Dentofacial deformities Flashcards
_______ is essentially corrective Jaw surgery and is used
to correct both jaw and face deformities.
Orthognathic surgery
Common indications for ____
– Dentofacial deformities
– Growth disturbances
– Malocclusion from skeletal disharmonies
– Orthodontic problems not amenable to orthodontic treatment alone
(Transverse Maxillary deficiency)
– Obstructive sleep apnea
Orthognathic surg
Apertognathia is called _______
Anterior open bite
Orthodontics alone can’t fix transverse maxillary deficiencies of more than ___ mm
5 mm
What is the order of events for fixing dentofacial deformities?
Presurg Ortho
Surg
Post surg ortho
one of the most common Maxillary
orthognathic surgical procedures.
Maxilla Can be segmentallized in
to 2,3 or 4 pieces
- To advance Maxilla (Maxillary Retrognathia)
- To set back Maxilla (Maxillary Prognathia
- To correct Maxillary occusal Canting or tilt (Facial Aymmetry)
- To Superioroly reposition Maxilla (Vertical Maxillary Excess)
- To Inferioroly reposition Maxilla (Vertical Maxillary Deficiency)
Le forte 1 osteotomoy
most commonly performed mandibular osteotomy is the sagittal
split osteotomy due primarily to its simplicity and versatility
INdicationS:
– Mandibular advancement
– Mandibular set-back
– Mandibular rotation
IAN Injury
20-85%- transient
Undesirable split
Condyle repositioning- can lead to condyle resorption
Bilateral Sagittal Split Osteotomy
Procedure used to alter the size and morphology of the bony chin
with concomitant changes in the surrounding soft tissues.
Advancement genioplasty
Reduction genioplasty
Alloplastic augmentation (Chin Implant)
procedure can be used without orthodontics
Genioplasty
A sliding osteotomy of the chin is used in cases of micro- or macrogenia
Genioplasty