RESUMO
The way the surgical orthodontic team approach has been developed over the years is described in its historical context. Originally orthodontists and surgeons worked more or less separately from each other. Nowadays a team of specialists including psychologists takes care of the patient. The importance to balance the indications for surgical orthodontic treatment against the contra-indications is emphasized.
Assuntos
Anormalidades Maxilofaciais/cirurgia , Ortodontia/tendências , Osteotomia/métodos , Equipe de Assistência ao Paciente/organização & administração , Cirurgia Bucal/tendências , História do Século XIX , História do Século XX , Humanos , Anormalidades Maxilofaciais/história , Países Baixos , Ortodontia/história , Equipe de Assistência ao Paciente/história , Equipe de Assistência ao Paciente/tendências , Cirurgia Bucal/históriaRESUMO
Orthodontic expansion of the maxilla can be facilitated by bone cuts through the zygomatic-alveolar process and in the palate lateral of the nasal septum. Stability of the surgical-orthodontic treatment outcome depends on the equilibrium of forces of the tongue and cheeks (functional envelope). Long term, even lifetime, retention is advised.
Assuntos
Má Oclusão/cirurgia , Maxila/cirurgia , Noma/complicações , Procedimentos Cirúrgicos Bucais/métodos , Contenções Ortodônticas , Adulto , Humanos , Masculino , Má Oclusão/etiologia , Osteogênese por Distração/métodos , Palato/cirurgia , Resultado do Tratamento , Zigoma/cirurgiaRESUMO
Sixteen non cleft patients treated by one piece Le Fort I osteotomy were investigated for TMJ symptoms. Clinical examination and subjective assessment by the patients was used over a 6-year period. No increase in symptoms was recorded in the osteotomy group as compared to the general population, however, condylar atrophy was seen in two patients. Both of these patients were classified as high mandibular plane angle, with absolute mandibular retrognathism. This suggests that this group may be at greater risk of condylar atrophy.
Assuntos
Má Oclusão/cirurgia , Maxila/cirurgia , Osteotomia/efeitos adversos , Síndrome da Disfunção da Articulação Temporomandibular/etiologia , Articulação Temporomandibular/fisiopatologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Má Oclusão/patologia , Côndilo Mandibular/patologia , Maxila/patologia , Retrognatismo/complicações , Síndrome da Disfunção da Articulação Temporomandibular/fisiopatologia , Resultado do TratamentoRESUMO
The use of a modified splint in the surgical-orthodontic treatment of Class II deep overbite deformities is presented. The splint permits a reduction of the preoperative orthodontic treatment-time because hardly any (time consuming) levelling of the dental arch is indicated while the time of postoperative orthodontic treatment is shortened, because of the possibility of continuing orthodontic treatment during the intermaxillary fixation period. The clockwise rotational movement which occurs with this treatment modality has, additionally, a favourable effect on the anterior facial height and in many cases on the position of the chin. Finally the intake of food during the immobilization period is facilitated.
