Surgery first has revived as a surgical approach in orthognathic surgery to reduce treatment duration and eliminate the accentuation of the dentofacial deformity that occurs with presurgical orthodontics. Skeletal anchorage, along with the use of surgical rigid internal fixation and 3-D virtual planning, has made this approach more feasible. Research studies have shown a reduction in treatment duration of 30 - 70%.
Describe the inefficiencies in the Conventional Orthognathic Surgery Sequence
Discuss the integration and coordination need in the use orthodontic and surgical techniques to obtain a successful outcome using a Surgery First treatment plan
Describe the use of CAD-CAM Technology in Surgery First
The transverse dimension of the maxillomandibular complex must be evaluated, diagnosed and addressed in order to achieve stability following orthodontic/orthognathic correction. Orthopedic maxillary expansion (non-surgical) is effective and stable in the young population prior to sutural closure, and is not effective or stable in patients following sutural closure in the maxillofacial complex. During this presentation different treatment options for patients with maxillary transverse skeletal deficiencies will be illustrated and discussed.
Diagnose maxillary transverse skeletal deficiency
List the different treatment options for maxillary transverse skeletal deficiency
Analyze the limitations, advantages and disadvantages of the different treatment options for maxillary transverse skeletal deficiency
Many complex interdisciplinary problems involve deficiencies or discrepancies in the dentoalveolar complex that can prolong treatment time and compromise overall outcomes. Surgically Facilitated Orthodontic Therapy (SFOT), in combination with skeletal anchorage, can shorten treatment times, modify vertical relationships and enhance the development of the arch form, alveolar bone and soft tissue to ideally address these issues involving the dentoalveolar complex. Special focus will be given to utilizing high-tech clear aligners instead of traditional orthodontic appliances to add a new and exciting dimension to SFOT while significantly increasing patient treatment acceptance.
Describe interdisciplinary diagnostics and treatment planning for the SFOT patient
Combine hard and soft tissue grafting with selective corticotomies
Utilize skeletal anchorage with SFOT to modify vertical relationships