KUMJ | VOL. 23 | NO. 5 | ISSUE 93 | DECEMBER, 2026

Orthodontic Surgical Approach in the Management of Severe Skeletal Class III Malocclusion
Pokharel R, Karki P, Pandey M, Luintel S, Kafle D

Abstract:
Treating skeletal Class III malocclusion is often challenging for clinicians because its causes are complex, involving both genetic and environmental influences. In growing patients, early orthopedic intervention can help guide proper jaw development. For adults, mild cases may be managed with orthodontic camouflage, but severe skeletal discrepancies typically require a combination of orthodontic treatment and orthognathic surgery. This case report presents a patient with severe skeletal Class III malocclusion who was successfully managed using a Le Fort I osteotomy with maxillary advancement and Bilateral Sagittal Split Osteotomy (BSSO) setback procedure.
Keyword : Bimaxillary surgery, Class III malocclusion, Mandibular prognathism, Orthognathic surgery, Skeletal discrepancy