[Surgery first as an alternative approach in patients treated for dentofacial deformities]. / Chirurgia jako pierwsza alternatywne podejscie do leczenia chirurgiczno-ortodontycznego pacjentów z wadami zgryzowotwarzowymi.
Pol Merkur Lekarski
; 49(289): 84-87, 2021 02 24.
Article
em Pl
| MEDLINE
| ID: mdl-33713101
ABSTRACT
Recently surgery first became more popular alternative for treatment of dentofacial deformities. In this approach treatment starts from orthognathic surgery. Immediately after othognathic surgery facial aesthetics and oral function are improved. Thus main complaints of the orthognathic patients are resolved early during treatment period. Indications for surgery first approach are wider than years ago and include skeletal Class II and III malocclusion, skeletal open bite, bimaxillary protrusion, even cases with severe facial asymmetry are reported. The key point for gaining stable results and total treatment time shortening is an appropriate surgical occlusion. For higher precision of treatment 3D virtual planning is recommended. Total treatment time depends on number of contact points in surgical occlusion, number of extracted teeth and postsurgical midline deviation. Surgery first is a good alternative approach in some patients treated for dentofacial deformities. Stability in this approach is similar to conventional method of treatment and both methods result in quality of life improvement. As there is lack of presurgical orthodontics in surgery first approach patients avoid transient deterioration in facial aesthetics and oral function that results in higher satisfaction and shorter total treatment time.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Ortognáticos
/
Deformidades Dentofaciais
/
Má Oclusão
Limite:
Humans
Idioma:
Pl
Ano de publicação:
2021
Tipo de documento:
Article