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[A multidisciplinary approach to orthognathic surgery].

R Glineur1, A Balon-Perin

  • 1Département d'Orthopédie Dento-Faciale, Service de Stomatologie et Chirurgie Maxillo-Faciale, Cliniques Universitaires Erasme ULB, 808, route de Lennik, 1070 Bruxelles, Belgium. regine.glineur@euronet.be

Revue Belge De Medecine Dentaire
|March 26, 2003
PubMed
Summary

Orthodontists recognize the limits of orthodontic treatment for maxillofacial dysmorphia, often requiring orthognathic surgery. A multidisciplinary team approach, including surgeons and other specialists, improves outcomes and patient satisfaction for complex cases.

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Area of Science:

  • Dentistry and Oral Surgery
  • Orthodontics
  • Maxillofacial Surgery

Background:

  • Orthodontists acknowledge limitations in managing maxillofacial dysmorphia solely through orthodontics.
  • Alveolo-dental compensations can lead to unstable results and iatrogenic lesions.

Observation:

  • Orthognathic surgery is crucial for complementing orthodontic treatments in cases of skeletal base displacement.
  • Diagnosis of skeletal base displacement requires collaboration between orthodontists and maxillofacial surgeons.
  • Adult patients with complex dental histories necessitate a multidisciplinary team approach.

Findings:

  • The involvement of a multidisciplinary team, including dentists and general practitioners, is essential for adult patient care.
  • Specialists like physiotherapists and speech therapists may be included based on clinical needs.

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  • Integrated care pathways enhance treatment efficacy.

    • Implications:

    • Multidisciplinary collaboration optimizes treatment outcomes for maxillofacial dysmorphia.
    • Enhanced patient satisfaction is a direct result of coordinated, comprehensive care.
    • This approach redefines the standard of care for complex orthodontic and surgical cases.