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Orthodontics in 3 millennia. Chapter 14: surgical adjuncts to orthodontics
Summary
Orthognathic surgery advanced significantly around 1970. Distraction osteogenesis, a technique for bone growth, has largely replaced traditional osteotomies in surgical applications.
Area of Science:
- Orthognathic surgery
- Craniofacial surgery
- Orthodontics
Background:
- Orthognathic surgery faced significant challenges in anesthesia, infection, and blood supply before 1970.
- Cleft lip and palate treatment has a long history driven by the desire to correct congenital deformities.
Observation:
- Edward Angle's theory on orthodontists' ability to stimulate bone growth.
- Development of limb-lengthening procedures by Gavriil Ilizarov in Russia.
Findings:
- Distraction osteogenesis emerged as a revolutionary technique, enabling bone regeneration and lengthening.
- This innovative method has become the preferred approach, superseding conventional osteotomies in numerous orthognathic procedures.
Implications:
- Distraction osteogenesis offers enhanced possibilities for correcting complex craniofacial abnormalities.
- The technique represents a paradigm shift in orthognathic and craniofacial reconstructive surgery.
