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Orthognathic Surgery
2005-12-04

 

 

 

•Dentofacial deformities such as vertical maxillary excess, anterior open bite, microganthia, Protruded Jaws and facial asymetry, which couldnzxc t be corrected by orthodontist, are now treated to a stable, aesthetic, and functional resolution by a combined surgical and orthodontic approach.

Database collection: they include the following:-

•General Information and History

•Medical history.

•Family history.

•Psychosocial history.

•Dental History.

Restorative experiences and objectives.

•Periodontal history.

•Teporomandibular joint history.

•Orthodontic history and status.

•Aesthetic Facial Evaluation

Clinical examination

•Frontal examination.

•Profile examination.

•Photographic

•Frontal.

•Profile.

•Oblique views.

•Specialized views.

•Intra-oral examination.

•Dentition status.

•Peridontal status.

•Inter-and intra-arch relation.

-Functional facial evaluation

-Musculature.

-Soft tissue drape.

-Function with speech and animation.

-Intra-oral examination.

-Occlusal relations

-Functional evaluation.

-T.M.J

-Noise.

-Range and motion.

-Functional status.

-Radiographic Evaluation

-Cephalometric radiographic.

-Lateral examination.

-Frontal examination.

-Panoramic and dental radiographic examination.

-Specialized studies.

-Dental cast analysis.

-Laboratory studies.

Case presentation : 23 y/o female pt presented with :

1- protruded maxilla and mandible

2- anterior open bite

3- incompetence lip

4- acute nasolabial angle

5- deep labiomental fold

After complete collection of the database and analyzed it the best operation for the pt was upper and lower anterior subapical osteotomy

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