Patients born with craniofacial dysmorphism present with dysfunctional occlusion and a variety of skeletal deformities that worsen with facial growth. Orthodontists play a central role in managing these complex cases through engagement in many aspects of clinical care. These include initial case analysis, overall treatment planning, coordination of the treatment with other specialists, pre-surgical orthodontic preparation, surgical planning, and postsurgical orthodontics. Successful surgical outcomes of the cases critically depend on well-planned pre-surgical orthodontic set-up, which is based on an understanding of the nature of the skeletal problems, and knowledge on orthognathic procedures and their potential and limitations. This lecture will present orthodontic management of surgical cases with complex skeletal deformities.
Outline the multiple steps required for the management of orthognathic cases with craniofacial dysmorphism.
Propose orthognathic procedures appropriate for different craniofacial cases, and also recognize surgical limitations of these procedures.
Plan pre-surgical orthodontic set-up for cases with complex skeletal deformities, using 2D- and 3D-virtual surgical planning tools.