Patient that need corrective Jaw Surgery went into Maxillary Positioning in one of two groups either Maxilla Fixed using occlusal waver or PSI

Inculsion Criteria

• Adult patients with dentofacial deformities, including skeletal Class II deformity, skeletal Class III deformity, vertical maxillary excess, and facial asymmetry.
• Patients seeking definitive surgical correction and declining orthodontic camouflage treatment.
• Cases required maxillary impaction, advancement, or rotational movements.

Exclusion Criteria:

Medically compromised patients.

• Uncooperative or noncompliant patients.
• Patients with poor oral hygiene or active periodontal disease.