Surgical Orthodontics are the surgical procedures carried out as an adjunct to or in conjunction ;with orthodontic treatment. These surgeries are done to eliminate an etiological factor and to correct severe dentofacial abnormalities which can not be treated by growth modification procedures or by orthodontic correction. Surgical treatment should not be considered as a substitute for orthodontics. It must be properly coordinated with orthodontics and other dental specialities to improve overall health.
A combined treatment approach with orthodontics and surgery helps to correct dental malposition and skeletal disharmony. This treatment is divided into 4 stages.
- Treatment planning
- Pre-surgical orthodontics
- Surgical treatment
- Post-surgical orthodontics
What are the goals of Pre-Surgical Orthodontics?
Pre-Surgical orthodontics helps to achieve arch compatibility, align the teeth without concern for dental occlusion, and establish proper anterior-posterior and vertical positions of the incisors. To prepare for the surgical procedure, teeth must be fixed into the jaw so that they will fit ;together after surgery. Depending on individual patient needs, pre-surgical orthodontics may take 6 to 18 months.
What are the goals of post-Surgical Orthodontics?
The surgeon and orthodontist need to see the patient once a week, or more frequently if indicated, for the initial 1 to 2 months after surgery to check the occlusion, and patient progress, and to make any necessary changes in the elastic or orthodontic mechanics to maximize the occlusal interrelationship.
