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Who needs surgical-orthodontic treatment?
1University of North Carolina School of Dentistry, Chapel Hill.
Summary
Surgical-orthodontic treatment is necessary for severe skeletal or dentoalveolar deformities unresponsive to orthodontics alone. This approach aims for both functional occlusion and improved facial aesthetics in affected individuals.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Severe skeletal or dentoalveolar deformities often require interventions beyond conventional orthodontics.
- Treatment aims to correct occlusal issues and enhance facial aesthetics.
Purpose of the Study:
- To define the indications for surgical-orthodontic treatment.
- To estimate the prevalence of malocclusions requiring this treatment in the US population.
Main Methods:
- Literature review and data extrapolation on malocclusion prevalence in the United States.
- Analysis of treatment limitations for adults and children.
Main Results:
- An estimated 1.2 million individuals in the US require surgical-orthodontic treatment.
- Class II malocclusions (700,000) and Class III malocclusions (300,000) are the most common indications.
- Long-face and other deformities affect approximately 220,000 individuals each, with significant overlap.
Conclusions:
- Surgical-orthodontic treatment is indicated for severe deformities not correctable by orthodontics or growth modification alone.
- A substantial US population requires surgical-orthodontic intervention for optimal occlusal and aesthetic outcomes.