Case studies

Real surgical cases — fully documented, fully anonymous.

Every case below was performed at Face Clinic. Identifying details are removed and patients gave written consent for clinical publication.

No real facial photography is shown — only 3D plans and CT slices.

Class III underbite — surgery-first bimaxillary correction

Orthognathiccase-2024-OG-017

3D virtual surgical plan render

Class III underbite — surgery-first bimaxillary correction

Female · age 27 · 14-month treatment · with Dr. Shady Abdelghaffar

Full clinical brief

Presenting

27-year-old female, lifelong underbite with chewing difficulty and self-consciousness in social settings. 8mm reverse overjet on cephalometric analysis.

Workup

Cephalometric and panoramic radiographs
Cone-beam CT (4-slice symmetry analysis)
Digital impressions + 3D facial scan
Joint MRI to rule out TMJ pathology
Sleep questionnaire (negative for OSA)

Plan

Surgery-first protocol: Le Fort I maxillary advancement 5mm + BSSO mandibular setback 4mm + 3mm sliding genioplasty. Pre-surgical orthodontic phase shortened to 4 weeks for archwire insertion only.

Surgery

Bimaxillary osteotomies with patient-specific titanium plates designed from a virtual surgical plan. Theatre time 4h 20m. One-night admission. Inter-maxillary fixation avoided thanks to rigid custom plating.

Outcome

Class I occlusion at 6 weeks. Profile change visible from week 4. Post-op orthodontic detailing completed at month 9. 18-month follow-up: stable occlusion, full sensory recovery, patient satisfaction 10/10.

Total cost

EGP 218,000

Consult Shady Abdelghaffar

Atrophic maxilla — graftless full arch via zygomatic implants

Implantologycase-2024-IMP-041

Zygomatic implant trajectory CBCT slice

Atrophic maxilla — graftless full arch via zygomatic implants

Male · age 64 · 4-month treatment · with Dr. Mohamed Yassin

Full clinical brief

Presenting

64-year-old male, 18 years of upper denture failure and progressive bone loss. Conventional implant placement deemed impossible without 12+ months of staged grafting.

Workup

Cone-beam CT (low-residual ridge confirmed)
Cardiology clearance (well-controlled hypertension)
DEXA scan — moderate osteopenia, not osteoporosis
Sinus and nasal endoscopy
Smoking cessation 6 weeks pre-surgery

Plan

4 zygomatic implants (Nobel Biocare) + immediate fixed temporary acrylic prosthesis same day. Final zirconia hybrid bridge at 4 months.

Surgery

Surgery under general anaesthesia, theatre time 3h 15m. All four implants achieved >40 Ncm primary stability. Patient ate soft food the next morning.

Outcome

Final zirconia bridge delivered at month 4. 12-month CBCT shows preserved sinus and ridge architecture. Patient sleeps without removable prosthesis for the first time in 18 years.

Total cost

EGP 195,000

Consult Mohamed Yassin

Mandibular cyst enucleation with ridge reconstruction

Reconstructivecase-2024-RECON-009

Pre-op vs 6-month grafted ridge CBCT

Mandibular cyst enucleation with ridge reconstruction

Male · age 42 · 10-month treatment · with Dr. Mohamed Ghanem

Full clinical brief

Presenting

Incidental panoramic finding — 3.2cm radiolucent lesion in the right body of the mandible, displacing roots #45–#47. Asymptomatic.

Workup

Cone-beam CT for lesion mapping
Aspiration biopsy (negative for malignancy)
Vitality testing of adjacent teeth
Panoramic and lateral cephalometric review

Plan

Enucleation under local anaesthesia + IV sedation. Bony cavity grafted with autogenous chin block + xenograft mix and PRF membrane. Implant rehabilitation deferred 6 months.

Surgery

75-minute outpatient procedure. Histology confirmed odontogenic keratocyst. Patient discharged the same evening with prescribed analgesia and antibiotic prophylaxis.

Outcome

Bone fill complete at 6 months on CBCT. 2 implants placed at month 7 with porcelain-fused-to-metal bridge at month 10. No recurrence at 24-month follow-up.

Total cost

EGP 87,000

Consult Mohamed Ghanem

Bilateral TMJ disc displacement — conservative resolution

TMJcase-2024-TMJ-022

MRI joint disc position before/after splint

Bilateral TMJ disc displacement — conservative resolution

Female · age 34 · 4-month treatment · with Dr. Passant Helal

Full clinical brief

Presenting

34-year-old graphic designer, 14 months of bilateral jaw clicking, morning headaches and fatigue chewing. NSAIDs no longer effective.

Workup

Bilateral TMJ MRI (anterior disc displacement with reduction confirmed)
T-Scan digital occlusal analysis
Stress, sleep and screen-time history
EMG of masseter & temporalis

Plan

Stabilisation splint worn nightly + 8 weeks of supervised physiotherapy + 2 sessions of trigger-point injections to masseter. Occlusal selective grinding deferred.

Surgery

No surgery required. Botulinum toxin reserved as second-line if symptoms returned beyond month 6.

Outcome

Pain VAS dropped from 7/10 to 1/10 at week 12. Patient returned to full work hours. 24-month follow-up: 1 brief flare during high-stress quarter, resolved with splint compliance.

Total cost

EGP 18,500

Consult Passant Helal

$Bilateral mandibular fracture — single-stage ORIF$

Traumacase-2023-TRAUMA-005

3D CT reconstruction of fracture lines

Bilateral mandibular fracture — single-stage ORIF

Male · age 22 · 2-month treatment · with Dr. Mohamed Ghanem

Full clinical brief

Presenting

22-year-old male admitted via partner ER 6 hours after motorcycle accident: bilateral parasymphyseal and right angle fractures, intact dentition, GCS 15.

Workup

Maxillofacial CT (3D reconstruction)
Cervical spine clearance
Tetanus and antibiotic prophylaxis
Pre-anaesthetic workup

Plan

Single-stage open reduction and internal fixation with 2.0mm titanium miniplates via intraoral approach. No teeth extracted.

Surgery

Theatre time 2h 45m. 4 plates placed (2 parasymphyseal, 2 angle). Patient discharged at 36 hours with soft diet and chlorhexidine rinse.

Outcome

Full mouth opening (45mm) restored at week 4. Class I occlusion preserved. No infection, no plate exposure. Patient back at university after 3 weeks.

Total cost

EGP 96,000

Consult Mohamed Ghanem

Cosmeticcase-2024-COSM-014

Sliding genioplasty before/after profile mock-up

Genioplasty for chin augmentation in Class II profile

Female · age 31 · 1-month treatment · with Dr. Shady Abdelghaffar

Full clinical brief

Presenting

31-year-old female, normal occlusion but retrogenia on profile view. Declined formal orthognathic surgery; sought isolated chin augmentation.

Workup

Lateral cephalometric analysis (-7mm chin position)
3D facial scan with virtual mock-up
Cone-beam CT to map mental nerve
Cardiology clearance (mild MVP)

Plan

Sliding genioplasty with 7mm forward advancement and 1mm vertical reduction. Fixation with 2.0mm step-plate. IV sedation, local anaesthesia.

Surgery

Theatre time 1h 10m. Same-day discharge. Mental nerve preserved bilaterally with no transient paraesthesia reported.

Outcome

90% swelling resolved at 4 weeks. Profile photographs at 12 weeks match the digital mock-up within 1mm. Patient delighted with result, no further surgery requested.

Total cost

EGP 78,000

Consult Shady Abdelghaffar

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