Considerations for orthognathic surgery during growth, Part 2: Maxillary deformities

The growing patient can present to the clinician with significant dentofacial deformities that require surgical correction. In some cases, certain functional, esthetic, and psychosocial factors may necessitate early surgical intervention. Although there is extensive literature on the effects and sta...

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Published inAmerican journal of orthodontics and dentofacial orthopedics Vol. 119; no. 2; pp. 102 - 105
Main Authors Wolford, Larry M., Karras, Spiro C., Mehra, Pushkar
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2001
Subjects
Adolescent
Adult
Age Factors
Child
Dentistry
Esthetics, Dental
Forecasting
Humans
Malocclusion, Angle Class II - physiopathology
Malocclusion, Angle Class II - surgery
Malocclusion, Angle Class III - physiopathology
Malocclusion, Angle Class III - surgery
Mandible - surgery
Maxilla - abnormalities
Maxilla - growth & development
Maxilla - surgery
Maxillofacial Development
Osteotomy - methods
Osteotomy, Le Fort - classification
Osteotomy, Le Fort - methods
Patient Care Planning
Time Factors
Treatment Outcome
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Summary:The growing patient can present to the clinician with significant dentofacial deformities that require surgical correction. In some cases, certain functional, esthetic, and psychosocial factors may necessitate early surgical intervention. Although there is extensive literature on the effects and stability of orthognathic surgical correction of maxillary deformities in adults, the same is not true for the pediatric and adolescent growing patient. Not much is known about the predictability of orthognathic surgical procedures performed during growth or the effects such procedures have on subsequent facial growth. There is always the possibility that secondary corrective procedures may be required after the initial corrective surgery. This article presents recommendations based on available research and personal clinical experience in surgical correction of maxillary deformities in growing patients. The common maxillary dentofacial deformities, age considerations, and surgical alternatives and sequencing are presented. The treatment of mandibular deformities is addressed in Part 1 of this article. (Am J Orthod Dentofacial Orthop 2001;119:102-5)
Bibliography:ObjectType-Article-1
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ISSN:0889-5406
1097-6752
DOI:10.1067/mod.2001.111400