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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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