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[A conservative compression surgical orthodontic method for treating upper prognathism in adults]
Stomatologiia
|November 20, 1998
Summary
This study presents a successful surgical technique for correcting severe combined jaw deformities in an adult. The method effectively realigned the maxilla and closed gaps between teeth using a novel approach.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Combined jaw deformities, including upper prognathism and open occlusion, present significant clinical challenges.
- Traditional treatments may involve complex surgical procedures and prolonged recovery periods.
Observation:
- A clinical case of an adult patient with third-degree upper prognathism and second-degree open occlusion is detailed.
- The patient underwent fragmented maxillary osteotomy with the preservation of first molars.
Findings:
- A maxillary fragment was successfully repositioned 10 mm backward and downward using Engle's arches and a Vasil'ev's splint.
- This technique also effectively closed diastemata and tremata between the incisors of both jaws.
Implications:
- This approach offers a viable surgical solution for complex combined dentofacial deformities.
- Preserving first molars and utilizing specific orthodontic appliances may enhance treatment outcomes and patient recovery.