Vertical facial skeletal dysplasias: the oral surgical connection

Oral surgery can open new vistas of treatment for patients with vertical abnormalities of the face, jaw, and teeth. An interdisciplinary approach is critical, however, incorporating the insights and skills of restorative, orthodontic, periodontal and surgical practitioners working together as a team. A complete diagnosis is the key to any successful treatment plan. Because surgery is instantaneous and relatively irreversible, the treatment team needs to be aware of the impact of surgical repositioning of the maxilla and mandible on the other treatment modalities, so the ultimate prosthetic objectives for the patient may be facilitated and not hindered. The craniofacial complex is more adaptable to vertical changes than is often realized. When a correct "palate" of therapies is chosen, the desired results can be achieved despite the complexities of symptoms and treatment. A desirable result must include optimum function, stability, and facial harmony.