Case 1

Child (late mixed dentition)

Problems

Constricted maxilla

Abnormal sagittal co-ordination of the jaws

Retrognathic mandible

Increased overjet (horizontal distance between upper and lower incisors)

Bilateral mandibular cysts due to infections of primary teeth causing severe bone resorption

Three (3) impacted mandibular teeth

Treatment

Surgical intervention to the cysts to promote bone healing

Dentofacial orthopedics

Orthodontic treatment with fixed appliances (brackets)

Full recovery of the cystic lesions and alignment of the impacted teeth into correct position