXILLARY SEGMENT AND THE DISTRACTION IS AND WILL BE IN PROGRESS TILL A 3 MM OF OVERJET WILL BE ACHIEVED ACHIEVED.