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Orthognathic Surgery in Invisalign Patients.

Weisheng Zhang1, Hongyu Yang2

  • 1Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital.

The Journal of Craniofacial Surgery
|November 24, 2021
PubMed
Summary

Clear aligners, like the Invisalign system, can effectively treat severe skeletal crossbite when combined with orthognathic surgery. This approach offers an alternative to traditional braces for complex craniofacial deformities.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Oral and Maxillofacial Surgery

Background:

  • Severe craniofacial deformities often require combined orthodontic treatment and orthognathic surgery.
  • Conventional orthognathic surgery uses brackets and wires for splint stabilization.
  • Clear aligner systems (e.g., Invisalign) present challenges for this traditional approach.

Observation:

  • This article discusses the use of the Invisalign system for severe skeletal crossbite with orthognathic surgery.
  • A case study involved a 19-year-old male with skeletal class III crossbite.
  • Treatment included Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO).

Findings:

  • Pre- and post-surgical orthodontics were managed using the Invisalign system.
  • Interim and final splints were secured with eight 8mm mini-screws.
  • The Invisalign system demonstrated effectiveness in this combined treatment protocol.

Implications:

  • The Invisalign system is a viable option for orthodontic treatment in conjunction with orthognathic surgery.
  • This expands treatment possibilities for patients with severe skeletal crossbite.
  • Further research may explore broader applications and long-term outcomes.