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[Schuchardt's procedure and surgery of open bite]
J L Blanc1, G De Massiac, D Deroze
1Service de Stomatologie et Chirurgie Maxillo-faciale, CHU Timone.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1991
Summary
Posterolateral maxillary impaction osteotomy effectively treats jaw gaps, offering a simpler recovery and stable results. Careful assessment is crucial to manage potential mandibular shifts and optimize facial aesthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthognathic Surgery
- Dental Implantology
Context:
- Addressing skeletal discrepancies in the maxilla and mandible.
- Managing open bite and vertical maxillary excess.
- Pre-prosthetic augmentation for edentulous areas.
Purpose:
- To evaluate the efficacy and outcomes of posterolateral segmentary maxillary impaction osteotomy.
- To highlight the advantages and indications for this surgical technique.
- To discuss adjunctive procedures and potential complications.
Summary:
- Posterolateral segmentary maxillary impaction osteotomy is indicated for treating maxillary hypoplasia and dental malocclusions.
- Advantages include uncomplicated postoperative recovery and stable single-maxillary fixation.
- Pre-operative assessment with articulator analysis is vital to prevent sagittal shifts and autorotation-induced mandibular protrusion.
Impact:
- Provides a predictable surgical solution for specific dentofacial deformities.
- Improves occlusal relationships and facial aesthetics.
- Enhances outcomes for pre-prosthetic surgery, particularly in premolar and molar regions.