Singh Devinder Preet, Arora Shefali (eds.) Diagnosis and Treatment Planning in Orthognathic Surgery

Nova Science Publishers, 2016. — 155 p. — (Surgery - Procedures, Complications, and Results) — ISBN: 978-1-63482-273-2With recent advances in surgical technology, it is now possible to treat these patients successfully for whom orthodontic camouflage would have resulted in esthetically unacceptable and often unstable results. This art and science of diagnosis, treatment planning, and execution of treatment of dentofacial deformities by combining orthodontics, oral and maxillofacial surgery to correct severe musculoskeletal, dento-osseous, and soft tissue deformities of the jaws and associated structures is called orthognathic surgery. Successful orthognathic surgery demands the understanding and cooperation of the oral and maxillofacial surgeon, orthodontist, and general dentist. Each must provide a proper diagnosis and treatment plan, perform necessary treatment and refer to necessary treatment outside his or her respective area of expertise. In order for patients to receive state-of-art care when correcting their deformities, the orthognathic team must: 1. recognize the various characteristics of malocclusion and dento-facial deformity; 2. define the nature of the problem, including the possible etiology; and 3. design a treatment strategy based on the specific needs and desires of the individual. In this modern era, the role of the doctor has shifted from that of sole decision maker in the planning process to that of a partner with the patient as co-decision-maker. Therefore, the clinician must not overlook the importance of including the patient and parents in the treatment planning process. Ackermann and Proffit have suggested that clinicians are generally more influenced by objective findings (problem list) and patients are more influenced by subjective findings (their perception of their needs and values). This dichotomy makes communication an effective tool when one is faced with the decision between orthodontic camouflage and surgical orthodontic correction. The authors’ of this book examine the diagnosis and treatment planning in orthognathic surgery.Indications for Orthognathic Surgery and Deciding the Need for Surgery
Psychosocial Considerations in Orthognathic Patients
Diagnosis: Deciding Where the Fault Lies
Deriving a Diagnostic List
Surgical Treatment Possibilities
Treatment Planning
Pre-Surgical Orthodontics
Definitive Immediate Pre-Surgical Planning
Post-Surgical Orthodontics and Retention