Journal articles: 'Surgical orthodontics'

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Jawad, Zynab, Sophy Barber, Monty Duggal, and Nadine Houghton. "Tooth autotransplantation 2: the interdisciplinary approach with emphasis on the orthodontic aspects." Orthodontic Update 12, no. 3 (July 2, 2019): 98–105. http://dx.doi.org/10.12968/ortu.2019.12.3.98.

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Autotransplantation relies on successful interdisciplinary teamwork, utilizing the skills of each team member to optimize the outcome. During treatment planning, orthodontic input is required to determine whether orthodontic treatment is indicated and if a suitable donor tooth will be available. The orthodontist has a role in providing pre-surgical orthodontics to prepare the recipient site for the donor tooth and post-surgical orthodontics to correct the malocclusion fully and achieve the treatment goals. This article will outline the role of the interdisciplinary team members with an emphasis on the orthodontic aspects of treatment planning and the orthodontic treatment components of the autotransplantation pathway. CPD/Clinical Relevance: Orthodontists have a key role in the autotransplantation team for both planning and provision of care. This article provides information for clinicians who wish to refer patients for autotransplantation or provide orthodontic care as part of the interdisciplinary team.

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Narendra, Suryakanta, N. C. Sahani, and Sanghamitra Jena. "Application of surgical periodontics for accelerated orthodontic correction of class ll division l malocclusion with skeletal discrepancy." International Journal of Research in Medical Sciences 5, no. 7 (June 24, 2017): 2870. http://dx.doi.org/10.18203/2320-6012.ijrms20172615.

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Background: There is a constant pursuit for substituting orthognathic surgical options by minimally invasive pre-orthodontic surgical procedures. Application of osseous resective surgery for alveolar reshaping is referred to here as "surgical periodontics for accelerated orthodontics". A parallel randomized clinical trial was designed to evaluate the clinical outcome of class 2 division 1 malocclusion with skeletal discrepancy using pre-orthodontic surgical procedures, comparing periodontally accelerated osteogenic orthodontics with surgical periodontics for accelerated orthodontics.Methods: Twenty-four adult orthodontics patients selected for this study were randomly divided into 2 equal groups. One group was treated with periodontally accelerated osteogenic orthodontics with augmentation grafting and the other was with surgical periodontics for accelerated orthodontics. These procedures were followed by fixed orthodontics treatment. Comparative evaluation of alveolar bone thickness was done by cone beam computed tomogram for both the groups.Results: The cephalometric parameters, A point nasion B point (ANB) angle and over jet of these subjects before and after the surgical interventions at three, six and twelve month’s intervals were compared to the base values, showing changes within 3 months when treated with surgical periodontics for accelerated orthodontics and within 6 months when treated with periodontally accelerated osteogenic orthodontics, without significant change in periodontal supporting alveolar bone thickness.Conclusions: Surgical periodontics for accelerated orthodontics and periodontally accelerated osteogenic orthodontics are effective pre-orthodontics surgical procedures for accelerating orthodontic treatment, without bringing any change in periodontal alveolar bone thickness.

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Devine, Ciarán, Anna Sayan, and Velupillai Ilankovan. "Combined Hemimandibular Hyperplasia and Elongation: the Orthodontic-Surgical Management." Orthodontic Update 13, no. 3 (July 2, 2020): 134–40. http://dx.doi.org/10.12968/ortu.2020.13.3.134.

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Patients commonly present to orthodontists with complaints of facial and/or mandibular asymmetry. It is important that all asymmetry complaints are taken seriously and further investigated. Orthodontists play an important role in the diagnosis, management and follow-up of these conditions. For condylar hyperactivity, management is generally in a multidisciplinary setting. Clinicians who practice orthodontics in a primary care setting need to be aware of the correct terminology and the appropriate investigations required for diagnosis and the management of this condition. This paper aims to describe the contemporary management of condylar hyperactivity and presents a case of combined orthodontic-surgical treatment. CPD/Clinical Relevance: Condylar hyperactivity can lead to severe orofacial deformities and severe malocclusions. The orthodontist must understand the terminology, diagnostic techniques and treatment of this condition in order to offer the most appropriate management. The entire dental team may be involved in cases of condylar hyperactivity from diagnosis through to follow-up. Increased awareness may therefore improve diagnosis and ensure appropriate early referrals are made, thus potentially improving outcomes.

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Shivaprakash, G. "Invisible Orthodontics: Gen. Next!" CODS Journal of Dentistry 4, no. 1 (2012): 8–11. http://dx.doi.org/10.5005/cods-4-1-8.

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Abstract The awareness about orthodontics has lead to drastic increase in many adult & adolescent seeking orthodontic treatment over the past decade. The two major setbacks for non acceptance include visibility of the appliance and the long duration of treatment. To overcome the aboveinvisible braces like - ceramic brackets, lingual brackets came into existence, but could not reduce the treatment time to a greater extent. Later surgical procedures like periodontal distraction, dentoalvelor distraction & inclusion of implant came to play. But involved surgical risk. To overcome these - the invisible braces so called clear aligners came into existence. Clear aligners are a series of clear, removable teeth aligners that orthodontists use as an alternative to traditional metal/ceramic braces. They are more comfortable, kinder to tissues and used for minor orthodontic corrections.

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Lee, R. T. "The Benefits of Post-surgical Orthodontic Treatment." British Journal of Orthodontics 21, no. 3 (August 1994): 265–74. http://dx.doi.org/10.1179/bjo.21.3.265.

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Orthodontic therapy is best carried out in a normal skeletal and soft tissue environment. In patients requiring orthognathic surgery, it is suggested that there are advantages in correcting the skeletal and soft tissue elements as early as possible, and to orthodontically control the occlusion post-operatively. This results in a shorter overall treatment time due to more biologically favourable tooth movement, more predictable occlusal results and better management by the orthodontist. The clinical benefits of post-operative orthodontics are outlined.

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Brunharo, Ione Helena Vieira Portella. "Surgical treatment of dental and skeletal Class III malocclusion." Dental Press Journal of Orthodontics 18, no. 1 (February 2013): 143–49. http://dx.doi.org/10.1590/s2176-94512013000100026.

