Int J Dent Case Reports 2013; 3(1): 63-67 © IJDCR 2013. All rights reserved www.ijdcr.com THE MANAGEMENT OF SKELETAL CIRCULAR OPEN BITE CASE: SURGICAL APPROACH WITH PROSTHETIC REHABILITATION Birkan Taha OZKAN 1 , Zafer SARI 2 , Ahmet Faruk KIROGLU 3 , Ali Ihsan ZENGINGUL 4 , Eylem Ayhan ALKAN 5 , Volkan KAPLAN 6 , Levent CIGERIM 7 , Abdurrahman SAHINBAS 8 1 Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY 2 Professor, Department of Orthodontic, Dean, Faculty of Dentistry, University of Akdeniz, Antalya, TURKEY 3 Assistant Professor, Department of Otolaryngology, Faculty of Medicine, University of Yuzuncu Yil, Van, TURKEY 4 Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY 5 Assistant Professor, Department of Periodontology, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY 6 Research Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY 7 Research Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY 8 Research Assistant, Department of Prosthodontics, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY Address for Correspondence Dr Birkan Taha ÖZKAN Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Yuzuncu Yil, Van, TURKEY E-mail: btozkan@hotmail.com ABSTRACT A 29-year-old female patient reffered to our department with a chief complaint of functional and facial esthetical problems. Subsequent to clinical and radiographic evaluation, patient had skeletal Class II malocclusion, circular open bite with bilateral crossbite, vertical discrepancy and a convex profile with retrusive upper lip. Due to the patient had full-arch maxillary fixed prosthesis, it was decided to treat the patient without orthodontic treatment. The treatment plan was ortognathic surgery subsequently prosthetic rehabilitation and genioplasty. Modified Le Fort I osteotomy followed by full maxillary prosthetic rehabilitation was administered prior to genioplasty in order to resolve functional and facial esthetic apperence. In this case report patient had total fixed prosthesis, therefore orthodontic treatment was not performed. Therefore, surgical approach was planned Le Fort I osteotomy and advancement genioplasty followed by prosthetic rehabilitation. Surgical treatment alone with additive prosthetic rehabilitation without any requirement orthodontic treatment would be used in this selected case. The patient satisfied with both functional and esthetic outcomes on both facial profile and frontal view with in 12 months of follow-up period. Keywords: Class II malocclusion; genioplasty;orthognathic surgery