Integrated management of the orthognathic patient

AlOtaibi, N. M., Benington, P. C. M. and Ayoub, A. F. (2023) Integrated management of the orthognathic patient. In: Krishnan, V. and Kuijpers-Jagtman, A. M. (eds.) Integrated Clinical Orthodontics [2nd ed.]. Wiley-Blackwell, pp. 447-492. ISBN 9781119870074

Abstract

This chapter gives an overview of our approach to the management of dentofacial deformities, which are commonly corrected through a combi nation of orthodontic treatment and orthognathic surgery. The importance of the multidisciplinary team in comprehensively assessing and diagnosing the patient is emphasized, including the role of the psychologist. Even though there have been no profound changes in orthognathic surgical techniques or in the fundamentals of orthodontics, there have been some significant developments in the process of soft tissue prediction and occlusal planning, as well as the treatment pathways. Three-dimensional digital planning is increasingly being adopted and we will describe our state-of-the-art process in detail, along with discussion of recent developments and future aspirations. The conventional, orthodontics-first approach to orthognathic treatment is typically long, with presurgical orthodontics often accentuating the patient’s dentofacial deformity prior to surgical correction. The surgery-first approach has gained increasing attention in recent years, offering a potentially more time-efficient path way, with immediate correction of the skeletal jaw discrepancy. We will give an account of both treatment pathways, including their benefits and limitations, and discuss their indications. Evidence will be cited, where possible, to support our views.

• Item Type: Book Sections
• Additional Information: Print ISBN: 9781119870050
• Status: Published
• Glasgow Author(s) Enlighten ID: Ayoub, Professor Ashraf and Benington, Mr Philip
• Authors: AlOtaibi, N. M., Benington, P. C. M., and Ayoub, A. F.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
• Publisher: Wiley-Blackwell
• ISBN: 9781119870074