Dentofacial deformities—Integrated orthodontic and surgical correction, volumes I and II

Epker, Bruce N.; Fish, Leward C.

doi:10.1016/0889-5406(87)90218-6

Cited by 85 publications

(119 citation statements)

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“…Epker modified the original mandibular trans-ramal osteotomy that Dalpont and Obwegeser described by proposing an internal corticotomy incision on the ramus in a lower position than those of his predecessors, at a point facing the Spix spine where the mandibular nerve enters the mandible 4,5 .…”

Section: -1 -Mandibular Osteotomies • Epker's Trans-ramal Sagittal Osmentioning

confidence: 99%

Orthognathic surgery of adults and facial aesthetics

Charrier¹

2012

J Dentofacial Anom Orthod

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Orthognathic surgery has as its objective the repositioning of basal bone in the framework of maxillo-mandibular deformities. Its results are both esthetic and functional. For adults, improved aesthetics results is becoming increasingly important in these procedures to the point where some patients seek only an esthetic amelioration and not a functional one. To achieve their aesthetic purpose, it is becoming progressively more necessary for orthodontists, oral surgeons, and general dentists to collaborate effectively in a well-coordinated effort. In what has now become a true sub-specialty, orthognathic surgeons must master the complementary techniques of rhinoplasty, osseous apposition, aesthetic facial surgery, fat injection or injectable anti-aging tratments. In this article we propose a diagnostic classification based on the aesthetics of the adult smile and describe the therapeutic modalities appropriate for each element. KEY WORDSOrthognathic surgery, Aesthetics of the face, Orthodontic and orthognathic treatment.

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Section: -1 -Mandibular Osteotomies • Epker's Trans-ramal Sagittal Osmentioning

confidence: 99%

Orthognathic surgery of adults and facial aesthetics

Charrier¹

2012

J Dentofacial Anom Orthod

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“…5 The diagnosis and treatment plan for patients with dentoskeletal deformities should be carried out individually, with cephalometric, occlusal and facial analyses, which take into account the position of the maxillary and mandibular incisors on the basal bone. 6,7 The Class II skeletal deformity results from an increased sagittal gap between the maxilla and the mandible, regardless of the relationship between the maxillary and mandibular molars. Such skeletal dysfunction can be due to maxillary protrusion or mandibular deficiency, the latter being found more frequently than the former.…”

Section: Introductionmentioning

confidence: 99%

Cephalometric evaluation of surgical mandibular advancement

et al. 2010

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The treatment of Class II adult individuals with mandibular deficiency has been the combination of orthodontic treatment and orthognathic surgery. Therefore, a study was conducted in which cephalometric analysis was used to evaluate the influence of dentoalveolar decompensation in Class II patients submitted to orthodontic and surgical treatment for mandibular advancement, by bilateral osteotomy of the mandibular ramus. A sample of 15 leukoderma adult female patients were selected and three cephalometric radiographs of each patient, taken before the orthodontic treatment, before surgery and after at least 6 months postoperatively, were analyzed in a total of 45 roentgenograms. The tracings were made by the manual method and the points were digitalized using software. The results showed that values of SNB increased from 75.6 to 78.6°. The measures BNP and PGNP were reduced from -12.7 to -7.7 mm and -12.7 to -6.6 mm, respectively. For ANB there was a reduction of 3.23° (from 8.1° to 4.9°) . Likewise, the values of AOBO were diminished by 6.3 mm (from 7.6 to 1.3 mm), and in the values of OJ there was a reduction of 5.7 mm (from 9 to 3.3 mm). It was concluded that the pre-surgical orthodontic treatment promoted minimal and variable dental and skeletal changes in the final result. The surgical treatment caused significant skeletal changes, especially in the measurements related to the mandible (SNB, BNP, PGNP and SNPM) or indirectly to it (ANB, AOBO and OJ).

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“…The wounds are closed as for a total maxillary osteotomy, taking care to re-approximate the musculature with deep periosteal sutures. An alar cinch suture 18 will usually prevent alar base flaring which might otherwise complicate the procedure.…”

Section: Technique Of Samementioning

confidence: 99%

“…This nasal spine osteotomy is the authors' modification to the surgical procedure described by Epker and Fish. 18 After initial scoring with a bur, a midpalatal osteotomy is then accomplished by malletting an osteotome posteriorly, parallel to the palatal plane, into the intermaxillary suture and directed to the posterior nasal spine. These procedures ensure that s e p a r ation of the entire midpalatal suture has occurred.…”

Section: Technique Of Samementioning

confidence: 99%

“…Various combinations of lateral maxillary, pterygo-palatine-maxillary and midpalatal releasing osteotomies have been described. [12][13][14][15][16][17][18][19][20][21][22] There has, however, been little discussion in the literature regarding the relative efficacy of each procedure. It is the purpose of this article, therefore, to describe and to discuss the surgically-assisted maxillary expansion technique (SAME) used by the authors over an eight-year period.…”

Section: Introductionmentioning

confidence: 99%

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Surgically‐assisted maxillary expansion

Woods

Wiesenfeld

Probert

1997

Australian Dental Journal

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A combined surgical and orthodontic technique for management of transverse maxillary deficiencies in mature patients is described and discussed. Special references are made to the surgical release of several circummaxillary articulations to facilitate the use of a fixed expansion device, and to the authors' addition of an osteotomy below the nasal spine, to ensure that the nasal septum remains independent of the maxillary segments. Indications for the use of this surgically-assisted maxillary expansion technique, and its advantages when compared with segmented surgical expansion, are also presented.

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Dentofacial deformities—Integrated orthodontic and surgical correction, volumes I and II

Cited by 85 publications

References 0 publications

Orthognathic surgery of adults and facial aesthetics

Orthognathic surgery of adults and facial aesthetics

Cephalometric evaluation of surgical mandibular advancement

Surgically‐assisted maxillary expansion

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