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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

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. …

The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

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  • 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. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 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. 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. ORTHOGNATHIC SURGERY ITS EVOLUTION Modern era Central Europe 1950’s Vienna, Graz, North Berlin, Hamburg. www.indiandentalacademy.com
  • 6. ORTHOGNATHIC SURGERY ITS EVOLUTION Trauner’s contributions (1955) Inagurator of several procedures trained Heinz Kole & Hugo Obwegeser www.indiandentalacademy.com
  • 7. ORTHOGNATHIC SURGERY ITS EVOLUTION Martin Wassmund (Berlin) • Developed anterior maxillary osteotomy • Described lefort I osteotomy (1927) • Trained Karl Schuchhardt www.indiandentalacademy.com
  • 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. 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. 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. ORTHOGNATHIC SURGERY ITS EVOLUTION Hugo Obwegeser (Zurich) Undoubtedly single greatest contributor to orthognathic surgery in the world www.indiandentalacademy.com
  • 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. ORTHOGNATHIC SURGERY ITS EVOLUTION Paul Tessier (France 1967) Developed craniofacial surgery in europe. Particularly Le fort III osteotomy www.indiandentalacademy.com
  • 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. ORTHOGNATHIC SURGERY ITS EVOLUTION Caldwell & Letterman (1954) Vertical sub sigmoid osteotomy www.indiandentalacademy.com
  • 16. ORTHOGNATHIC SURGERY ITS EVOLUTION H.Luhr (1979) H. Luhr introduced mini bone plates in orthognathic surgery www.indiandentalacademy.com
  • 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. ORTHOGNATHIC SURGERY ITS EVOLUTION What did plastic surgeons contribute ? • • • • • Blepharoplasty Rhinoplasty Rhitidectomy Liposuction Lip corrections www.indiandentalacademy.com
  • 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. 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. 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. 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. 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. 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. 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. ORTHOGNATHIC SURGERY ITS EVOLUTION Deric Henderson St. Thomas Hospital (London) Greatest contributor in the United Kingdom www.indiandentalacademy.com
  • 27. ORTHOGNATHIC SURGERY ITS EVOLUTION Norman Rowe Queen Mary Hospital (Roehampton ) www.indiandentalacademy.com
  • 28. ORTHOGNATHIC SURGERY ITS EVOLUTION Harold Hargis coined the term orthognathic previously referred to as orthodontic corrective jaw surgery www.indiandentalacademy.com
  • 29. “Every man owes some of his time to the upbuilding of the profession to which he belongs” Theodore Roosevelt www.indiandentalacademy.com
  • 30. ORTHOGNATHIC SURGERY ITS EVOLUTION Prof. C.Bhasker Rao Director Craniofacial Surgery S.D.M.C.D.S., Dharwad www.indiandentalacademy.com
  • 31. ORTHOGNATHIC SURGERY ITS EVOLUTION Developments which contributed to the growth of orthognathic surgery www.indiandentalacademy.com
  • 32. ORTHOGNATHIC SURGERY ITS EVOLUTION • • • • • Rigid, semirigid fixation Vascular studies Bone grafts Antibiotics Anaesthetic techniques www.indiandentalacademy.com
  • 33. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com