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1) Combined orthodontic and surgical treatment can address severe malocclusions where growth modification or camouflage are not viable options.
2) This treatment involves surgical realignment of the jaws or repositioning of dentoalveolar segments to improve orthodontic treatment outcomes.
3) Case studies demonstrate using maxillary expansion, mandibular surgery, and orthodontics to correct class III malocclusions and open bites in two patients.
1) Combined orthodontic and surgical treatment can address severe malocclusions where growth modification or camouflage are not viable options.
2) This treatment involves surgical realignment of the jaws or repositioning of dentoalveolar segments to improve orthodontic treatment outcomes.
3) Case studies demonstrate using maxillary expansion, mandibular surgery, and orthodontics to correct class III malocclusions and open bites in two patients.
1) Combined orthodontic and surgical treatment can address severe malocclusions where growth modification or camouflage are not viable options.
2) This treatment involves surgical realignment of the jaws or repositioning of dentoalveolar segments to improve orthodontic treatment outcomes.
3) Case studies demonstrate using maxillary expansion, mandibular surgery, and orthodontics to correct class III malocclusions and open bites in two patients.
R. Rama Putranto 1 ., Takagi Y 2 ., Moriyama K. APDC,20027 For patient whose orthodontic problem are so severe that neither growth modification nor camouflage offer a solution And surgical realignment of the jaws or repositionng of dentoalveolar segments is the only possible treatment Indication Orthodontcs Surgery could improved and stabilized the orthodontics treatment Aims : Type of Maloclussion : 1. Tooth origin anomali 2. Bone (skeletal) origin Anomali 3. Combined from Tooth and bone (skeletal) APDC,2007 Type of surgical-orthodontics Treatment Correction of anteroposterior Correction of Vertical Relationships Correction of Transverse Relationships Dentofacial anomaly and TMJ Mastication Digestive Team Work General doctor, general dentist, Periodontist, Prosthodontist, Orthodontist and Maxillofacial surgeon APDC,2007 Surgery indication : Dentofacial anomaly 1. Mastication function 2. Facial Estethics 3. Stabilitation after treatment Motivation of Patient APDC,2007 Case I. -Female -13 years and 11 Months Chief Complaint : To corrected the anterior cross bite Clinical, Model study, and Radiography analysis : Profil from side was concave Midline shift to the left 4,5 mm Molar relation klas III Angle and Left canine relation klas II and right klas III Sefalometric Analysis ANB 5 o APDC,2007 APDC,2007 The Aims of the Treatment 1. Corection of maxilla and madible relations 2. Corection of Skeletal class III relation 3. Corection of Overbite and overjet 4. Corection of midline discrepancy 5. Oclusal adjustment 6. Stabilized of the treatment result Orthodontics surgery treatment posibility APDC,2007 Progrees Report 1. Maxilla Arch width expantion RPE 2. Palatal arch Stability 3. Growth observation Fixed appliance setting 4. Rediagnosa Surgery indication /no 5. Mandibule surg. SSRO 6. Orthodontics treatment after surgery 7. Periodic control APDC,2007 After surgery simulation / prediction APDC,2007 Pre Orthognatic surgery Post orthognatic Surgery APDC,2007 Periodic control of 2 years Sefalometric analysis before and after surgery APDC,2007 Cases II. -female -23 years Chief Complaint : To corection of prognatic mandible and open bite APDC,2007 Side profil was concave Anterior teeth lingual inklination and mild crowded Midline shift to the left 4,5 mm molar relation class III Angle dan canine relation was class II dan right class III Sefalometri analysis ANB 3,5 o high angle case Openbite Tomography analysis Clicking APDC,2007 Clinical, Model study, and Radiography analysis : 1. Corection of maxilla and madible relations 2. Corection of class III angle relation 3. Corection of overbite and overjet 4. Correction of crowded 5. Corecction of oclusal function 6. Correction of clicking 7. Stability of the treatment result APDC,2007 The Aims of the Treatment Orthodontics surgery treatment posibility Progrees Report 1. Maxilla expantion 2. Pembuatan Splint TMJ 3. Fixed app. setting Tooth Correction 4. Rediagnosa Surgery 5. Mandible surgery SSRO 6. Orthodontic treatment after surgery 7. Periodic control Crowding etc Positioning Plate APDC,2007 APDC,2007 After surgery simulation / prediction Positioning Plate APDC,2007 Before treatment Two years after surgery (control) APDC,2007 facial change APDC,2007
Orthodontic Treatment of A Patient With Bilateral Congenitally Missing Maxillary Canines: The Effects of First Premolar Substitution On The Functional Outcome