Integration of 3-dimensional surgical and orthodontic technologies with orthognathic “surgery-first” approach in the management of unilateral condylar hyperplasia

Aims and Objectives We evaluated the factors which affect patient satisfaction and their expectations toward “surgery first” and conventional orthognathic surgery. Materials and Methods Questionnaires consisting of 17 questions were given to the subjects postoperatively who had undergone Le fort 1 maxillary superior impaction for skeletal gummy smile correction with conventional orthognathic surgery and “surgery first” approach. Eleven-point rating scale based on a (visual analog scale; 0 = poor; 10 = excellent) were used to answer six questions. Ten closed-form questions were also included as well as one open question for “further remarks.” Results Nineteen patients (12 females, 07 males; mean age, 23.4 ± 4.9 [standard deviation] years) gave their consent to participate in the study. The intention to undergo surgery only for esthetics was noted in 42.11% of patients; only improvement of chewing function in 21.05% and both in 36.84%. Conclusion The most common factor for patient satisfaction after “surgery first” and conventional orthognathic surgery was facial esthetics, but masticatory function and even psychological aspects should be considered equally when planning surgery. The patient satisfaction was more in “surgery first” than conventional orthognathic surgery. The timing of treatment and immediate results are important factors toward patient satisfaction.

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Unilateral condylar hyperplasia recurrence after orthognathic surgery: a case report

Radiology and Diagnostic Imaging ◽

10.15761/rdi.1000108 ◽

2017 ◽

Vol 1 (2) ◽

Author(s):

Follacchio GA ◽

Ricci M ◽

Ramieri V ◽

Vellone V ◽

Frantellizzi V ◽

...

Keyword(s):

Case Report ◽

Orthognathic Surgery ◽

Condylar Hyperplasia

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Surgery-First Accelerated Orthognathic Surgery: Orthodontic Guidelines and Setup for Model Surgery

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2010.11.011 ◽

2011 ◽

Vol 69 (3) ◽

pp. 771-780 ◽

Cited By ~ 101

Author(s):

Eric J.W. Liou ◽

Po-Hsung Chen ◽

Yu-Chih Wang ◽

Chung-Chih Yu ◽

C.S. Huang ◽

...

Keyword(s):

Orthognathic Surgery ◽

Surgery First

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Orthodontic T-Scan Applications

Handbook of Research on Computerized Occlusal Analysis Technology Applications in Dental Medicine - Advances in Medical Technologies and Clinical Practice ◽

10.4018/978-1-4666-6587-3.ch011 ◽

2015 ◽

pp. 523-561 ◽

Cited By ~ 2

Author(s):

Julia Cohen-Levy, DDS, MS, PhD

Keyword(s):

Orthognathic Surgery ◽

Tooth Movement ◽

Case Reports ◽

Force Distribution ◽

Fixed Appliance ◽

Occlusal Contact ◽

3 Dimensional ◽

Finishing Process ◽

Scan Data ◽

Occlusal Contact Pattern

This chapter reviews T-Scan use in Orthodontics, defines normal T-Scan recordings for orthodontically treated subjects versus untreated subjects, and explains T-Scan use in the case-finishing process. After orthodontic appliance removal changes in the occlusion result from “settling,” because teeth can move freely within the periodontium. Despite a post treatment, visually “perfect” Angle's Class I relationship, ideal occlusal contacts often do not result solely from tooth movement. Creating simultaneous and equal contacts following fixed appliance removal can be accomplished using T-Scan data to optimize the end-result occlusal contact pattern. The software's force distribution and timing indicators (the 2 and 3-Dimensional ForceViews, force percentage per tooth and arch half, the Center of Force, and the Occlusion and Disclusion Times) aid in obtaining an ideal occlusal force distribution during case-finishing. Several case reports highlight combining lingual orthodontic treatment with Orthognathic surgery, where each presented case utilized T-Scan data during active treatment and retention.

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