Orthognathic Surgery

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Orthognathic surgery from the orthodontist's perspective!!

Role of orthodontist for orthognathic cases

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Orthognathic Surgery

  1. 1. DR.DASHRATH KAFLE, ASSISTANT PROFESSOR, KUSMS
  2. 2. • Dr.Dashrath Kafle, Assistant Professor, Kathmandu University School of Medical Sciences, Consultant Orthodontist, Dhulikhel Hospital. dashrath07@yahoo.com
  3. 3. Dhulikhel Hospital 3
  4. 4. Situation 1
  5. 5. Situation 2
  6. 6. Situation 3
  7. 7. Problems • A • B • C • D • . • . • . • . Solutions • A • B • C • D • . • . • . • .
  8. 8. Treatment options
  9. 9. Growth Modification Initial VTO 5 months after Twin Block
  10. 10. CAMOUFLAGE
  11. 11. Camouflage with mini implants
  12. 12. ORTHOGNATHIC SURGERIES
  13. 13. BECAUSE : A. B. C. D. E.
  14. 14. FREESH Approach • Function • • • • Relaiability Esthestics Economic Stability • Health
  15. 15. Orthognathic surgery Mini-implant anchorage Growth modification Orthodontics
  16. 16. Treatment planning Phase: • Impression and Model Analysis • OPG, Lateral Cephalograph, Frontal Ceph. • Photographic Analysis
  17. 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. 18. Comprehensive orthodontic treatment ARCH COORDINATION ORTHODONTIC DECOMPENSATION ORTHODONTIC ALIGNMENT STIFFER ARCH WIRES TO WITSTAND JAW FIXATION
  19. 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. 20. Post surgical Orthodontics Fine tuning of the occlusion Closure of spaces if any Occlusal adjustment Retention planning
  21. 21. Case 1 23 years old, F Engineering student, well motivated Long face Concave facial profile Facial asymmetry Midline deviation
  22. 22. •Deviated midline •Anterior and posterior crossbite •Naturally compensated dentition
  23. 23. At the end of the pre-surgical Orthodontic Phase
  24. 24. At the end of the pre-surgical Orthodontic Phase
  25. 25. At the end of the post-surgical Orthodontic Phase
  26. 26. At the end of the post-surgical Orthodontic Phase
  27. 27. Case 2
  28. 28. Case 3 Ready for surgery
  29. 29. Case 4 Case 7 Case 6 Case 5
  30. 30. Part II Dr.Chandan Upadhaya

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