Manik Swayoga, Abel Tasman
Abstract: Orthognathic surgery has an objective to repositioning the basal bone in the framework of maxillo-mandibular deformities that results both in esthetic and functional. It could improve the stability of dental occlusion, temporomandibular joint (TMJ) function and facial proportion in patient with skeletal occlusion disruption. Patient with skeletal occlusion disruption of lower third facial could be treated with Bilateral Sagittal Split Osteotomy (BSSO) technique. This article aimed to report the management of canted mandible with orthognathic surgery. A 19 years old male patient complaining his lower jaw tilted to the right. He feels fatigue on his facial muscles and jaws when chewing in long period of time, and soreness on his shoulders through to the lower back area, buzzing ears and clicking in both of TMJ. The patient treated with BSSO procedure to correct the skeletal disruption. The mandible was autorotated and set back to reach class I occlusion. BSSO technique in patient with canted mandibular to alter the shape of the jaw found to be effective to overcome functional and esthetic problem of the patient.
Keywords: BSSO, canted mandibular, occlusal disruption