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Orthodontic preparation for surgical treatment of skeletal Class III malocclusion involves joint planning with an oral and maxillofacial surgeon to address the functional and esthetic needs of the patient. In order to allow surgical manipulation of the jaws in the preoperative phase, the need to achieve a negative overjet through incisor decompensation often leads the orthodontist to extract the upper first premolars. This report illustrates an orthodontic preparation case where due to specific factors inherent in the patient's psychological makeup retroclination of the upper incisors and proclination of the mandibular incisors was achieved without removing any teeth. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) in partial fulfillment of the requirements for obtaining the BBO Diploma.

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Strohl, Alexis M., and Lauren Vitkus. "Surgical orthodontics." Current Opinion in Otolaryngology & Head and Neck Surgery 25, no. 4 (August 2017): 332–36. http://dx.doi.org/10.1097/moo.0000000000000371.

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Toshniwal, Nandalal Girijalal, Shubhangi Amit Mani, Nilesh Mote, and Ashwini Ramesh Nalkar. "Obstructive Sleep Apnoea in Orthodontics - A Review." Journal of Evolution of Medical and Dental Sciences 10, no. 35 (August 30, 2021): 3040–46. http://dx.doi.org/10.14260/jemds/2021/620.

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Obstructive sleep apnoea (OSA) is a sleep associated breathing disorder and it affects the health and quality of life of individuals suffering from it. Orthodontists should be well aware of the symptoms of this disorder and competent enough to recognize its signs and symptoms. Orthodontics is well suited for the treatment of OSA patients due to their expertise and knowledge regarding growth and development of orofacial and dentofacial structures as well as orthopaedic, orthodontic, and surgical correction of the jaws and other supporting tissues. There are basically two types of sleep apnoea- Central sleep apnoea and obstructive sleep apnoea where obstructive sleep apnoea is the more common one. This disorder can be life threatening as the oxygen supply to various parts of the body is substantially reduced. Obstructive sleep apnoea is caused by an interplay between a variety of factors, including sleep related loss of muscle tone in the tissues supplied by the glossopharyngeal nerve, anatomical obstruction of the nasal passages, large tonsils, large tongue, a retrognathic mandible, obesity, alcohol, sedative medication, and allergies. Sleep apnoea can be caused due to many factors and many treatment modalities have been employed to correct this disorder including mandibular advancement appliances, polysomnographs, and surgical intervention. It can be treated using surgery, continuous positive airway pressure and oral appliances therapy. This article highlights the role the orthodontist plays in the diagnosis and treatment planning of OSA patients. KEY WORDS Orthodontics, Obstructive Sleep Apnoea, Sleep, Snoring

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Yamaguchi, Masaru, Toshihiro Inami, Ko Ito, Kazutaka Kasai, and Yasuhiro Tanimoto. "Mini-Implants in the Anchorage Armamentarium: New Paradigms in the Orthodontics." International Journal of Biomaterials 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/394121.

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Paradigms have started to shift in the orthodontic world since the introduction of mini-implants in the anchorage armamentarium. Various forms of skeletal anchorage, including miniscrews and miniplates, have been reported in the literature. Recently, great emphasis has been placed on the miniscrew type of temporary anchorage device (TAD). These devices are small, are implanted with a relatively simple surgical procedure, and increase the potential for better orthodontic results. Therefore, miniscrews not only free orthodontists from anchorage-demanding cases, but they also enable clinicians to have good control over tooth movement in 3 dimensions. The miniplate type also produces significant improvements in treatment outcomes and has widened the spectrum of orthodontics. The purpose of this paper is to update clinicians on the current concepts and versatile uses and clinical applications of skeletal anchorage in orthodontics.

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Kau, Chung H., Omar Almakky, and Patrick J. Louis. "Team approach in the management of revision surgery to correct bilateral temporomandibular joint replacements." Journal of Orthodontics 47, no. 2 (March 4, 2020): 156–62. http://dx.doi.org/10.1177/1465312520908276.

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This case report describes the successful second surgical treatment of a 26-year-old white female patient with a retrognathic mandible and previous bilateral total joint prostheses placement. The patient had previously presented with bilateral idiopathic condylar resorption (ICR) which caused clockwise mandibular rotation and resulted in anterior open bite and a retrognathic mandible. The patient had undergone definitive corrective for the ICR where condylectomies were performed bilaterally. In addition, total joint prostheses using ‘stock joints’ were used to restore the condyle and glenoid fossa on both sides. Although the previous surgery corrected the anterior open bite and restored the condyles, the patient was still suffering from joint symptoms (significant pain), restricted mandibular movements, increased overjet (12 mm) and a retrognathic mandible. The treatment plan included a combined orthodontic surgical approach: (1) bimaxillary orthognathic surgery: a surgical procedure on the mandible to reposition the prosthetic joints and correct the mandible position, and a segmental LeFort I to expand the maxilla; and (2) post-surgical orthodontics treatment to detail the occlusion. At the end of the treatment, good aesthetic and functional results were obtained with the cooperation of two specialties. This case emphasises the importance of three-dimensional planning and multidisciplinary treatment when addressing complex jaw movements. It also emphasises the importance orthodontic planning and collaboration with the orthodontist.

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Dsouza, Sheehan R., Amitha Ramesh, Sharath K. S., and Biju Thomas. "CORTICOTOMY-PERIODONTALLY ACCELERATED OSTEOGENIC ORTHODONTICS - A SURGICAL TECHNIQUE AND CASE REPORT." Journal of Health and Allied Sciences NU 04, no. 03 (September 2014): 112–14. http://dx.doi.org/10.1055/s-0040-1703815.

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AbstractCorticotomy-assisted orthodontic treatment involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement.This technique has several advantages, including faster tooth movement, shorter treatment time, safer expansion of constricted arches, enhanced post-orthodontic treatment stability and extended envelope of tooth movement.This case report describes a surgical technique and case report involving periodontally accelerated osteogenic orthodontics.

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Dellavia, Claudia, Luis Tomas Huanca Ghislanzoni, and Redento Peretta. "Occlusal Morphology 1 Year after Orthodontic and Surgical-Orthodontic Therapy." Angle Orthodontist 78, no. 1 (January 1, 2008): 25–31. http://dx.doi.org/10.2319/103106-448.1.

