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Orthognathic surgery and implants.

Robert H B Jones¹

¹Oral and Maxillofacial Surgery Unit, University of Adelaide and Royal Adelaide Hospital.

Annals of the Royal Australasian College of Dental Surgeons

|September 26, 2003

Summary

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Jaw bone loss after tooth loss causes significant bite problems, impacting dental prosthetics. Orthognathic surgery and bone grafting can correct jaw discrepancies for better implant-supported tooth reconstruction.

Area of Science:

Oral and Maxillofacial Surgery
Dental Implantology
Orthodontics

Background:

Alveolar bone resorption in the maxilla and mandible following tooth loss frequently results in jaw discrepancies.
This discrepancy often leads to a Class III malocclusion, complicating prosthetic rehabilitation with both fixed and removable options.

Observation:

Severe jaw resorption can compromise conventional denture stability due to muscle dislodging forces.
Inadequate bone volume may preclude the placement of dental implants for reconstruction.

Findings:

Orthognathic surgical procedures, traditionally used in dentate patients, can effectively reposition jaws to correct skeletal malocclusion in edentulous patients.
Combined with bone grafting, these techniques augment the alveolar ridge, enabling subsequent dental implant placement.

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Implications:

Repositioning jaws and augmenting bone can restore function and aesthetics in edentulous patients requiring prosthetic reconstruction.
This approach facilitates the successful rehabilitation of patients with severe jaw atrophy and malocclusion using implant-supported prostheses.