Article: Volume 45 Number 11 Page 1048 - December 2018

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  Dent Update 2018; 45: 1048-1056

Orthodontics/Orthognathic Surgery:  Principles of Orthognathic Management of Dentofacial Discrepancies

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Abstract: Individuals with severe dentofacial discrepancies that are beyond the scope of conventional orthodontic treatment will often require a joint orthodontic-surgical approach to manage their malocclusion. This treatment approach involving orthodontics in combination with orthognathic surgery is used to manage severe underlying skeletal discrepancies in the anterior-posterior (AP), vertical and transverse dimensions. The purpose of this article is to highlight the principles of orthognathic treatment. The general dental practitioner (GDP) plays an important role in maintaining dental health, especially whilst patients are on the orthognathic care pathway. Patients may also seek the advice of the GDP about the possible benefits of such a treatment approach before deciding to embark upon treatment.

Clinical relevance: It is important for GDPs to understand the principles of orthognathic management in order to support their patients through treatment.

Author notes: Kulraj S Achal, BDS, MJDF RCS(Eng), MClinDent, MOrth RCS(Eng), FDS RCS(Orth), Consultant Orthodontist, Castle Hill Hospital, Hull and East Yorkshire Hospitals NHS Trust, Farhad B Naini, BDS, MSc, PhD, FDS RCS, MOrth RCS, FDSOrth RCS, FHEA, Consultant Orthodontist, Kingston Hospital and St George’s Hospital and Medical School, London, Daljit S Gill, BDS(Hons), BSc(Hons), MSc, FDS RCS(Orth), MOrth RCS(Eng), FHEA, Consultant Orthodontist, Great Ormond Street NHS Foundation Trust, UCLH; Eastman Dental Hospital, 256 Gray’s Inn Rd, London WC1X 8LD London, UK.

Objective: To understand the principles of orthognathic management in order to support patients through their treatment.

GSK