scholarly journals The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

2007 ◽  
Vol 3 (1) ◽  
Author(s):  
Ariane Hohoff ◽  
Ulrich Joos ◽  
Ulrich Meyer ◽  
Ulrike Ehmer ◽  
Thomas Stamm
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Apert Syndrome

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

scholarly journals Modern trends in Class III orthognathic treatment: A time series analysis

2016 ◽  
Vol 87 (2) ◽  
pp. 269-278 ◽  
Author(s):  
Chang-Hoon Lee ◽  
Hyun-Hee Park ◽  
Byoung-Moo Seo ◽  
Shin-Jae Lee
Keyword(s):  
Time Series ◽  
Time Series Analysis ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Treatment Time ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Time Of Surgery ◽  
Series Analysis ◽  
Before And After

ABSTRACT Objective: To examine the current trends in surgical-orthodontic treatment for patients with Class III malocclusion using time-series analysis. Materials and Methods: The records of 2994 consecutive patients who underwent orthognathic surgery from January 1, 2004, through December 31, 2015, at Seoul National University Dental Hospital, Seoul, Korea, were reviewed. Clinical data from each surgical and orthodontic treatment record included patient's sex, age at the time of surgery, malocclusion classification, type of orthognathic surgical procedure, place where the orthodontic treatment was performed, orthodontic treatment modality, and time elapsed for pre- and postoperative orthodontic treatment. Results: Out of the orthognathic surgery patients, 86% had Class III malocclusion. Among them, two-jaw surgeries have become by far the most common orthognathic surgical treatment these days. The age at the time of surgery and the number of new patients had seasonal variations, which demonstrated opposing patterns. There was neither positive nor negative correlation between pre- and postoperative orthodontic treatment time. Elapsed orthodontic treatment time for both before and after Class III orthognathic surgeries has been decreasing over the years. Conclusion: Results of the time series analysis might provide clinicians with some insights into current surgical and orthodontic management.

Early Orthognathic Surgery: A Review

2017 ◽  
Vol 18 (3) ◽  
pp. 250-256
Author(s):  
Saleh Alwadei
Keyword(s):  
Surgical Procedures ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Surgical Intervention ◽  
Well Being ◽  
Facial Growth ◽  
Subsequent Growth ◽  
Congenital Deformities ◽  
Jaw Abnormalities ◽  
Early Surgical Intervention

ABSTRACT Introduction Management of growing patients with severe developmental jaw abnormalities can be very difficult. Early surgical intervention may be warranted in situations where function (e.g., mastication, swallowing, breathing, or speech) and/or psychological well-being could be negatively affected. Many surgeons and orthodontists are reluctant to recommend a surgical treatment option for growing patients with severe developmental jaw abnormalities because of their age. Specific surgical procedures can be performed during growth to correct developmental jaw abnormalities with predictable results. A sound understanding of the facial growth and the effects of the surgical procedures on subsequent growth is essential when managing growing patients with severe developmental jaw abnormalities. Children with severely progressive congenital deficiencies affecting function/health should be distinguished from ones with severe developmental jaw abnormalities that can be managed later in life. In this review, we will focus on the management of growing patients with developmental jaw abnormalities who seek orthodontic treatment, rather than patients with progressive congenital deformities affecting function and/or health. How to cite this article Alwadei S. Early Orthognathic Surgery: A Review. J Contemp Dent Pract 2017;18(3):250-256.

scholarly journals Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

2014 ◽  
Vol 25 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Samuel Porfírio Xavier ◽  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Verissimo de Mello Filho
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Two Stage ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
And Function ◽  
Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

scholarly journals Surgical Treatment of Posttraumatic Laterognathia: A Case Report and a Literature Review, Focused on the Effects of a Condylar Fracture on the Face

2018 ◽  
Vol 11 (3) ◽  
pp. 211-218
Author(s):  
Felipe Ladeira Pereira ◽  
Luísa de Marilac de Alencar Pinheiro ◽  
Phelype Maia Araújo ◽  
LetíciaLiana Chihara ◽  
Renato Luiz Maia Nogueira ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Condylar Fracture ◽  
Professional Help ◽  
Common Complaint ◽  
The Face ◽  
Second Procedure

Facial asymmetry, following early childhood condylar trauma, is a common complaint among patients who seek surgical treatment. G.D.M., a 27-year-old male patient, sought professional help to correct his cosmetic flaw, caused by a condylar fracture when he was 8-years-old. After the proper orthodontic treatment, he underwent a double jaw orthognathic surgery and, 9 months later, a second one to correct the remaining asymmetry. Two years after this second procedure, the patient is still under surveillance and has no complaints.

scholarly journals Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review

2016 ◽  
Vol 86 (3) ◽  
pp. 495-508 ◽  
Author(s):  
Camila Pachêco-Pereira ◽  
Lucas G. Abreu ◽  
Bruce D. Dick ◽  
Graziela De Luca Canto ◽  
Saul M. Paiva ◽  
...  
Keyword(s):  
Systematic Review ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Bibliographic Databases ◽  
Inclusion Criteria ◽  
Factors Associated ◽  
Patients Satisfaction ◽  
Psychometric Tool ◽  
Outcome Type ◽  
Age Range

ABSTRACT Objective:  To synthesize available evidence about factors associated with patients’ satisfaction after orthodontic treatment combined with orthognathic surgery. Materials and Methods:  Studies that evaluated any factor associated with patients’ satisfaction after the conclusion of an orthodontic treatment combined with an orthognathic surgery were identified. Orthognathic surgical procedures should have been undertaken after completion of craniofacial growth. Any satisfaction psychometric tool was considered. No language limitation was set. A detailed individual search strategy for each of the following bibliographic databases was crafted: MEDLINE, PubMed, EBM Reviews, Web of Science, EMBASE, LILACS, and Scopus. The references cited in the identified articles were also cross-checked, and a partial gray-literature search was undertaken using Google Scholar. Results:  Eight articles satisfied the inclusion criteria of this systematic review and accounted for 998 patients. The included studies showed large variation in sample size (range  =  44 to 505 patients), age (range  =  15 to 72 years old), distinct psychological evaluation tools, and time elapsed between the assessment and the completion of surgery and postorthodontic treatment. Most of the studies (five of eight) were classified as having high risk of bias. Conclusion:  Factors associated with satisfaction were final esthetic outcome, perceived social benefits from the outcome, type of orthognathic surgery, sex, and changes in patient self-concept during treatment. Factors associated with dissatisfaction were treatment length; sensation of functional impairment and/or dysfunction after surgery, and perceived omitted information about surgical risks.

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