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Alessandria alveolar alveolar bone ANB angle associated angular measurements assess associated with maxillary bicuspid Bruxism cephalometric analysis Changes in SNA clinical examination correction Department of Orthodontics evaluated facial profile Figure functional shifts gingival display immediate post-operative cephalogram immediate pre-operative Inferior Incisal Edge James Gallo Kole6 lateral cephalogram linear and angular literature long-term mandible maxilla maxillary anterior segment maxillary anterior teeth maxillary ostectomy procedure maxillary segment maxillo-mandibular Michigan Dr Nasion to Inferior Nasion to Palatal Occlusal Plane oral surgeon orthodontist ostectomy surgery Overbite paired T-test Palatal Plane paresthesia periodontal Plane to Menton post-operative period posterior displacement pre-operative cephalogram prior to surgery problems Professor of Dentistry recall appointment recall cephalogram recall visit Reduction of overjet Residual defects Rosenstein1 School of Dentistry severe maxillary protrusion significant SN angle SN Perpendicular superior displacement superiorly surgical procedure surgical sites tooth movement University of Michigan upper incisors upper lip vertical dimension White1