Surgery First Orthodontic Management

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 book is a comprehensive guide to the surgery-first orthognathic approach for patients with malocclusion and skeletal disharmony, which has been successfully applied by the authors in their practices over the past 15 years. The approach breaks with the time-tested principles of traditional orthognathic surgery in that corrective bone surgery is performed first, without the removal of dental compensations, followed by orthodontic finishing. All aspects are covered with the aid of numerous illustrations, the aim being to provide surgeons with a systematic educational tool that will enable them to introduce the approach into their own practice. In addition, the book addresses one of the hot issues in orthodontics, occlusal plane-altering orthognathic surgery, in which surgical modification of the occlusal plane is employed to treat various types of dentofacial deformity and improve facial proportions. This promises to become a very powerful tool in modern orthognathic surgery.

This issue of Oral and Maxillofacial Surgery Clinics of North America is devoted to Orthodontics for the Oral and Maxillofacial Surgery Patient and is edited by Drs. Michael R. Markiewicz, Sath Allareddy and Michael Miloro. Articles will include: Digital workflow for combined orthodontics and orthognathic surgery; Surgical tooth exposure and bonding: What does the orthodontist want?; Temporary skeletal anchorage techniques; Interceptive dentofacial orthopedics (growth modification); Correction of transverse maxillary deficiency; Comprehensive pre-orthognathic surgery orthodontics; Distraction osteogenesis for the non-craniofacial patient; Surgery-first approach in the orthognathic patient; Idiopathic condylar resorption: What should we do?; Juvenile idiopathic arthritis: Update on management; Comprehensive post-orthognathic surgery orthodontics: complications, misconceptions, and management; Aesthetic facial surgery and orthodontics: Common goals; and more!

ORTHOGNATHIC SURGERY Orthognathic Surgery: Principles, Planning and Practice is a definitive clinical guide to orthognathic surgery, from initial diagnosis and treatment planning to surgical management and postoperative care. Addresses the major craniofacial anomalies and complex conditions of the jaw and face that require surgery Edited by two highly experienced specialists, with contributions from an international team of experts Enhanced by case studies, note boxes and more than 2000 clinical photographs and illustrations Serves as an essential reference for higher trainees and practicing clinicians in cranio-maxillofacial surgery, orthodontics, plastic and reconstructive surgery and allied specialties

This handbook provides a short, contemporary text on the management of dentofacial deformities. The importance of a well organised, inter-disciplinary approach is emphasised throughout and the following key areas are presented: A detailed account of the role of the psychologist, from initial assessment through to post-operative support. A systematic approach to dentofacial assessment, including a section on diagnostic records and an overview of cephalometry. A logical step-by-step approach to treatment planning, emphasising the interactive thought process required when setting orthodontic and surgical objectives. The fundamentals of surgical orthodontics, with the scope and limitations of orthodontic appliances clearly explained for each phase of treatment. A description of orthognathic technical procedures and how potential errors can be minimised in order to improve the accuracy of model surgery. An account of how to carry out photo-cephalometric profile prediction planning, including a critique of the method. A detailed description of the full range of mandibular and maxillary orthognathic surgical procedures, including indications and complications. A chapter on higher-level osteotomies for the treatment of more severe craniofacial abnormalities is included for completeness. A series of six contrasting case studies. There is an emphasis on the technological advances that are rapidly enabling the global paradigm shift from 2D to 3D planning.

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 book presents a concise approach to the diagnosis and surgical treatment of patients with dentofacial deformities. In-depth chapters detail the treatment process of patient evaluation, analysis of diagnostic records, development of a visual treatment objective, treatment planning, and surgical management. The most common surgical techniques are featured in step-by-step protocols. Although the basic science of orthognathic surgery remains unchanged, the contents of this book have been updated to reflect the most current interpretation of diagnostic data, including expanded discussions of the rotation of the maxillomandibular complex and anterior open bite dentofacial deformities as well as new sections on distraction osteogenesis and the intraoral vertical mandibular ramus osteotomy. Full-color illustrations and comprehensive case reports complement the text and demonstrate treatment outcomes."--Publisher.