Oral and Maxillofacial Procedures

Orthognathic surgery

involves the surgical manipulation of the elements of the facial skeleton to restore the proper anatomic and functional relationship in patients with dentofacial skeletal anomalies.. Orthognathic surgery, which can be used to manage a broad spectrum of maxillofacial abnormalities, including congenital, developmental, and acquired deformities

Indications

Indications for orthognathic surgery include facial dysmorphism with and without functional implications. As an illustration, an osseous genioplasty for a patient with retrogenia but without malocclusion should be considered for facial form. If the retrogenia is associated with retrognathism resulting in a malocclusion, orthognathic surgery is indicated for restoring the facial form and for functional occlusion. Airway and speech are other indications when considering the functional need for orthognathic surgery. Restoration of the normal anatomic relationship between the maxilla and mandible relative to the cranial base reestablishes the functional components (ie, form and function) of the facial skeleton.  

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