Optimizing Orthognathic Surgery

A comprehensive guide to interdisciplinary treatment approaches for dysgnathia correction based on considerations of both orofacial function and facial esthetics. Written by international experts with over 30 years of surgical experience, this book shares valuable insights gained through close collaboration with orthodontists, dental practitioners, prosthodontists, ENT specialists, speech therapists, and more. The integration of intraoral distraction surgery into orthognathic procedures is explored with a special focus on severe cases. The wealth of treatment strategies and solutions presented within these pages will navigate readers through the intricate pathways of managing complex craniofacial malformations. Step-by-step guide for documentation, diagnosis, and planning of orthognathic surgical procedures Comprehensive methods and techniques for dysgnathia correction Identifying potential dangers and limitations Indications for interdisciplinary treatment planning Effective treatment sequences and surgical planning Descriptions of analog and digital approaches Strategies for choosing between the maxilla and mandible first approaches Practical tips and tricks for successful outcomes Balancing function and esthetics in treatment strategies In-depth case reports highlighting complex scenarios Long-term results and their significance in treatment evaluation This invaluable resource serves as an unwavering compass for the treatment of both simple and complex craniofacial malformations, guiding practitioners on their surgical journey, providing the knowledge, techniques, and insights needed to deliver exceptional patient care and achieve outstanding surgical outcomes.

This book introduces readers to a methodology that will allow an accurate diagnosis and the choice of an adequate treatment and planning essential for better and more stable results on a step by step basis. Starting from an overview of the orthodontic problem, clinicians can readily integrate new and background knowledge, get beyond controversial topics and approaches thus optimizing diagnostic and therapeutic procedures that modern technology ahs now made available. The authors have laid the emphasis on the gnathological study suggesting its systematic use in the diagnostic process, as a growing awareness that teeth aesthetics at the expense of functional aspects often leads to relapses, unsatisfactory occlusal functioning and a negative impact on the TMJ. Finally the authors combine orthodontics and orthognathic surgery into a more comprehensive concept; an orthodontic surgical treatment which, on the basis of an in-depth diagnosis, adequate planning and visualization of therapeutic objectives, allows a better communication and tuning between orthodontists and surgeons.

Explore the latest innovations in oral surgery with this comprehensive guide. Focusing on advanced procedures and technologies, this book aims to improve patient outcomes and provide oral surgeons with the tools to stay at the forefront of their field.

"This book draws from the authors' unique experiences as military surgeons to guide readers through orthognathic surgery, from workup, planning, and maxillary and mandibular surgery to managing complications. Useful as both an introduction to oral surgery for new residents and as a concise resource for staff and surgeons"--

This book provides clinicians with state of the art information on the use of zygomatic implants to restore function and improve quality of life. International experts come together to showcase important innovations and advances in techniques that will assist in the optimization of outcomes. Readers will find information on indications, biomechanics, the role of imaging, digital treatment planning, and all aspects of implant placement. Individual chapters are devoted to different procedures, including the extramaxillary surgical technique, extended sinus lift with retained bone window, the anatomy-guided approach, the quad zygoma technique, and static and dynamic guided surgery. The use of zygomatic implants specifically in oncology patients is also given detailed consideration. Today, the zygomatic approach offers many advantages for patients with severe maxillary resorption, in whom grafting was in the past unavoidable. In providing an up-to-date global perspective on the zygoma concept, this book will be an invaluable source of guidance for practitioners at all levels of experience.

This book is a comprehensive guide to the surgery-first orthognathic approach (SFOA), which overcomes the problem of the very prolonged treatment period associated with conventional orthognathic surgery by avoiding the presurgical phase. The shorter duration of the treatment is due to a phenomenon triggered by the surgery, termed the regional acceleratory phenomenon, whereby higher osteoclastic activity and metabolic changes at the dentoalveolar level accelerate postoperative orthodontic tooth movement. In this book, readers will find in-depth discussion of integration of the basic biological principles of SFOA with sound biomechanical doctrines. The authors’ own treatment protocol for surgical and orthodontic management is fully explained. Diagnosis and treatment plans are presented for various skeletal maxillofacial deformities, and key considerations in pre- and postsurgical patient care are highlighted. Detailed attention is given to complication management and to the impact of recent advances such as 3D image integration, virtual surgical planning, and rapid prototyping of surgical wafers. This richly illustrated book will be an ideal resource and quick reference guide for orthodontists at all levels of experience.

This is a unique and comprehensive, but concise illustrated operative manual for surgical and orthodontic consultants and trainees as well as for theatre and ward staff. It also describes in detail the current state of computerised cephalometry and contains up-to-date sections on imaging and surgical planning. Some important sections include: Secondary management of clefts (including the role of distraction osteogenesis); rhinoplasty surgery; temporomandibular joint ankylosis; nutrition; the important psychopathological aspects of orthognathic surgery, where the borderland between aesthetics and cosmesis can destabilise the patient and create unexpected problems for the clinician; and there is a unique section on the multistage planning process, which provides an increased understanding of the accuracy of record transfer and the challenges of rigid internal fixation.

This comprehensive and visually engaging color atlas and manual serves as an invaluable resource for orthognathic and orthofacial surgeons seeking detailed information on the various aspects of minimally invasive (MI) orthognathic surgery. The initial two chapters lay the foundation for a groundbreaking and innovative approach to MI orthognathic surgery, drawing from a wealth of 25 years of experience. The authors delve into the rationale behind this novel concept, aiming to enhance surgical efficiency and minimize patient morbidity. They present an in-depth exploration of the new surgical algorithm, which encompasses a systematic, step-by-step standardization of MI orthognathic techniques. The development of specialized MI orthognathic instruments and the introduction of innovative surgical codes, sequences, and templates are thoroughly elucidated. Subsequently, the following five chapters meticulously outline the "step-by-step" MI surgical techniques for the five primary orthognathic surgical procedures. These descriptions are accompanied by detailed illustrations, ensuring a comprehensive understanding of each technique. In the closing chapter, the book delves into the essential conditions required for successful MI orthognathic surgery, providing a thorough exploration of these necessary prerequisites. This book serves as a practical and user-friendly guide, offering clear and straightforward "step-by-step" instructions suitable for residents in training, junior surgeons, as well as experienced practitioners. Orthognathic and orthofacial surgeons will find "Minimally Invasive (MI) Orthognathic Surgery" to be an outstanding companion in their routine surgical practice.