Modified Cupar's method for immediate diastema closure

Area of Science:

• Oral and Maxillofacial Surgery
• Orthognathic Surgery
• Dental Aesthetics

Background:

• Anterior maxillary osteotomy (AMO) is a well-established procedure in orthognathic surgery.
• The Cohn-Stock technique, first performed in 1921, laid the groundwork for anterior segmental maxillary osteotomies.
• Cupar's method has become the preferred surgical approach for AMO due to its reliability and adaptability.

Observation:

• This case report presents a novel surgical modification of the anterior maxillary osteotomy.
• The technique involves a midline split osteotomy performed in conjunction with the established Cupar's method.
• This combined approach facilitates superior and posterior repositioning of the anterior maxillary segment.

Findings:

• The novel technique successfully achieved superior and posterior repositioning of the anterior maxillary segment.
• Immediate closure of a diastema was accomplished concurrently with the osteotomy procedure.
• The case demonstrates the feasibility and effectiveness of this modified AMO approach.

Implications:

• This innovative technique offers a potentially enhanced solution for specific anterior maxillary deformities.
• The combined approach may streamline treatment by addressing both skeletal repositioning and aesthetic concerns like diastema closure.
• Further investigation into this modified anterior maxillary osteotomy could expand treatment options in orthognathic surgery.