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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2019 | Botulinum Toxin | Case report

Botulinum toxin-A injection into the anterior belly of the digastric muscle for the prevention of post-operative open bite in class II malocclusions: a case report and literature review

Authors: Yei-Jin Kang, Bong Kuen Cha, Dong Soon Choi, In San Jang, Seong-Gon Kim

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2019

Abstract

Background

Class II malocclusion patients with hyperdivergent facial types are characterized by short mandibular body lengths and anterior open bite. Accordingly, the treatment for hyperdivergent skeletal class II malocclusion is a lengthening of the mandibular body length and a counterclockwise rotation of the mandible. To prevent post-operative relapse, botulinum toxin-A (BTX-A) injection can be a retention modality.

Case presentation

A class II open-bite patient received BTX-A injection to the anterior belly of her digastric muscle for the prevention of post-operative relapse. The relapse was evaluated via a clinical examination and a lateral cephalometric radiograph after the completion of post-surgical orthodontic treatment. The patient showed stable occlusion without any signs of relapse at 15 months post-operatively.

Conclusion

In this case presentation, a single injection into the anterior belly of the digastric muscle was sufficient for the prevention of post-operative open bite.

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Title: Botulinum toxin-A injection into the anterior belly of the digastric muscle for the prevention of post-operative open bite in class II malocclusions: a case report and literature review
Authors: Yei-Jin Kang
Bong Kuen Cha
Dong Soon Choi
In San Jang
Seong-Gon Kim
Publication date: 01-12-2019
Publisher: Springer Berlin Heidelberg
Keyword: Botulinum Toxin
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2019
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-019-0201-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Botulinum toxin-A injection into the anterior belly of the digastric muscle for the prevention of post-operative open bite in class II malocclusions: a case report and literature review

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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