ORTHOGNATHIC SURGERY
ITS EVOLUTION
VILARY BLAIR & EDWARD ANGLE
1898 - 1906

• Osteoctomy of horizontal ramus
• Horizontal ...
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
ORTHOGNATHIC SURGERY
ITS EVOLUTION
“Blair’s contributions to orthognathic
surgery”
• Pioneer in orthognathic surgery
• Rac...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Blair’s single significant contribution
(1907)
• “Treating of skeletal deformities is r...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Modern era
Central Europe 1950’s
Vienna, Graz, North Berlin, Hamburg.

www.indiandental...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Trauner’s contributions (1955)
Inagurator of several procedures
trained Heinz Kole & Hu...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Martin Wassmund (Berlin)
• Developed anterior maxillary osteotomy
• Described lefort I ...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Karl Schuchhardt (1955)
Posterior maxillary osteotomy
Improved by Kufner to enable tota...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Heinz Kole (1959) Graz
Several innovations
• Bimaxillary alveolar surgery
• Deep bite c...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Hugo Obwegeser (Zurich)
Sagittal split of the mandible (1955) opened
new dimension in m...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Hugo Obwegeser (Zurich)
Undoubtedly single greatest contributor to
orthognathic surgery...
ORTHOGNATHIC SURGERY
ITS EVOLUATION
Hugo Obwegeser
Numerous contributions
•
•
•
•

Sagittal split osteotomy
Large series o...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Paul Tessier (France 1967)
Developed craniofacial surgery in europe.
Particularly Le fo...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Application of rigid, semi rigid fixation of
bony segments.
B.spiessl was the first to ...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Caldwell & Letterman (1954)
Vertical sub sigmoid osteotomy

www.indiandentalacademy.com
ORTHOGNATHIC SURGERY
ITS EVOLUTION

H.Luhr (1979)
H. Luhr introduced mini bone plates in
orthognathic surgery

www.indiand...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
What are the advantages of rigid
fixation ?
• More rapid & easier
• Stabilization of se...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
What did plastic surgeons contribute ?
•
•
•
•
•

Blepharoplasty
Rhinoplasty
Rhitidecto...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Which way is the pendulum of progress ?
swung back to the United States of America
wher...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Current scenario
“It is a grown up speciality and an
important part of oral, maxillofac...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Indian situation
“Prof. M.S.N.Ginwalla started orthognathic
surgery in india in early s...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Maxillary procedure
Langenbeck (1859) did first maxillary osteotomy
for removal of naso...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
K.H.Thoma (1883-1972)
Oblique osteotomy of the ramus
Father of oral pathology, defender...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
William H. Bell
Provided biologic evidence for the success
of maxillary osteotomies wit...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Bruce N. Epkar (Texas, U.S.A.)

Interested in the dynamics of bone metabolism and
facia...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Deric Henderson
St. Thomas Hospital (London)
Greatest contributor in the United Kingdom...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Norman Rowe
Queen Mary Hospital (Roehampton )

www.indiandentalacademy.com
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Harold Hargis coined the term orthognathic
previously referred to as orthodontic
correc...
“Every

man owes some of his
time to the upbuilding of the
profession to which he belongs”
Theodore Roosevelt

www.indiand...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Prof. C.Bhasker Rao
Director
Craniofacial Surgery
S.D.M.C.D.S., Dharwad

www.indiandent...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
Developments which contributed to the
growth of orthognathic surgery

www.indiandentala...
ORTHOGNATHIC SURGERY
ITS EVOLUTION
•
•
•
•
•

Rigid, semirigid fixation
Vascular studies
Bone grafts
Antibiotics
Anaesthet...
Thank you
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Evolution of orthognathic surgery /certified fixed orthodontic courses by Indian dental academy

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Evolution of orthognathic surgery /certified fixed orthodontic courses by Indian dental academy

