[I. Borderlines between orthodontics and oral surgery].

Area of Science:

• Orthodontics and Oral Surgery
• Craniofacial Development
• Skeletal Malocclusion Treatment

Context:

• Determining the division of responsibility between orthodontics and surgery is crucial for treating craniofacial development deviations.
• In growing patients, the precise border between orthodontic and surgical intervention can be unclear due to developmental stage and patient cooperation.
• Cephalofacial type and growth patterns significantly influence the overlap in treatment responsibilities.

Purpose:

• To outline the collaborative planning process between orthodontics and surgery for complex craniofacial cases.
• To define the role of surgical intervention in altering orthodontic goals and treatment planning.
• To establish the skeletal outline as a matrix for presurgical orthodontic preparation.

Summary:

• Treatment responsibility division depends on the severity of facial development deviation, with an overlap area influenced by patient age, cooperation, and growth patterns.
• Surgical treatment necessitates a fundamental shift in orthodontic objectives, requiring joint planning to determine the extent and direction of skeletal movement.
• Presurgical orthodontics involves removing occlusal interferences and coordinating dental arches to achieve immediate occlusal harmony post-surgery.

Impact:

• Facilitates clearer decision-making in complex craniofacial cases, optimizing treatment pathways.
• Enhances interdisciplinary communication and planning between orthodontic and surgical teams.
• Improves patient outcomes through meticulously coordinated surgical and orthodontic interventions, leading to functional and aesthetic harmony.