[Treatments of major skeletal anomalies in adults]

This article deals with orthodontics and maxillofacial surgery as an integrated treatment. During the last fifteen years orthognathic surgery has made extensive progress, and almost all great malocclusions combined with facial anomalies can be treated with good and stable results. Because the surgical methods are more refined and sophisticated, greater demands have been put on the planning of the treatment making this a team effort between the orthodontist and the surgeon. Treatment of anterior crossbite, extreme overjet and open bite are shown as examples of what can be achieved by this team approach. The outlines of the treatment are given and it is stressed that the orthodontic treatment must be done with fixed appliances. The complications are few, and the results are usually stable. This integrated treatment can therefore be recommended to those patients who are motivated for it and really need it.