Utilizing virtual surgical planning and orthognathic surgery to correct severe facial asymmetry without orthodontic treatment

Chih Hui Shen, Tz Ya Hung, Monica Wang, Yu Chao Chang, Chih Yuan Fang

研究成果: 雜誌貢獻文章同行評審

摘要

Combining double-jaw surgery and orthodontic treatment to correct dentofacial asymmetry is a standard procedure but time consuming and costly. In order to provide alternative solutions, previewing the possible results with precise virtual surgical planning (VSP) system can help clinicians select patients suited for correcting facial asymmetry surgically without orthodontic treatment. In our experiences, after rigid or semirigid fixation of the maxilla, using intermaxillary fixation (IMF) without mandibular bony fixation is another key. This kind of fixation can minimize the chances of changing the condylar position and occlusion after the rotation of the maxillomandibular complex. If the original occlusion can be maintained, then orthodontic treatment can be avoided. Here we presented two facial asymmetry cases who requested surgical correction and refused orthodontic treatment. With careful preoperative planning using VSP, double-jaw surgery with maxillary bony fixation and IMF was conducted and both patients were satisfied by their aesthetic outcomes. With minimal dental compensation, the long-term results were relatively stable.
原文英語
期刊Journal of Dental Sciences
DOIs
出版狀態接受/付印 - 2021

ASJC Scopus subject areas

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