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Abstract Objective: To evaluate morphologic characteristics of occlusion (contact points, contact areas, and frequency of contact) in clinically successful patients 1 year after orthodontic and surgical-orthodontic therapy followed by passive retention. Materials and Methods: Twenty-two orthodontic and 18 surgical-orthodontic patients were analyzed. All patients were treated with standard edgewise technique by the same orthodontist. Contact points and areas were evaluated using a new method of digital image analysis of occlusal impressions. Polivinylsyloxan impressions were taken, scanned, and turned into gray-scale images. The physic relationship of light absorbance through the polivinylsyloxan for known thickness was calculated to determine contact areas (less than 50 μm of thickness) and near contact areas (less than 350 μm of thickness). Results: The contact area was significantly larger in the orthodontic than in the surgical-orthodontic patients (Student's t-test, P < .05). The surgical-orthodontic group had significantly fewer contact points than the orthodontic group only at 150 μm of thickness. In both groups of patients, the first molar had the largest contact surface. Occlusal support was distributed mainly in the posterior regions with an important role involving the first molars. Conclusion: Surgical-orthodontic patients appear to have smaller contact surfaces and fewer contact points than orthodontic patients do. However, there were no differences in the number of teeth in contact with opposing teeth.

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Bhad, Wasundhara Ashok. "Orthodontists and Orthodontic Residents’ Education: Effect on Professional Attitudes and Behavior." APOS Trends in Orthodontics 8 (December 1, 2018): 213–18. http://dx.doi.org/10.4103/apos.apos_78_18.

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IntroductionDental education aims at shaping the future professional behavior of their students, thus contributing to reduce oral health disparities and increasing care for the society.ObjectiveThe objective of this study was to access the perception of the quality classroom-, clinic-, and community-based orthodontic postgraduate education devoted to the management of cleft lip palate cases, surgical orthodontic cases, and growth modification casesNull HypothesisNo relationship exists between the quality of postgraduate dental education and professional attitude and behavior in providing care to cleft lip palate cases, surgical orthodontic cases, and growth modification cases.Materials and Methods:A total of 200 active members were involved. The first group included approximately 100 residents of Central India and the second group consisted of approximately 100 active orthodontists of Central India. The questionnaire was given to each group about the different clinical condition. Answers were given on 5-point scale to access the professional attitude and behavior.ConclusionsThe finding of this study challenges administrators about the postgraduate dental program in the specialty of orthodontics and reflects the degree to which this education contributes to the orthodontic health of the society.

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Cavuoti, Serena, Giovanni Matarese, Gaetano Isola, Jamilian Abdolreza, Felice Femiano, and Letizia Perillo. "Combined orthodontic-surgical management of a transmigrated mandibular canine." Angle Orthodontist 86, no. 4 (October 26, 2015): 681–91. http://dx.doi.org/10.2319/050615-309.1.

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ABSTRACT The presence of an impacted mandibular canine is one of the most difficult challenges that an orthodontist will meet. Orthodontic treatment is planned on an individual basis after thoroughly considering the patient’s overall facial and dentoskeletal characteristics; the duration, risks, and costs of treatment; patient preferences; and the orthodontist’s experience. This article reports an orthodontic treatment of a boy, age 12.9 years, with an impacted mandibular canine in the permanent dentition that was successfully managed. Radiographic analysis indicated a transmigration of the mandibular right canine. The orthodontic treatment plan included extraction of the deciduous right canine followed by surgical exposure and ligation of the permanent canine. Eruption was properly guided, and the correct position of the tooth was achieved. This challenging treatment approach is described in detail, including the mechanics used to align the impacted canine.

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Sharma, Geetanjali, Dipali Amin, and Mohammad Shorafa. "Challenges in the management of late developing malocclusions in adulthood: A case report of acromegaly." Journal of Orthodontics 46, no. 4 (August 20, 2019): 349–57. http://dx.doi.org/10.1177/1465312519869943.

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The development of a malocclusion in adulthood can present as a diagnostic and management challenge to an orthodontist. It is prudent to identify the aetiology of changes to the occlusion which will influence the management plan. Uncommon causes include acromegaly. Orthodontists are in a good position to identify certain underlying disorders based on a patient’s presenting malocclusion that may otherwise go unnoticed and undiagnosed until other systemic signs and symptoms present themselves at the latter stages of the condition. This case report highlights possible aetiological factors of a developing malocclusion in adulthood and presents the clinical manifestations and joint orthodontic–surgical management of a patient with a developing skeletal III base attributed to acromegaly.

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Singh, Ritunja, Shilpa Chourasia, Palak Sharma, Soumya Gupta, Gangesh Singh, and Ankita Srivastava. "Wilckodontics: The Periodontal Orthodontics." Dental Journal of Advance Studies 6, no. 02/03 (December 2018): 053–56. http://dx.doi.org/10.1055/s-0038-1677628.

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AbstractPeriodontally accelerated osteogenic orthodontics (PAOO), also known as Wilckodontics, is a clinical procedure that combines corticotomy (a surgical technique in which the bone is cut, perforated, or mechanically altered), particulate bone grafting, and orthodontic force application. By this procedure, the teeth can be made to move through the bone rapidly by means of harnessing and stimulating the innate potential of the bone and utilizing tissue engineering principles. Once the tooth movement gets completed, bone rebuilds around the tooth, thereby reducing the time of orthodontic treatment from years to months. This article aims to present a comprehensive review about PAOO or Wilckodontics.

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Perrotta, Stefania, Giorgio Lo Giudice, Tecla Bocchino, Luigi Califano, and Rosa Valletta. "Orthodontics First in Hemimandibular Hyperplasia. “Mind the Gap”." International Journal of Environmental Research and Public Health 17, no. 19 (September 28, 2020): 7087. http://dx.doi.org/10.3390/ijerph17197087.

