TODENTJ-25-03-2019_TODENTJ-8-43 1553505519 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 5 16 2014 8 1 Dai Juan and Feng Xue In this report we describe a combined orthodontic and surgical treatment for a 14-year-old boy with severe skeletal class III deformity and dental problem. His upper posterior primary teeth in the left side were over-retained and 6 maxillary teeth (bilateral central incisors and canines, left first and second premolars) were impacted, together with 5 supernumerary teeth in both arches. The treatment protocol involved extraction of all the supernumerary and deciduous teeth, surgical exposure and orthodontic traction of the impacted teeth, a bimaxillary orthognathic approach including Lefort I osteotomy. Bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty was performed to correct skeletal problem. After treatment, all of the impacted teeth were brought to proper alignment in the maxillary arch. A satisfied profile and good posterior occlusion was achieved. Treatment mechanics and consideration during different stages are discussed. 5 16 2014 43 48 TODENTJ-8-43 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2014-4-4 2014-4-12 2014-5-16 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210601408010043 1553505519 https://opendentistryjournal.com/VOLUME/8/PAGE/43/ https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.pdf https://opendentistryjournal.com/contents/volumes/V8/TODENTJ-8-43/TODENTJ-8-43.xml Am J Orthod Dentofacial Orthop Zuccati GC 137 S163 2010 Zuccati GC, Doldo T. Multiple bilateral impactions in an adolescent girl. Am J Orthod Dentofacial Orthop 2010; 137 (Suppl 4 ) : S163-72. Quintessence Int Kulkarni VK 41 191 2010 Kulkarni VK, Reddy S, Duddu M , et al. Multidisciplinary management of multiple maxillary anterior supernumerary teeth: a case report. Quintessence Int 2010; 41 (3) : 191-5. Angle Orthod Tanaka E 78 1110 2008 Tanaka E, Kawazoe A, Nakamura S , et al. An adolescent patient with multiple impacted teeth. Angle Orthod 2008; 78 (6) : 1110-8. Eur J Dent Bayar GR 2 73 2008 Bayar GR, Ortakoglu K, Sencimen M. Multiple impacted teeth: report of 3 cases. Eur J Dent 2008; 2 (1) : 73-8. Angle Orthod Conley RS 77 735 2007 Conley RS, Boyd SB, Legan HL , et al. Treatment of a patient with multiple impacted teeth. Angle Orthod 2007; 77 (4) : 735-41. Dentomaxillofac Radiol Yildirim D 33 133 2004 Yildirim D, Yilmaz HH, Aydin U. Multiple impacted permanent and deciduous teeth. Dentomaxillofac Radiol 2004; 33 (2) : 133-5. J Clin Pediatr Dent Babu V 23 59 1998 Babu V, Nagesh KS, Diwakar NR. A rare case of hereditary multiple impacted normal and supernumerary teeth. J Clin Pediatr Dent 1998; 23 (1) : 59-61. J Oral Sci Mohan RP 52 61 2010 Mohan RP, Suma GN, Vashishth S , et al. Cleidocranial dysplasia: clinico-radiological illustration of a rare case. J Oral Sci 2010; 52 (1) : 61-. Genesis Wang XP 49 261 2011 Wang XP, Fan J. Molecular genetics of supernumerary tooth formation. Genesis 2011; 49 (4) : 261-77. Int J Med Sci Inchingolo F 7 378 2011 Inchingolo F, Tatullo M, Abenavoli FM , et al. Non-syndromic multiple supernumerary teeth in a family unit with a normal karyotype: case report. Int J Med Sci 2011; 7 : 378-84. Head Face Med Dalessandri D 27 7 2011 Dalessandri D, Laffranchi L, Tonni I , et al. Advantages of cone beam computed tomography (CBCT) in the orthodontic treatment planning of cleidocranial dysplasia patients: a case report. Head Face Med 2011; 27 : 7-6. J Contemp Dent Pract Wang WM 11 E081 2010 Wang WM, Wang X, Wang TM. Evaluation of nonsyndromic multiple supernumerary teeth using three-dimensional computerized tomography: a case report and literature review. J Contemp Dent Pract 2010; 11 (1) : E081-7. J Am Dent Assoc McAboy CP 134 1459 2003 McAboy CP, Grumet JT, Siegel EB , et al. Surgical uprighting and repositioning of severely impacted mandibular second molars. J Am Dent Assoc 2003; 134 : 1459-62.