Contemporary Correction of Dentofacial Anomalies: A Clinical Assessment.

Nicolai Adolphs,Erwin Keeve,Nicole Ernst,Bodo Hoffmeister

doi:10.3390/dj4020011

Nicolai Adolphs, Erwin Keeve + Show 2 more

Open Access

https://doi.org/10.3390/dj4020011

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Journal: Dentistry journal	Publication Date: Apr 28, 2016
Citations: 36	License type: CC BY 4.0

Affiliation: Charité - Universitätsmedizin Berlin

Abstract

Contemporary computer-assisted technologies can support the surgical team in the treatment of patients affected by dentofacial deformities. Based on own experiences of 350 patients that received orthognathic surgery by the same team from 2007 to 2015, this clinical review is intended to give an overview of the results and risks related to the surgical correction of dentofacial anomalies. Different clinical and technological innovations that can contribute to improve the planning and transfer of corrective dentofacial surgery are discussed as well. However, despite the presence of modern technologies, a patient-specific approach and solid craftsmanship remain the key factors in this elective surgery.

Highlights

Malocclusion can be differentiated into mild or severe forms, which may have an impact on facial appearance
(“orthognathic surgery”) is one of the main domains in maxillofacial surgery and can contribute to reduce functional and psychosocial impairments in patients affected by dentofacial anomalies, resulting in a relevant improvement of quality of life [1]
Noticeable is the high amount of distraction procedures, which is caused by an increasing acceptance of the transpalatal distractions

Summary

Introduction

Malocclusion can be differentiated into mild (dentoalveolar) or severe forms (skeletal), which may have an impact on facial appearance. The surgical correction of dentofacial anomalies (“orthognathic surgery”) is one of the main domains in maxillofacial surgery and can contribute to reduce functional and psychosocial impairments in patients affected by dentofacial anomalies, resulting in a relevant improvement of quality of life [1]. This kind of elective surgery is performed after skeletal maturity within an interdisciplinary orthodontic and maxillofacial team approach [2,3,4]. Additional surgical procedures such as rhinoplasty or soft tissue corrections may be required and should be performed after the skeletal corrections

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