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Orthognathic Surgery to Enhance the Smile
1Department of Plastic & Reconstructive Surgery, The Craniofacial Center, Chang Gung Memorial Hospital, 5 Fushing Street, Gueishan Shiang, Taoyuan, Taiwan R.O.C. 333.
Clinics in Plastic Surgery
|November 17, 2022
Summary
Achieving an esthetic smile involves orthognathic surgery, orthodontics, and cosmetic dentistry. Careful preoperative evaluation and specific surgical techniques like LeFort I osteotomy minimize risks, though temporary nerve disturbances can occur.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Cosmetic Dentistry
Background:
- An esthetic smile is crucial for perceived beauty.
- Multidisciplinary approaches, including surgery, orthodontics, and cosmetic dentistry, enhance smile aesthetics.
- Preoperative assessment is vital for surgical planning and patient selection.
Purpose of the Study:
- To outline the comprehensive approach to smile improvement.
- To detail the importance of preoperative evaluation in orthognathic surgery.
- To discuss common surgical procedures and their associated risks.
Main Methods:
- Detailed facial analysis during preoperative evaluation.
- Surgical procedures including LeFort I and bilateral sagittal split osteotomy.
- Monitoring for postoperative complications.
Main Results:
- Preoperative evaluation identifies surgical goals and contraindications.
- Specific osteotomies are employed to reduce complication risks.
- Transient inferior alveolar nerve injury affects 90% of patients post-surgery.
Conclusions:
- A combination of treatments can significantly improve smile esthetics.
- Thorough preoperative assessment is essential for successful orthognathic surgery.
- While risks exist, surgical techniques aim to minimize complications, with temporary nerve issues being most common.
Keywords:
Bilateral split sagittal osteotomyDentofacial deformityGenioplastyLeFort IOrthognathic surgerySmileSurgery-firstMore Related Videos
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