Absence of rebound effect with calcium carbonate

The incorporation of the total subapical osteotomy as an alternative surgical technique to augment standard bilateral sagittal split osteotomy in facilitating establishment of the profile objectives in the surgical-orthodontic treatment of a patient with skeletal sagittal discrepancy, is presented in this case report. Esthetic considerations, as well as risks involved in this type of a combined surgical approach, are also discussed.