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A 32-year-old man was referred to the Division of Orthodontics of the University of Naples “Federico II”, with a 15-year history of gradually increasing right-sided facial asymmetry. Clinical and radiological examinations was consistent to hemimandibular hyperplasia, a rare developmental asymmetry characterized by three-dimensional enlargement of one-half of the mandible. The standard surgical-orthodontic management was proposed to the patient. However, he refused to undergo bimaxillary orthognatic surgery. Therefore, a different treatment was proposed based on the orthodontic technique of pre-surgical decompensation and post-surgical refinement used in bimaxillary orthognatic surgery planning, and surgical intervention with a condylectomy. The dental arches were evenly levelled out with a multi-bracket treatment and then the condylectomy was performed. Orthodontic treatment continued with a levelling and torque control by 0.19 × 0.25 SS arch and physiotherapy. At the three-month follow-up, the patient showed anterior and posterior bite rebalancing, arch intercuspation recovery, and anterior open bite closure due to muscular self-rebalancing. The two-year follow-up showed regular mandibular dynamic, orthodontic appliances were removed, and the patient was instructed to wear retainer for the following months. The final result was aesthetically reasonable for the patient, although slight asymmetry of the chin persisted.

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Boj Juan, R., Hernandez Miguel, Espasa Enrique, Poirier Clervie, and Espanya Antonio. "Erbium Laser Treatment Of An Impacted First Mandibular Premolar: A Case Report." Journal of Clinical Pediatric Dentistry 33, no. 1 (September 1, 2008): 9–12. http://dx.doi.org/10.17796/jcpd.33.1.6867w5q5r71p6167.

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Dental impaction defines a tooth that, instead of erupting to occupy its functional position, is partially or totally retained and remains within the bone. Retained teeth can be placed in the normal arch position through a combination of orthodontics and conventional surgical techniques, or a combination of orthodontics and laser surgery, as in the case here presented of a 14-year-old boy with an impacted first mandibular premolar, covered by bone, and with complete root formation and an erupted second premolar. The impacted premolar was surgically exposed using an Er,Cr:YSGG laser and at the same time an orthodontic bracket was bonded to provide traction to move the first premolar into its arch position.

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Showkatbakhsh, Rahman, and Abdolreza Jamilian. "The necessity to establish surgical orthodontic fellowship program for orthodontists." Progress in Orthodontics 13, no. 3 (November 2012): 260–65. http://dx.doi.org/10.1016/j.pio.2012.02.002.

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Mandelaris, George A., Colin Richman, and Richard T. Kao. "Surgical Considerations and Decision Making in Surgically Facilitated Orthodontic Treatment/Periodontally Accelerated Osteogenic Orthodontics." Clinical Advances in Periodontics 10, no. 4 (August 27, 2020): 213–23. http://dx.doi.org/10.1002/cap.10116.

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Jein-Wein Liou, Eric, Kunal Mehta, and James Cheng-Yi Lin. "An archwire for non-invasive improvement of occlusal cant and soft tissue chin deviation." APOS Trends in Orthodontics 9 (March 31, 2019): 19–25. http://dx.doi.org/10.25259/apos-9-1-4.

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Nonsurgical improvement of an occlusal cant, lip cant, and soft tissue chin deviation has been considered not possible merely through orthodontic treatment without surgical intervention. The purpose of this report was to illustrate a possible new field in orthodontics for a non-invasive improvement of the occlusal cant and soft tissue chin deviation through orthodontic approach by an innovative orthodontic archwire (Yin-Yang wire) and the others.

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Jacobson, Alex. "An introduction to surgical orthodontics." American Journal of Orthodontics and Dentofacial Orthopedics 91, no. 6 (June 1987): 518–19. http://dx.doi.org/10.1016/0889-5406(87)90024-2.

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Stojanovic, Ljiljana, Ivan Mileusnic, Budimir Mileusnic, and Tatjana Cutovic. "Orthodontic-surgical treatment of the skeletal class III malocclusion: A case report." Vojnosanitetski pregled 70, no. 2 (2013): 215–20. http://dx.doi.org/10.2298/vsp1302215s.

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Background. Class III malocclusions are considered to be ones of the most difficult problems to treat. Their causes are multifactorial and include genetic and/or environmental factors. Class III malocclusions are generally classified into 2 categories: skeletal and dental. The diagnosis is important due to the different treatment approaches. Generally a dental class III can be treated with orthodontics alone, while a true skeletal class III requires a combination of orthodontics and surgery. Case report. We presented a female patient with skeletal Class III malocclusion. The treatment was complete with positive overbite and acceptable occlusion using a combination of fixed orthodontic appliance treatment as well as the surgical operation. The patient was happy with her new appearance and function. Conclusion. Class III discrepancy should be diagnosed and classified according to its etiology and treated with appropriate surgery, including, if necessary, not only mandibular, but also maxillary surgery, in order to achieve a normal facial appearance. In any case, as the field of orthodontics continues to develop technologically and philosophically, we can expect that advances in diagnosis and treatment planning are imminent and inevitable.

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Jose Cherackal, George, Eapen Thomas, and Akhilesh Prathap. "Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy." Case Reports in Dentistry 2013 (2013): 1–12. http://dx.doi.org/10.1155/2013/797846.

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For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.

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Shah, Naurine, Peter D. Waite, and Chung H. Kau. "A combined orthodontic / orthognathic approach in the management of obstructive sleep apnoea: Balancing treatment efficacy and facial aesthetics." Journal of Orthodontics 47, no. 4 (September 4, 2020): 354–62. http://dx.doi.org/10.1177/1465312520952451.

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Obstructive sleep apnoea (OSA) is a prevalent condition and has been extensively managed with orthognathic surgery using a variety of surgical techniques. This case report describes the successful management of a 56-year-old Caucasian woman with a bimaxillary retrusive profile and macroglossia complicated by OSA and the combined use of orthodontics and orthognathic surgery to improve Apnoea-Hypopnoea Index while maintaining facial aesthetics. The non-extraction treatment plan included: (1) pre-surgical orthodontic treatment to maximise aesthetics and functional occlusion after surgery; (2) maxillomandibular advancement using down fracture of the maxilla (Le Fort 1 osteotomy) with counter-clockwise rotation as well as bilateral sagittal split osteotomy with septoplasty to aid increase in airway function; and (3) post-surgical orthodontic finishing and alignment with self-ligating fixed appliances. Optimum aesthetic and functional results as well as an increase in the airway volume were achieved, without compromising facial aesthetics, with the cooperation of two specialties and the use of state-of-the-art technology during the surgical planning stages.

