Considerations for orthognathic surgery during growth, Part 1. Mandibular deformities

Citation
Lm. Wolford et al., Considerations for orthognathic surgery during growth, Part 1. Mandibular deformities, AM J ORTHOD, 119(2), 2001, pp. 95-101
Citations number
26
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
ISSN journal
08895406 → ACNP
Volume
119
Issue
2
Year of publication
2001
Pages
95 - 101
Database
ISI
SICI code
0889-5406(200102)119:2<95:CFOSDG>2.0.ZU;2-4
Abstract
Management of the growing patient with mandibular dentofacial deformities p resents a unique and challenging problem for orthodontists and surgeons. Th e surgical procedures required for correction of the deformity may affect p ostsurgical growth and dentofacial development. Further, facial growth may continue postoperatively and negate the benefits of surgery performed, resu lting in treatment outcomes that are less than ideal. From individual patie nt characteristics, the type of deformity, and the indications for early su rgical intervention, it is possible to effectively treat many cases during growth. A thorough understanding of facial growth patterns is essential, an d each case needs to be evaluated individually. Surgery is often undertaken with the expectation that additional treatment, including more surgery, ma y be required after the completion of growth. The material presented here i s based on the available research and the senior author's clinical experien ce of more than 25 years in the correction of mandibular deformities in the growing patient. Advantages and disadvantages of specific surgical techniq ues for correction of common mandibular deformities and pertinent age and s urgical considerations are discussed. The material should be viewed as a ge neral outline that provides broad guidelines for management of these patien ts. The management of maxillary deformities will be discussed in Part 2 of this article.