  1. 1. ORTHOGNATHIC SURGERY ITS EVOLUTION VILARY BLAIR & EDWARD ANGLE 1898 - 1906 • Osteoctomy of horizontal ramus • Horizontal osteotomy of the ramus • V.shaped osteotomy for open bite www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3. ORTHOGNATHIC SURGERY ITS EVOLUTION “Blair’s contributions to orthognathic surgery” • Pioneer in orthognathic surgery • Racial differences in planning • Classification of jaw deformities • Co-operation between surgeon & orthodontist www.indiandentalacademy.com
  4. 4. ORTHOGNATHIC SURGERY ITS EVOLUTION Blair’s single significant contribution (1907) • “Treating of skeletal deformities is really surgical work, but the earlier a competent, congenial orthodontist is associated with the case, the better it will be for both the surgeon and the patient” www.indiandentalacademy.com
  5. 5. ORTHOGNATHIC SURGERY ITS EVOLUTION Modern era Central Europe 1950’s Vienna, Graz, North Berlin, Hamburg. www.indiandentalacademy.com
  6. 6. ORTHOGNATHIC SURGERY ITS EVOLUTION Trauner’s contributions (1955) Inagurator of several procedures trained Heinz Kole & Hugo Obwegeser www.indiandentalacademy.com
  7. 7. ORTHOGNATHIC SURGERY ITS EVOLUTION Martin Wassmund (Berlin) • Developed anterior maxillary osteotomy • Described lefort I osteotomy (1927) • Trained Karl Schuchhardt www.indiandentalacademy.com
  8. 8. ORTHOGNATHIC SURGERY ITS EVOLUTION Karl Schuchhardt (1955) Posterior maxillary osteotomy Improved by Kufner to enable total mobilisation of the segment www.indiandentalacademy.com
  9. 9. ORTHOGNATHIC SURGERY ITS EVOLUTION Heinz Kole (1959) Graz Several innovations • Bimaxillary alveolar surgery • Deep bite correction • Open bite closure • Genioplasty • Extensive literature contribution www.indiandentalacademy.com
  10. 10. ORTHOGNATHIC SURGERY ITS EVOLUTION Hugo Obwegeser (Zurich) Sagittal split of the mandible (1955) opened new dimension in mandibular surgery Dal Pont (1958) improved the method www.indiandentalacademy.com
  11. 11. ORTHOGNATHIC SURGERY ITS EVOLUTION Hugo Obwegeser (Zurich) Undoubtedly single greatest contributor to orthognathic surgery in the world www.indiandentalacademy.com
  12. 12. ORTHOGNATHIC SURGERY ITS EVOLUATION Hugo Obwegeser Numerous contributions • • • • Sagittal split osteotomy Large series of Le fort I ostetomy (1969) Le fort I osteotomy in cleft cases Total maxillary & mandibular osteotomies www.indiandentalacademy.com
  13. 13. ORTHOGNATHIC SURGERY ITS EVOLUTION Paul Tessier (France 1967) Developed craniofacial surgery in europe. Particularly Le fort III osteotomy www.indiandentalacademy.com
  14. 14. ORTHOGNATHIC SURGERY ITS EVOLUTION Application of rigid, semi rigid fixation of bony segments. B.spiessl was the first to apply rigid fixation in orthognathic surgery (1974) www.indiandentalacademy.com
  15. 15. ORTHOGNATHIC SURGERY ITS EVOLUTION Caldwell & Letterman (1954) Vertical sub sigmoid osteotomy www.indiandentalacademy.com
  16. 16. ORTHOGNATHIC SURGERY ITS EVOLUTION H.Luhr (1979) H. Luhr introduced mini bone plates in orthognathic surgery www.indiandentalacademy.com
  17. 17. ORTHOGNATHIC SURGERY ITS EVOLUTION What are the advantages of rigid fixation ? • More rapid & easier • Stabilization of segments better • Patient convenience is greater because no intermaxillary fixation • Less danger for the patient www.indiandentalacademy.com
  18. 18. ORTHOGNATHIC SURGERY ITS EVOLUTION What did plastic surgeons contribute ? • • • • • Blepharoplasty Rhinoplasty Rhitidectomy Liposuction Lip corrections www.indiandentalacademy.com
  19. 19. ORTHOGNATHIC SURGERY ITS EVOLUTION Which way is the pendulum of progress ? swung back to the United States of America where orthognalthic surgery started about 100 years ago www.indiandentalacademy.com
  20. 20. ORTHOGNATHIC SURGERY ITS EVOLUTION Current scenario “It is a grown up speciality and an important part of oral, maxillofacial and facial plastic surgery” www.indiandentalacademy.com
  21. 21. ORTHOGNATHIC SURGERY ITS EVOLUTION Indian situation “Prof. M.S.N.Ginwalla started orthognathic surgery in india in early sixities and credited as father of orthognathic surgery in India” www.indiandentalacademy.com
  22. 22. ORTHOGNATHIC SURGERY ITS EVOLUTION Maxillary procedure Langenbeck (1859) did first maxillary osteotomy for removal of nasopharyngeal polyp, the next 70 years it was used only for pathological conditions www.indiandentalacademy.com
  23. 23. ORTHOGNATHIC SURGERY ITS EVOLUTION K.H.Thoma (1883-1972) Oblique osteotomy of the ramus Father of oral pathology, defender of oral surgery, and great teacher of oral medicine, raised the standards, originated several surgical techniques. www.indiandentalacademy.com
  24. 24. ORTHOGNATHIC SURGERY ITS EVOLUTION William H. Bell Provided biologic evidence for the success of maxillary osteotomies with his research on vascularity of maxilla. www.indiandentalacademy.com
  25. 25. ORTHOGNATHIC SURGERY ITS EVOLUTION Bruce N. Epkar (Texas, U.S.A.) Interested in the dynamics of bone metabolism and facial skeletal surgery - more than 200 scientific contributions Created Fort worth cleft palate program John Peer Smith hospital centre for correction of facial deformities www.indiandentalacademy.com
  26. 26. ORTHOGNATHIC SURGERY ITS EVOLUTION Deric Henderson St. Thomas Hospital (London) Greatest contributor in the United Kingdom www.indiandentalacademy.com
  27. 27. ORTHOGNATHIC SURGERY ITS EVOLUTION Norman Rowe Queen Mary Hospital (Roehampton ) www.indiandentalacademy.com
  28. 28. ORTHOGNATHIC SURGERY ITS EVOLUTION Harold Hargis coined the term orthognathic previously referred to as orthodontic corrective jaw surgery www.indiandentalacademy.com
  29. 29. “Every man owes some of his time to the upbuilding of the profession to which he belongs” Theodore Roosevelt www.indiandentalacademy.com
  30. 30. ORTHOGNATHIC SURGERY ITS EVOLUTION Prof. C.Bhasker Rao Director Craniofacial Surgery S.D.M.C.D.S., Dharwad www.indiandentalacademy.com
  31. 31. ORTHOGNATHIC SURGERY ITS EVOLUTION Developments which contributed to the growth of orthognathic surgery www.indiandentalacademy.com
  32. 32. ORTHOGNATHIC SURGERY ITS EVOLUTION • • • • • Rigid, semirigid fixation Vascular studies Bone grafts Antibiotics Anaesthetic techniques www.indiandentalacademy.com
  33. 33. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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