This color atlas and manual provides clinicians with systematic, standardized, but also individualized step-by-step guidance on 3D virtual diagnosis, treatment planning, and outcome assessment in patients undergoing orthognathic surgery for maxillofacial deformities. Drawing on 20 years of experience, the authors elucidate the clinical potential of the approach while also highlighting current pitfalls and limitations. The opening two chapters discuss the 3D imaging workflow and its integration into daily clinical routine and comprehensively describe cone-beam CT virtual diagnosis. The stepwise 3D virtual planning of orthognathic surgery and transfer of the 3D virtual treatment plan to the patient in the operating room are then thoroughly explained, and the unprecedented potential of 3D virtual evaluation of treatment outcome, documented. Finally, after provision of all this essential background information, the closing chapter illustrates the application of the 3D virtual approach in different types of maxillofacial deformity. Orthodontists and orthognathic and orthofacial surgeons will find 3D Virtual Treatment Planning of Orthognathic Surgery to be a superb guide and resource.
This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with "future perspective" and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic.
This richly illustrated book is a wide-ranging guide to modern diagnostics and treatment planning in orthodontics, which are mandatory prior to the initiation of any type of comprehensive treatment. The importance of three-dimensional (3D) imaging techniques has been increasingly recognized owing to the shortcomings of conventional two-dimensional imaging in some patients, such as those requiring complex adult treatment and those with temporomandibular joint dysfunctions or sleep disturbances. In the first part of this book, readers will find clear description and illustration of the diagnostic role of the latest 3D imaging techniques, including cone beam computed tomography, intra-oral scanning, and magnetic resonance imaging. The second part explains in detail the application of 3D techniques in treatment planning for orthodontic and orthognathic surgery. Guidance is also provided on the use of image fusion software for the purposes of accurate diagnosis and precise design of the most appropriate biomechanical approach in patients with malocclusions.
The human face should be in perfect harmony and balance along with ideal functioning of the stomatognathic system... was a view idealised by Apollo Belvedere, who created the neoclassical Greek sculpture of the head and face. However, Nature ensures that all of us are not blessed with perfect faces. It is for the resolution of these imperfections that orthodontic treatment is sought. But for patients whose problems are so severe that neither growth nor camouflage offers an ideal solution, surgical realignment of jaws or repositioning of dentoalveolar segments is the only choice. Surgery is not a substitute for orthodontics in these patients; instead, it must be properly coordinated with orthodontics and other dental treatment to achieve overall positive results. With recent advances in surgical technology, it is now possible to treat these patients successfully for whom orthodontic camouflage would have resulted in esthetically unacceptable and often unstable results. This art and science of diagnosis, treatment planning, and execution of treatment of dentofacial deformities by combining orthodontics, oral and maxillofacial surgery to correct severe musculoskeletal, dento-osseous, and soft tissue deformities of the jaws and associated structures is called orthognathic surgery. Successful orthognathic surgery demands the understanding and cooperation of the oral and maxillofacial surgeon, orthodontist, and general dentist. Each must provide a proper diagnosis and treatment plan, perform necessary treatment and refer to necessary treatment outside his or her respective area of expertise. In order for patients to receive state-of-art care when correcting their deformities, the orthognathic team must: 1. recognise the various characteristics of malocclusion and dento-facial deformity; 2. define the nature of the problem, including the possible etiology; and 3. design a treatment strategy based on the specific needs and desires of the individual. In this modern era, the role of the doctor has shifted from that of sole decision maker in the planning process to that of a partner with the patient as co-decision-maker. Therefore, the clinician must not overlook the importance of including the patient and parents in the treatment planning process. Ackermann and Proffit have suggested that clinicians are generally more influenced by objective findings (problem list) and patients are more influenced by subjective findings (their perception of their needs and values). This dichotomy makes communication an effective tool when one is faced with the decision between orthodontic camouflage and surgical orthodontic correction. The authors' of this book examine the diagnosis and treatment planning in orthognathic surgery.
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 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.
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 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.
Comprehensive in scope, Aesthetic Orthognathic Surgery and Rhinoplasty presents orthognathic surgery from an aesthetic perspective, encompassing analysis, diagnosis, treatment, 3D virtual planning, and adjunctive procedures. Easily accessible clinical information presented in a concise and approachable format Well-illustrated throughout with more than 1,000 clinical photographs Includes access to a companion website with videos of surgical procedures
