Science and Education Publishing International Journal of Dental Sciences and Research 2 1 2014 01 13 Combined Orthodontic and Surgical Management of a Skeletal Class III Malocclusion with Mild Asymmetry-a Non Extraction Approach 5 8 EN Anila Charles Department of Orthodontics, Madha Dental College, Chennai, India Shivaram Subbiah Senkutvan R.S IJDSR2014212 10.12691/ijdsr-2-1-2 2013 10 29 2013 12 26 2014 01 13 Severe orthodontic problem that could neither be treated with growth modification or camouflage often requires combined surgical and orthodontic treatment. As the envelope of discrepancy indicate the limitation in orthodontics a multidisciplinary approach is mandatory while treating a skeletal Class III malocclusion in adults. This case reports describes the management of a 22 year old female patient with skeletal class III malocclusion and mild facial asymmetry treated with a non extraction approach, Decompensation was done before surgery followed by a bilateral sagittal split osteotomy. In reviewing the patient, the goals set at the beginning of treatment were successfully achieved, providing the patient with adequate masticatory function and pleasant facial esthetics.