DOI: 10.36347/sjds.2019.v06i03.003

Pages: 88-91

The step osteotomy has been used to treat mandibular prognathism, retrognathism, apertognathia and asymmetry. A patient presented with a mandibular excess with posterior edentulous space. After presurgical orthodontic treatment, mandibular body ostectomy was performed in the missing first molar region. The step osteotomy may also be used to treat mild to moderate mandibular asymmetry. By extracting a tooth on the, one may rotate the anterior fragment toward that side as in the prognathic patient and the on the contralateral side, the mandible is advanced or rotated.