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Updated: Jun 13, 2026

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
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Revision Surgery for Occlusal Correction in Facial Trauma.

Wai Bun Liew1, Justin Pisano2, Paul S Tiwana2

  • 1Department of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery University of Oklahoma Health Sciences Center, 1201 North Stonewall Avenue, Suite 206, Oklahoma City, OK 73117, USA.

Dental Clinics of North America
|June 11, 2026
PubMed
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Revision surgery corrects malocclusion after facial trauma. It requires expertise in trauma and orthognathic surgery for challenging cases resulting from delayed treatment or complex fractures.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Trauma Surgery

Background:

  • Posttraumatic malocclusion can occur despite advances in primary facial fracture management.
  • Factors like delayed treatment, inadequate reduction, and complex fractures necessitate revision surgery.
  • Occlusal correction is crucial for functional and aesthetic recovery.

Purpose of the Study:

  • To outline the principles and techniques for revision surgery aimed at occlusal correction in facial trauma.
  • To emphasize the importance of a multidisciplinary approach combining trauma and orthognathic principles.
  • To highlight the diagnostic and technical precision required for successful outcomes.

Main Methods:

  • Review of contemporary literature on facial trauma and orthognathic surgery.
Keywords:
Facial traumaMalocclusionMaxillofacial traumaOcclusion managementSecondary repair

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  • Analysis of challenging case scenarios requiring secondary occlusal correction.
  • Emphasis on diagnostic protocols including imaging and occlusal analysis.
  • Description of surgical techniques for complex fracture revision and orthognathic manipulation.

    • Main Results:

    • Revision surgery is essential for specific cases of posttraumatic malocclusion.
    • Successful outcomes depend on a thorough understanding of underlying trauma and orthognathic principles.
    • Rigorous diagnostics and precise surgical execution are paramount.
    • Multifactorial etiologies of malocclusion require tailored surgical strategies.

    Conclusions:

    • Revision surgery for occlusal correction in facial trauma is a complex but manageable procedure.
    • A combination of expertise in trauma and orthognathic surgery is vital.
    • Meticulous planning and execution are key to restoring function and aesthetics.