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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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[Skeletal discrepancies: could we avoid surgical procedures?].

Pierre Bouletreau¹, Monique Raberin², Jean-François Mayeux¹

¹CHU Lyon-Sud, Service de chirurgie maxillo-faciale, 165 chemin du Grand Revoyet, 69495 Pierre Bénite, France.

L' Orthodontie Francaise

|December 3, 2014

Summary

Orthodontic-surgical treatment is the best approach for skeletal dentomaxillary dysmorphosis. Avoiding this protocol can lead to complications like prolonged treatment and poor aesthetic outcomes.

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Area of Science:

Dentistry
Orthodontics
Oral and Maxillofacial Surgery

Context:

Skeletal dentomaxillary dysmorphosis often requires complex treatment.
Orthodontic-surgical protocols are the current standard of care.
Deviations from these protocols can occur despite clear indications.

Purpose:

To discuss the potential complications arising from non-adherence to orthodontic-surgical protocols.
To highlight the importance of careful treatment planning in complex orthodontic cases.
To emphasize the role of a multidisciplinary team in managing dentomaxillary dysmorphoses.

Summary:

Treating skeletal dentomaxillary dysmorphosis with orthodontics alone, when surgery is indicated, can result in prolonged treatment times, root resorption, and unfavorable aesthetics.
Clinical cases illustrate the negative consequences of inappropriate treatment planning.
Despite simplification, orthodontic-surgical protocols are perceived as demanding by patients and clinicians.

Impact:

Underscores the necessity of carefully considering orthodontic-surgical treatment indications.
Reinforces the role of these protocols as the definitive functional and aesthetic solution for specific skeletal malocclusions.
Promotes a multidisciplinary approach for optimal patient outcomes in complex orthodontic cases.