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Combined orthodontic and surgical open bite correction: Principles for success. Part 2.

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    This study demonstrates that specific orthodontic and surgical techniques lead to long-term, stable occlusal results in patients. Careful planning and execution of pre- and post-operative steps are crucial for achieving these outcomes.

    Keywords:
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    Area of Science:

    • Orthodontics and Maxillofacial Surgery
    • Dental Research

    Background:

    • Achieving long-term occlusal stability is a primary goal in orthodontic and surgical treatments.
    • Previous work has shown excellent occlusal stability with specific techniques.

    Purpose of the Study:

    • To clinically describe the team's orthodontic and surgical treatment techniques.
    • To detail the specific steps required for reproducible, stable occlusal results.

    Main Methods:

    • Review of cases treated with segmental maxillary orthodontics, multisegment Le Fort I, and bilateral sagittal osteotomies.
    • Selection of cases for detailed photographic documentation of techniques.
    • Application of described techniques to all treated patients.

    Main Results:

    • The coordination of arch widths, forms, overbite, overjet, and maxillary curve of Spee were stable.
    • Long-term, three-dimensionally stable occlusal results were achieved in the study group.

    Conclusions:

    • Specific orthodontic preparation, intraoperative surgical steps, and postsurgical management are essential for stable outcomes.
    • The described techniques provide a reproducible method for achieving long-term occlusal stability.