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Mahmood, Hafiz Taha, Maheen Ahmed, Mubassar Fida, Adeel Tahir Kamal, and Farheen Fatima. "Concepts, protocol, variations and current trends in surgery first orthognathic approach: a literature review." Dental Press Journal of Orthodontics 23, no. 3 (June 2018): 36.e1–36.e6. http://dx.doi.org/10.1590/2177-6709.23.3.36.e1-6.onl.

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ABSTRACT In the current era of expedited orthodontics, among many clinicians, tertiary care hospitals and patients, surgery first orthognathic approach (SFOA) has gained popularity. The advantages of SFOA (face first approach) are the reduced overall treatment duration and the early improvement in facial esthetics. In SFOA, the absence of a presurgical phase allows surgery to be performed first, followed by comprehensive orthodontic treatment to achieve the desired occlusion. The basic concepts of surgery early, surgery last, SFOA and Sendai SFOA technique along with its variations are reviewed in the present article. The recent advancement in SFOA in the context of preoperative preparation, surgical procedures and post-surgical orthodontics with pertinent literature survey are also discussed.

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Dudnik, O. V., Ad A. Mamedov, N. A. Geppe, A. A. Skakodub, O. T. Zangieva, Yu V. Stebeleva, Guo Hao, D. S. Bille, A. S. Chertikhina, and A. R. Beznosik. "Presurgical orthodontic treatment of newborns with deficiency of body weight." Voprosy praktičeskoj pediatrii 16, no. 1 (2021): 36–40. http://dx.doi.org/10.20953/1817-7646-2021-1-36-40.

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The study discusses the importance of interdisciplinary approach of pediatricians, surgeons, orthodontists, anesthesiologists and otorhinolaryngologists in the complex rehabilitation of newborns with bilateral cleft lip and palate. The aim of the study was to increase the effectiveness of treatment of newborns with bilateral cleft lip and palate through preliminary orthodontic preparation. This study clearly emphasizes that the conduction of early pre-surgical orthodontic treatment with the use of individual obturators contributes to the high-quality implementation of further surgical intervention and allows to normalize the act of breastfeeding in newborns. It has been proven that the interdisciplinary approach of doctors of related specialties helps to carry out a comprehensive diagnosis, counseling and subsequent treatment of newborns with bilateral cleft lip and palate. Thus, the integrated approach developed by related specialists in the neonatal period makes it possible to implement a highly qualified and step-by-step treatment from birth up to 18 years of age. Key words: bilateral cleft lip and palate, newborns, individual obturator, pediatrics, feeding, cheiloplasty, orthodontics

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Souki, Marcelo Quiroga. "Severe Angle Class III skeletal malocclusion associated to mandibular prognathism: orthodontic-surgical treatment." Dental Press Journal of Orthodontics 21, no. 6 (December 2016): 103–14. http://dx.doi.org/10.1590/2177-6709.21.6.103-114.bbo.

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ABSTRACT The present case report describes the orthodontic treatment of a young adult patient (18y / 1m), Class III skeletal malocclusion, with mandibular prognathism and significant dental compensation. The canine relation was Class III, incisors with tendency to crossbite and open bite, moderate inferior crowding, and concave profile. Skeletal correction of malocclusion, facial profile harmony with satisfactory labial relationship, correction of tooth compensation and normal occlusal relationship were obtained with orthodontic treatment associated to orthognathic surgery. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO), as part of the requirements to become a BBO diplomate.

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Ramos, Adilson Luiz. "Class III treatment using facial mask: Stability after 10 years." Dental Press Journal of Orthodontics 19, no. 5 (October 2014): 123–35. http://dx.doi.org/10.1590/2176-9451.19.5.123-135.bbo.

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Early Class III malocclusion treatment may not have long-term stability due to mandibular growth. Although some features of this malocclusion point to a better prognosis, it is practically impossible for the orthodontist to foresee cases that require new intervention. Many patients need retreatment, whether compensatory or orthodontic-surgical. The present study reports the case of a Class III patient treated at the end of the mixed dentition with the use of a face mask followed by conventional fixed appliances. The case remains stable 10 years after treatment completion. It was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO.

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Singh, Gaurav Pratap, Karan Nehra, Rajat Mitra, Oonit Nakra, and Abhishek Singla. "Orthosurgical Management of Class III Malocclusion Emphasizing the Pivotal Role of CBCT." Journal of Indian Orthodontic Society 54, no. 1 (January 2020): 69–76. http://dx.doi.org/10.1177/0301574219888056.

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Management of skeletal class III malocclusions in a nongrowing individual remains a challenging and arduous task for the orthodontist. The skeletal class III malocclusion is often not amenable to camouflage procedures and requires a surgical correction of the underlying skeletal bases to achieve esthetic and functional treatment results. These patients often require one or more extractions to remove the preexisting dentoalveolar compensations prior to the surgical procedure which is undertaken as part of presurgical orthodontics. Postsurgical orthodontics is often of limited duration and is concerned with the settling of occlusion and obtaining tight cuspal interdigitation. Cone-beam computed tomography is a recent innovation which has revolutionized imaging in dentistry. Within orthodontics, it has proven to be of great value in orthosurgical planning and evaluation of posttreatment results including root parallelism and root resorption. This case report describes orthosurgical management of class III malocclusion utilizing cone-beam computed tomography in treatment planning.

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Wahl, Norman. "Orthodontics in 3 millennia. Chapter 14: Surgical adjuncts to orthodontics." American Journal of Orthodontics and Dentofacial Orthopedics 131, no. 4 (April 2007): 561–65. http://dx.doi.org/10.1016/j.ajodo.2007.01.001.

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Mendigeri, Vijaylaxmi, Praveenkumar Ramdurg, Sanjay Ganeshkar, and Ravichandra Handral. "A Novel Technique to Expose Impacted Canine by Using Punch Biopsy Instrument." Journal of Indian Orthodontic Society 53, no. 2 (April 2019): 146–47. http://dx.doi.org/10.1177/0301574219840949.

