Contemporary Diagnosis and Orthodontic Treatment in Orthognathic Surgery

Baik,  Hyoung-Seon

J Korean Dent Assoc > Volume 50(2); 2012 > Article

The Journal of The Korean Dental Association 2012;50(2):72-82.
Published online February 29, 2012.

임상가를 위한 특집 3 - 악교정 수술환자의 진단과 교정치료

백형선

연세대학교 치과대학 교정학 교실

Contemporary Diagnosis and Orthodontic Treatment in Orthognathic Surgery

Hyoung-Seon Baik

Orthodontic Dept. College of Dentistry, YonSei Unversity

Abstract

Recently in treatment planning for orthognathic surgery, 3-dimensional analysis using CBCT can give more detailed information that cannot be achieved with 2-dimensional cephalograms. Also, laser Scanning and 3D camera can show 3-dimensional information on soft tissue changes as well as hard tissue changes in orthognathic surgery patients. In other words, soft tissue changes in lateral facial area as well as mid facial area can be quantitatively calculated. To bring out the best results from orthognathic surgery, close interaction between orthodontist and oral surgeon is needed and well treated pre-surgical orthodontics can simplify orthognathic surgical plan that also results in good long-term stability. In surgery-first cases, more thoughtful diagnosis and pre-operative preparation will be needed to prevent complicated problems.

Key Words: 3D analysis;3D CT;laser scanning;Orthognathic surgery;