"The cooperation between Orthodontics and Orthognathic Surgery in the treatment of skeletal facial disharmonies in adults"
Growth and development of the face and jaws is a continuous process from birth to puberty, which ceases in adulthood. During orthodontic treatment the application of orthopedic devices can control abnormal craniofacial growth in most cases, when patient’s bone maturation is not completed. However, in certain conditions, excessive skeletal deviations may lead to the need of orthognathic surgical intervention to establish normal occlusion and function.
In such cases, the orthodontic diagnosis and treatment of occlusal dysfunctions, dentofacial anomalies and skeletal discrepancies in adults may be a challenging task depending on the etiology, the severity of the problem and the individual variation of the patient. Severe skeletal malocclusions cause occlusal and functional impairments, while facial aesthetics is compromised.
The aim of this round table is to present the combined orthodontic-orthognathic surgery management of adult patients with skeletal discrepancies, treated in the Postgraduate Orthodontic Clinic over the past years. Basic principles of orthodontic-orthognathic surgery treatment will be analyzed and updated information from the literature will be provided. Clinical cases with various types of skeletal malocclusion, such as Class II or Class III skeletal disharmony, skeletal open bite, skeletal asymmetry, or combination of the above, which were treated either with single jaw or bimaxillary surgery, will be presented.
Aristotle University of Thessaloniki, Dental School, Department of Orthodontics