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Orthognathic surgery: a significant tool for reassessment
Patrick-Yves Blanchard1,2, Irène Tieu3
131 rue d’Achères, 78600 Maisons-Laffitte, France
L' Orthodontie Francaise
|May 3, 2024
Summary
Orthodontic-surgical collaboration requires reassessment for complex cases, especially after growth or with non-cooperative patients. A paradigm shift is needed to avoid treatment pitfalls and improve outcomes in maxillofacial surgery and orthodontics.
Area of Science:
- Orthodontics
- Maxillofacial Surgery
- Dental Collaboration
Context:
- Over 15 years of orthodontic-surgical collaboration experience.
- Identification of challenging clinical scenarios requiring a new perspective.
- Common dilemmas include post-growth treatment loss, adult retreatment, and non-cooperative pediatric patients.
Purpose:
- To highlight missed diagnostic elements in orthodontic-surgical cases.
- To advocate for a comprehensive reassessment process.
- To propose a paradigm shift in managing complex maxillofacial deformities.
Summary:
- This editorial reviews clinical cases from extensive orthodontic-surgical practice.
- It emphasizes the need for reassessment in specific situations like major dysmorphoses, post-growth camouflage treatment, and interceptive care for non-cooperative children.
- The authors aim to improve diagnostic awareness during initial assessment and reassessment phases.
Impact:
- Encourages a critical review of current orthodontic-surgical treatment protocols.
- Aims to prevent common pitfalls and improve patient outcomes.
- Promotes a more effective and adaptable approach to complex orthodontic and maxillofacial surgical cases.

