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Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery
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Orthognathic Surgery

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Orthognathic surgery from the orthodontist's perspective!! …

Orthognathic surgery from the orthodontist's perspective!!

Role of orthodontist for orthognathic cases

Published in: Health & Medicine
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  • 1. DR.DASHRATH KAFLE, ASSISTANT PROFESSOR, KUSMS
  • 2. • Dr.Dashrath Kafle, Assistant Professor, Kathmandu University School of Medical Sciences, Consultant Orthodontist, Dhulikhel Hospital. dashrath07@yahoo.com
  • 3. Dhulikhel Hospital 3
  • 4. Situation 1
  • 5. Situation 2
  • 6. Situation 3
  • 7. Problems • A • B • C • D • . • . • . • . Solutions • A • B • C • D • . • . • . • .
  • 8. Treatment options
  • 9. Growth Modification Initial VTO 5 months after Twin Block
  • 10. CAMOUFLAGE
  • 11. Camouflage with mini implants
  • 12. ORTHOGNATHIC SURGERIES
  • 13. BECAUSE : A. B. C. D. E.
  • 14. FREESH Approach • Function • • • • Relaiability Esthestics Economic Stability • Health
  • 15. Orthognathic surgery Mini-implant anchorage Growth modification Orthodontics
  • 16. Treatment planning Phase: • Impression and Model Analysis • OPG, Lateral Cephalograph, Frontal Ceph. • Photographic Analysis
  • 17. It’s a Approach ORTHODONTISTS MAX.FAC.SURGERONS TEAM PEDODONTISTS RESTORATIVE DENTISTS PSYCHOLOGISTS PERIODONTISTS Usually patients come to orthodontists for irregular teeth and jaw.
  • 18. Comprehensive orthodontic treatment ARCH COORDINATION ORTHODONTIC DECOMPENSATION ORTHODONTIC ALIGNMENT STIFFER ARCH WIRES TO WITSTAND JAW FIXATION
  • 19. Surgical Phase Preparation Coordination • Stiff wires on both the jaws with fixation points • With surgeon and Periodontist • Surgical splints • With patient and patient parties Guidance • Of Occlusion intra operatively
  • 20. Post surgical Orthodontics Fine tuning of the occlusion Closure of spaces if any Occlusal adjustment Retention planning
  • 21. Case 1 23 years old, F Engineering student, well motivated Long face Concave facial profile Facial asymmetry Midline deviation
  • 22. •Deviated midline •Anterior and posterior crossbite •Naturally compensated dentition
  • 23. At the end of the pre-surgical Orthodontic Phase
  • 24. At the end of the pre-surgical Orthodontic Phase
  • 25. At the end of the post-surgical Orthodontic Phase
  • 26. At the end of the post-surgical Orthodontic Phase
  • 27. Case 2
  • 28. Case 3 Ready for surgery
  • 29. Case 4 Case 7 Case 6 Case 5
  • 30. Part II Dr.Chandan Upadhaya

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