Nowadays some adult patients seeking for orthodontic treatment may present severe malocclusion associated with pronounced skeletal discrepancies. Accordingly, thorough consideration and planning would be beneficial for the patient by the combined efforts of orthodontic and orthognathic approaches. This review reiterated the genetic impact on the growth velocity of the jaw with age in Class III malocclusion, and outlined the treatment protocol for the steps including the initial evaluation, the diagnosis, and the alignment of the teeth and dental arches before and after surgical correction. Specifically, emphasis is addressed on how to obtain records of jaw relationship in centric relation (CR) position. Moreover, the combined efforts in correcting the dental and skeletal Class II jaw discrepancy were defined and discussed.
The abstract in this article is replaced as follows: More and more adults are seeking orthodontic treatment now a days and the orthodontist often see patients with severe malocclusions due to pronounced skeletal discrepancies. In most instances these malocclusions can only be corrected by a combination of orthodontics and orthognathic surgical treatment. Such cases are complicated to treat and require good communication between the oral surgeon and the orthodontist. A systematic and careful approach is necessary to prepare the patient for surgery in order to obtain the best possible result. The aim of this overview article is to point out some of the details that the orthodontist needs to consider and pay attention to during the initial evaluation, the diagnosis, and the alignment of the teeth and dental arches before and after the surgical correction. In this overview we will discuss several aspects related to the diagnosis and the use of computer treatment simulation to get a better idea of possible treatment options and the clinical considerations of the most important aspects of the treatment will be addressed.
Nielsen, Ib Leth
"Important Orthodontic Considerations in Preparation of Orthognathic Surgical Cases,"
Taiwanese Journal of Orthodontics: Vol. 34:
2, Article 1.
https://doi.org/10.38209/2708-2636.1127 Available at: https://www.tjo.org.tw/tjo/vol34/iss2/1
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