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In orthodontics, the impaction of maxillary canine is a common problem. Treatment for this clinical hitch usually requires surgical exposure of the impacted tooth, followed by orthodontic traction to align the tooth in the arch. To expose labially impacted canine, several methods are used in literature. In this article, we throw light on an innovative technique showing the surgical procedure for uncovering impacted canine by using a punch biopsy instrument.

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Montini, Reid W., Susan P. McGorray, Timothy T. Wheeler, and Calogero Dolce. "Perceptions of Orthognathic Surgery Patient's Change in Profile." Angle Orthodontist 77, no. 1 (January 1, 2007): 5–11. http://dx.doi.org/10.2319/061705-206r.1.

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Abstract Objectives: To compare pairs of silhouettes generated from presurgical and 5-year postsurgical cephalometric radiographs to evaluate whether orthodontists, oral surgeons, and lay persons perceive changes in profile resulting from orthodontics and mandibular advancement surgical treatment. Materials and Methods: A survey-based method of data collection was used to evaluate 15 pairs of silhouettes. These silhouettes included 1 control pair and 14 surgically treated pairs representing mandibular advancements ranging from 0.11 mm to 10.13 mm. Collected data were analyzed to determine whether changes can be perceived and whether these changes were esthetically pleasing. Results: The control silhouette pair was identified by 104 of 127 evaluators. For the 14 surgical treated silhouette pairs, the vast majority of evaluators (N = 127; 53 orthodontists, 32 oral surgeons, and 42 lay persons) were able to identify changes in profile and individual features. At least one group of evaluators was able to perceive significant (P < .05) improvement in the visual analog scale (VAS) score for all these silhouette pairs, except for the pair with 10.13 mm of mandibular advancement. This silhouette pair, which represented the largest mandibular advancement, was perceived to have a significant (P < .05) worsening in the VAS score by the lay person group. There were significant differences among the groups of evaluators. Esthetic improvement in profile was perceived for 13 of 14 surgically treated silhouette pairs. Conclusion: In some cases, orthodontists, oral surgeons, and lay persons perceived changes in profile differently.

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Мягкова, Н., N. Myagkova, Е. Бимбас, and E. Bimbas. "THE ALGORITHM IS A COMBINATION OF ORTHODONTICS AND SURGICAL TREATMENT OF SKELETAL FORMS OF DENTOALVEOLAR ANOMALIES IN ADULT PATIENTS." Actual problems in dentistry 10, no. 6 (December 25, 2014): 40–43. http://dx.doi.org/10.18481/2077-7566-2014-0-6-40-43.

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<p>Indication for surgical orthodontics are patients over 18 years, having skeletal form dentition anomalies and violation of facial aesthetics. For this treatment is performed special diagnostics and treatment. Cooperation orthodontist and maxillofacial surgeon provides new treatment options. </p>

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Al-Attar, Ali M., Samher Al-Shaham, and Mushriq Abid. "Perception of Iraqi Orthodontists and Patients toward Accelerated Orthodontics." International Journal of Dentistry 2021 (April 29, 2021): 1–7. http://dx.doi.org/10.1155/2021/5512455.

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Background/Purpose. In the literature, no consensus about the duration of orthodontic treatment has been reached out. This study aimed to identify orthodontist’s and patient’s perception about the time of orthodontic treatment and their willingness to undergo and pay for various acceleration techniques and procedures. Materials and Methods. An electronic survey was conducted from August to October 2020. The questionnaire consisted of 20 multiple choice questions which was designed and emailed to members of the Iraqi Orthodontic Society and self-administered to patients in several orthodontic centers in Baghdad. The questionnaire included questions about the perception toward the duration of orthodontic treatment, approval of different procedures used to reduce treatment time, and how much fee increment they are able to pay for various techniques and appliances. Descriptive and chi-square test statistics were used, and the level of significance was set at p ≤ 0.05 . Results. The response rate was 78.7%. The willingness for additional techniques and procedures was rated in the following order: customized appliances: 50.8% orthodontists and 38.4% patients, followed by intraoral vibrating devices: 49.2% orthodontists and 38.1% patients, piezocision: 10.2% orthodontists and 8.2% patients, and corticotomies: 8.1% orthodontists and 5.9% patients. Most orthodontists were willing to pay up to 40% of treatment income for the acceleration procedure, while the payment of patients was up to 20%. Conclusion. Both orthodontists and patients were interested in techniques that can decrease the treatment duration. Noninvasive accelerating procedures were more preferable by orthodontists and patients than invasive surgical procedures.

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Liao, Yu-Fang, Yu-Ting Chiu, Chiung-Shing Huang, Ellen Wen-Ching Ko, and Yu-Ray Chen. "Presurgical Orthodontics versus No Presurgical Orthodontics: Treatment Outcome of Surgical-Orthodontic Correction for Skeletal Class III Open Bite." Plastic and Reconstructive Surgery 126, no. 6 (December 2010): 2074–83. http://dx.doi.org/10.1097/prs.0b013e3181f52710.

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Gandedkar, NarayanH, ChaiKiat Chng, and VincentKok Leng Yeow. "Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics." Contemporary Clinical Dentistry 7, no. 3 (2016): 386. http://dx.doi.org/10.4103/0976-237x.188575.

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Agarwal, Abhishek, Ravi Bhandari, Preeti Bhattacharya, Deepak Kumar Agarwal, and Ankur Gupta. "Corticotomy: New Dimension to Surgical Orthodontics." Journal of Indian Orthodontic Society 48, no. 4_suppl1 (December 2014): 349–53. http://dx.doi.org/10.1177/0974909820140509s.

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Castaño, Angélica María, and Andrea Rodríguez. "Orthodontic management of patients with periodontal disease." Revista Estomatología 18, no. 1 (September 28, 2017): 35–44. http://dx.doi.org/10.25100/re.v18i1.5708.

