Ortho Surgical Management of Adult Patients

  • Dr Manisha Kukreja, Government Dental College, PGIMS University of Health Science Rohtak, India

In an adult patient with no growth remaining, the only possibility of orthodontic treatment alone is camouflage by displacement of teeth relative to jaw bases. The resulting dental compensation may produce reasonably normal dental occlusion but the results are satisfactory only if the facial esthetics and teeth relationship are acceptable. Today the concept of correcting the occlusal relationship of teeth alone is not an adequate description of successful treatment. Occlusion is important but comparable facial esthetics accompanying the functional goals is equally significant so today there should be no regard for a camouflage treatment protocol for a skeletal problem. Variety of cases treated by surgical orthodontics will be presented in the poster. First case of long face syndrome is shown which required Lefort 1 superior repositioning of maxilla to complete the treatment goals and accompanish the treatment outcome desired by the patient. Second case is of short face syndrome in which Lefort 1 down fracture and bilateral sagittal split osteotomy of mandible was done to achieve stable results. Third case of cleft palate will be shown. With the safety of jaw surgery techniques improving as a result of modifications in surgical approach, orthognathic surgery is exciting and results are pleasing both to the orthodontist and the patients.