Class III malocclusion is considered to be one of the most difficult and complex orthodontic problems to treat. Prevalence of class III malocclusion in Caucasians ranges from 0.8 to 4.0% and rises up to 1213% in Chinese and Japanese populations, while in North Indian population, class III malocclusion is found in up to 3.4% of the population. A 19 year old boy who reported with chief complaint of poor smile because of a forwardly placed lower jaw from 2 years. Treatment plan of orthodontic treatment first and surgery later was planned. The upper and lower arches were aligned until a 0.019″ x 0.025″ stainless steel archwire could be placed.Bilateral sagittal split osteotomy with short lingual split was carried out using surgical saws. 05 mm set back of mandible was performed. After 06 weeks class III elastics and settling elastics were given.

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