Correction of dento-facial deformities using combined orthodontic
and surgical treatment can provide dramatic changes in both the
cosmetic and functional aspects of the face. Patient commitment to
an extended period of treatment along with a close working
relationship with the orthodontist are essential to a successful
outcome.
An important component of the management of
patients planning for orthognathic surgery is the correct
diagnosis of both dental and skeletal abnormalities. Dental
compensation can frequently mask an underlying skeletal deformity.
Assessment of the maxilla and mandible should consider the three
dimensions: anterior-posterior, vertical, and transverse.
Evaluation at each dimension should account for cosmetic factors
(e.g amount of tooth/gingival show, or size of chin), growth
abnormalities (hypo or hyperplasia), and asymmetries.
Treatment
is tailored at each patient based on the procedure that would
achieve the best result while minimizing morbidity. Patient
education about the procedure, post-operative healing and
potential complications of orthognathic surgery is by far the most
important factor towards patient satisfaction.
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