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The orthodontic treatment for patients with periodontal disease has been debated for many years. At first, conservative treatments were proposed, where only periodontal surgical procedures were used to reestablish the function of the dentoalveolar complex that had been lost. Nowadays, it is possible to demonstrate that orthodontic treatment is not contraindicated in this type of patients if there are followed some management protocols and paradoxically orthodontics has become an option for solving many of the periodontal disease sequelae.

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Wu, JiaQi, Jiu-Hui Jiang, Li Xu, Cheng Liang, YunYang Bai, and Wei Zou. "A pilot clinical study of Class III surgical patients facilitated by improved accelerated osteogenic orthodontic treatments." Angle Orthodontist 85, no. 4 (July 1, 2015): 616–24. http://dx.doi.org/10.2319/032414-220.1.

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ABSTRACT Objective: To evaluate if the improved accelerated osteogenic orthodontics (IAOO) procedure could speed Class III surgical patients' preoperative orthodontic treatment duration and, if yes, to what extent. This study was also designed to determine whether or not an IAOO procedure affects the tooth-moving pattern during extraction space closure. Materials and Methods: The samples in this study consisted of 24 Class III surgical patients. Twelve skeletal Class III surgery patients served as an experimental group (group 1) and the others as a control group (group 2). Before treatment, the maxillary first premolars were removed. For group 1, after the maxillary dental arch was aligned and leveled (T2), IAOO procedures were performed in the maxillary alveolar bone. Except for this IAOO procedure in group 1, all 24 patients experienced similar combined orthodontic and orthognathic treatment. Study casts of the maxillary dentitions were made before orthodontic treatment (T1) and after extraction space closure (T3). All of the casts were laser scanned, and the amount of movement of the maxillary central incisor, canine, and first molar, as well as arch widths, were digitally measured and analyzed by using the three-dimensional model superimposition method. Results: The time durations T3–T2 were significantly reduced in group 1 by 8.65 ± 2.67 months and for T3–T1 were reduced by 6.39 ± 2.00 months (P < .001). Meanwhile, the tooth movement rates were all higher in group 1 (P < .05). There were no significant differences in the amount of teeth movement in the sagittal, vertical, and transverse dimensions between the two groups (P > .05). Conclusion: The IAOO can reduce the surgical orthodontic treatment time for the skeletal Class III surgical patient by more than half a year on average. The IAOO procedures do not save anchorage.

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Garib, Daniela G., Louise Resti Calil, Claudia Resende Leal, and Guilherme Janson. "Is there a consensus for CBCT use in Orthodontics?" Dental Press Journal of Orthodontics 19, no. 5 (October 2014): 136–49. http://dx.doi.org/10.1590/2176-9451.19.5.136-149.sar.

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This article aims to discuss current evidence and recommendations for cone-beam computed tomography (CBCT) in Orthodontics. In comparison to conventional radiograph, CBCT has higher radiation doses and, for this reason, is not a standard method of diagnosis in Orthodontics. Routine use of CBCT in substitution to conventional radiograph is considered an unaccepted practice. CBCT should be indicated with criteria only after clinical examination has been performed and when the benefits for diagnosis and treatment planning exceed the risks of a greater radiation dose. It should be requested only when there is a potential to provide new information not demonstrated by conventional scans, when it modifies treatment plan or favors treatment execution. The most frequent indication of CBCT in Orthodontics, with some evidence on its clinical efficacy, includes retained/impacted permanent teeth; severe craniofacial anomalies; severe facial discrepancies with indication of orthodontic-surgical treatment; and bone irregularities or malformation of TMJ accompanied by signs and symptoms. In exceptional cases of adult patients when critical tooth movement are planned in regions with deficient buccolingual thickness of the alveolar ridge, CBCT can be indicated provided that there is a perspective of changes in orthodontic treatment planning.

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El-Habbash, Salwa, and Timothy McSwiney. "Idiopathic condylar resorption in orthodontics." Orthodontic Update 14, no. 2 (April 2, 2021): 82–88. http://dx.doi.org/10.12968/ortu.2021.14.2.82.

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Condylar resorption (CR) can be categorized into functional and dysfunctional remodelling of the temporomandibular joint (TMJ). The literature describes dysfunctional remodelling of the TMJ as idiopathic condylar resorption (ICR). Idiopathic condylar resorption (ICR) is a well-documented but poorly understood pathological entity that can occur spontaneously or post-orthognathic surgery. It predominantly affects young women, with other risk factors including Class 2 malocclusion with steep mandibular plane angles. It is distinguished by a decreased condylar head volume and ramus height, progressive mandibular retrusion and an anterior open bite. Its aetiology can be categorized into surgical and non-surgical risk factors. These include hormones, systemic disease, trauma, mechanical load and surgical risk factors, such as magnitude and direction of mandibular movement, type of surgical fixation and length of post-operative maxilla-mandibular fixation. ICR is a diagnosis of exclusion, and identified by a combination of clinical, radiographic and haematological findings. Multiple treatment options have been described in the literature, including medical management, orthodontics, orthognathic surgery, TMJ surgery, TMJ and orthognathic surgery combined, and total joint prosthesis reconstruction. Further research is required to better understand the aetiology of ICR and more long-term, controlled, multicentre clinical studies are needed to evaluate the outcomes of surgical and non-surgical management of CR patients. CPD/Clinical Relevance: Idiopathic condylar resorption has many presentations and potential causes that can greatly impact the decisions and outcomes for orthodontic/orthognathic treatment.

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Adel, Samar, Abbas Zaher, Nadia El Harouni, Adith Venugopal, Pratik Premjani, and Nikhilesh Vaid. "Robotic Applications in Orthodontics: Changing the Face of Contemporary Clinical Care." BioMed Research International 2021 (June 16, 2021): 1–16. http://dx.doi.org/10.1155/2021/9954615.

