Nonorthodontic orthognathic surgery

Area of Science:

• Dentistry
• Oral and Maxillofacial Surgery
• Orthodontics

Background:

• Orthognathic surgery typically requires orthodontic treatment for optimal occlusal outcomes.
• Patients with congenital dentofacial anomalies may be ineligible for or noncompliant with orthodontics.

Purpose of the Study:

• To evaluate the feasibility, treatment goals, and outcomes of orthognathic surgery in patients with congenital dentofacial anomalies who did not undergo orthodontic treatment.
• To determine if orthognathic surgery alone is a viable option for this patient group.

Main Methods:

• Retrospective case series analysis.
• Review of patients with congenital dentofacial anomalies who underwent orthognathic surgery without preoperative or postoperative orthodontics.
• Assessment of treatment goals and occlusal outcomes.

Main Results:

• Orthognathic surgery was feasible in all evaluated patients.
• Tangible patient benefits were observed despite suboptimal occlusal outcomes.
• Congenital dentofacial anomalies were addressed surgically.

Conclusions:

• Orthognathic surgery without orthodontics is a viable treatment option for selected patients with congenital dentofacial anomalies.
• Surgical intervention can provide significant benefits even when ideal occlusal results are not achieved.
• This approach expands treatment possibilities for non-compliant or ineligible orthodontic patients.