Orthodontic-surgical Treatment of Class III Malocclusion with Extraction of an Impacted Canine and Multi-Segmented Maxillary Surgery: an 8-Year Follow-Up

•The surgery was performed with correct maxillary expansion and advancement.•There was complete closure of the extraction spaces followed by significant retention time.•Treatment was performed after the growth period.Orthodontic-surgical treatment can achieve excellent and stable results in patients with severe malocclusion. This is an 8-year follow-up report of a 20-year-old male with Class III malocclusion and impacted maxillary right canine, treated by a combined orthodontic-surgical approach. The treatment plan consisted of extraction of the maxillary right canine and the maxillary left first premolar, followed by decompensation of tooth positioning and orthognathic surgery. There was very good stability of the treatment results after this period.