[Pre- and postsurgical orthodontics].

Area of Science:

• Orthodontics
• Dentofacial Orthopedics
• Surgical Planning

Context:

• Presurgical orthodontic treatment faces challenges from anomalous anatomy, function, and dento-alveolar compensation.
• Achieving a stable postsurgical occlusion necessitates presurgical dento-alveolar decompensation.
• Sagittal overcorrection can streamline postsurgical orthodontic management.

Purpose:

• To explore strategies for simplifying presurgical orthodontic treatment and postsurgical outcomes.
• To evaluate the utility of creating interdental space in specific malocclusion types.
• To assess the role of frontal contact in managing different facial types.

Summary:

• In distocclusions, creating a diastema between maxillary lateral incisors and cuspids facilitates necessary overcorrection, simplifying subsequent orthodontic treatment.
• In mesocclusions, additional space creation is generally not needed as premature frontal contact is not problematic.
• Frontal contact is beneficial in short-face patients for increasing facial height.

Impact:

• Provides a strategic approach to presurgical orthodontic decompensation for improved treatment efficiency.
• Offers specific techniques for managing distocclusions and mesocclusions to optimize surgical outcomes.
• Highlights the importance of individualized treatment planning based on facial morphology and occlusal relationships.