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The last decade (2010-2021) has witnessed the evolution of robotic applications in orthodontics. This review scopes and analyzes published orthodontic literature in eight different domains: (1) robotic dental assistants; (2) robotics in diagnosis and simulation of orthodontic problems; (3) robotics in orthodontic patient education, teaching, and training; (4) wire bending and customized appliance robotics; (5) nanorobots/microrobots for acceleration of tooth movement and for remote monitoring; (6) robotics in maxillofacial surgeries and implant placement; (7) automated aligner production robotics; and (8) TMD rehabilitative robotics. A total of 1,150 records were searched, of which 124 potentially relevant articles were retrieved in full. 87 studies met the selection criteria following screening and were included in the scoping review. The review found that studies pertaining to arch wire bending and customized appliance robots, simulative robots for diagnosis, and surgical robots have been important areas of research in the last decade (32%, 22%, and 16%). Rehabilitative robots and nanorobots are quite promising and have been considerably reported in the orthodontic literature (13%, 9%). On the other hand, assistive robots, automated aligner production robots, and patient robots need more scientific data to be gathered in the future (1%, 1%, and 6%). Technological readiness of different robotic applications in orthodontics was further assessed. The presented eight domains of robotic technologies were assigned to an estimated technological readiness level according to the information given in the publications. Wire bending robots, TMD robots, nanorobots, and aligner production robots have reached the highest levels of technological readiness: 9; diagnostic robots and patient robots reached level 7, whereas surgical robots and assistive robots reached lower levels of readiness: 4 and 3, respectively.

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Levy-Bercowski, Daniel, Eladio DeLeon, John W. Stockstill, and Jack C. Yu. "Orthognathic Cleft—Surgical/Orthodontic Treatment." Seminars in Orthodontics 17, no. 3 (September 2011): 197–206. http://dx.doi.org/10.1053/j.sodo.2011.02.004.

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Lye, Kok Weng, and Joseph R. Deatherage. "Surgical Maxillomandibular Advancement Technique." Seminars in Orthodontics 15, no. 2 (June 2009): 99–104. http://dx.doi.org/10.1053/j.sodo.2009.01.004.

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Dahan, Serge, Michel Le Gall, Daniel Julié, and André Salvadori. "New protocols for the manufacture of surgical splints in surgical-orthodontic treatment." International Orthodontics 9, no. 1 (March 2011): 42–62. http://dx.doi.org/10.1016/j.ortho.2010.12.009.

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Mohamed Kassim, Zethy Hanum, Abdul Latif Abdul Hamid, Nadhirah Ghazali, and Puvanendran Balasingham. "A Rehabilitation of Missing Maxillary Anterior Teeth in a Severe Skeletal Class III Malocclusion Patient Requiring Implants." Annals of Dentistry 28 (February 16, 2021): 8–14. http://dx.doi.org/10.22452/adum.vol28no2.

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Management of traumatic dental injuries (TDI) in a young patient may range from simple to complex. In a situation where teeth are lost, a reliable and conservative treatment option is an implant-supported fixed dental prosthesis (i-FDP), as this treatment option negates the need to prepare sound abutment teeth as in the case of conventional fixed bridges. However, the placement of implants is usually prosthetically driven to allow for a 3D functional and aesthetic restoration. In the presence of severe skeletal Class III malocclusion, treatment may incorporate pre-surgical orthodontic treatment, followed by jaw surgery to correct the skeletal discrepancies and finally post-surgical orthodontic treatment before the rehabilitation with implants. A multidisciplinary treatment approach in a stepwise manner is required to address the patient’s overall treatment needs. This case report presents a joint prosthodontics, orthodontics and oral maxillofacial surgical management of a young adult male patient with a Skeletal Class III malocclusion who required rehabilitation of avulsed missing anterior teeth sustained from childhood TDI. The severity of the skeletal relationship required a Le Fort I maxillary advancement and a bilateral sagittal split osteotomy for the setback of the mandible in combination with orthodontics for correction of malocclusion and arch relationship prior to implant placement. Correction of the malocclusion and jaw deformity allowed the functional and aesthetic rehabilitation of the missing teeth using an i-FDP.

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Sawicka, Monika, Bogna Racka-Pilszak, and Anna Rosnowska-Mazurkiewicz. "Uprighting Partially Impacted Permanent Second Molars." Angle Orthodontist 77, no. 1 (January 1, 2007): 148–54. http://dx.doi.org/10.2319/010206-461r.1.

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Abstract Impaction of the lower second molar is not a common problem, but it is very challenging for both orthodontist and oral surgeon. Treatment options depend on the degree of tooth inclination, the position of the third molars, and the desired type of movement, which may be surgical and/or orthodontic in nature. A good treatment alternative is surgical uncovering with orthodontically-assisted eruption. A case of successful uprighting using a 0.017 × 0.025–inch titanium molybdenum alloy (TMA) tip-back cantilever is presented. Different aspects of uprighting impacted second molars are discussed in light of the literature. The iatrogenic character of lower second molar impaction is emphasized.

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Mirkovic, Sinisa, Ivan Sarcev, Branislav Bajkin, Ana Tadic, and Tatjana Djurdjevic-Mirkovic. "Orthodontic-surgical therapy of retained upper canine." Medical review 65, no. 5-6 (2012): 233–37. http://dx.doi.org/10.2298/mpns1206233m.

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Introduction. Therapy of impacted teeth is undoubtedly one of the most intriguing issues for the experts in the field of dentistry. General dental practitioners, as well as specialists in the field of pediatric dentistry, periodontology, orthodontics and particularly oral and maxillofacial surgery have been facing this challenge throughout past several years. Each of these experts can contribute to solving this problem; however, each of them alone can solve only a limited number of cases. Discussion and Conclusion. Since recently, the fate of impacted tooth has been determined mainly by the competence, experience and skill of the orthodontist to apply light traction in an appropriate direction once the tooth has been made surgically exposed. Oral surgeon and orthodontist should share the responsibility for a patient with impaction as they together have the necessary skill and competence required for an effective therapy. In addition, dental age of the child is to be taken into consideration, as well as his/her overall health status and potential interference with other anomalies of dental arch.

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Hsu, Li-Fang, Yu-Cheng Cheng, Hsin-Hui Peng, and Chung-Chen Jane Yao. "Simplified orthognathic surgical treatment using non-surgical asymmetric maxillary expansion: A case report." International Orthodontics 18, no. 4 (December 2020): 839–49. http://dx.doi.org/10.1016/j.ortho.2020.07.001.

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Journal articles on the topic 'Surgical orthodontics'

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