Abstract
Introduction : In daily practice, the orthodontist may have some difficulties with their therapeutic decision to choose a treatment with or without orthognathic surgery, especially for borderline cases. The objective of this study is to determine the outcome of orthosurgical treatment.Patients and Methods : We undertook a retrospective analytical study of 175 randomly selected cases. The data for this study were obtained from lateral cephalograms radiographs, panoramic radiographs, both intraoral and extraoral photographs, and case sheet, and clinical examination.Results : According to the multivariate data analysis and the results of studied factors in determining the need for orthosurgical treatment were: the chin position, the FMA angle and the ratio of the lips based on this formula: 1.167 + 0.288 × the position of chin – 0254 × FMA angle −0.16 × the ratio of the lips. The critical score is equal to −5.92 in which case surgery is indicated.Conclusion : This study focused on a clinical and cephalometric approach in the decision related to orthosurgical treatment, so as to choose better treatment options and limit the damaged caused by a more complex and costly options.
Highlights
In daily practice, the orthodontist may have some difficulties with their therapeutic decision to choose a treatment with or without orthognathic surgery, especially for borderline cases
The results of the study of our sample showed that 153 cases (87.4%) were judged correctable by orthodontic treatment against 22 cases that were judged treatable by orthognathic surgery
We found that 90.9% of orthosurgical cases had an esthetic motive behind it, which confirms that the main objective of orthodontics is the resolution of an essentially esthetic problem
Summary
The orthodontist may have some difficulties with their therapeutic decision to choose a treatment with or without orthognathic surgery, especially for borderline cases. In today’s society, people are increasingly concerned about their appearance. This search for a better self-image is part of a need to be attractive that drives people and adults which encourages them to consult the dentofacial orthopedics service. Orthodontic treatments significantly contribute to esthetic and functional improvements, but in some cases, Address for correspondence: Article received: 20-03-2017.
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