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Lingual orthodontics and orthognathic surgery
A Hugo1, J P Reyneke, Z J Weber
1Department of Oral and Maxillo-facial Surgery, University of the Witwatersrand, Johannesburg, South Africa.
The International Journal of Adult Orthodontics and Orthognathic Surgery
|April 20, 2001
Summary
Lingual orthodontics offers a less visible treatment option for adults and teens needing orthognathic surgery. This approach combines lingual appliances with surgery to correct dentofacial deformities, improving aesthetics and function.
Area of Science:
- Orthodontics
- Oral and Maxillofacial Surgery
- Dentofacial Deformities
Background:
- Adults and mature teenagers seeking orthognathic surgery prioritize aesthetics.
- Conventional labial orthodontic appliances are highly visible, impacting patient motivation.
- Lingual orthodontics offers a discreet alternative for this patient demographic.
Purpose of the Study:
- To establish treatment guidelines for orthognathic surgical cases using lingual orthodontics.
- To evaluate the advantages and disadvantages of specific lingual appliances (Ormco, Creekmore, Begg) in combined surgical-orthodontic treatment.
- To assess the overall efficacy of the lingual orthognathic approach for dentofacial deformities.
Main Methods:
- Combined surgical and orthodontic treatment approach.
- Utilized Ormco, Creekmore, or Begg lingual appliances in the maxillary arch.
- Employed a labial appliance in the mandibular arch for selected dentofacial deformities.
Main Results:
- Successful treatment of various dentofacial deformities was achieved.
- Demonstrated the feasibility of combining lingual orthodontics with orthognathic surgery.
- Identified specific benefits and drawbacks of the evaluated lingual appliances in this context.
Conclusions:
- Lingual orthodontics is a viable and appealing option for orthognathic surgery patients concerned with appearance.
- The combined lingual orthodontic and surgical approach effectively addresses dentofacial deformities.
- Guidelines and appliance-specific insights are provided for optimizing treatment outcomes.