Challenges and opportunities facing contemporary orthognathic surgery

Abstract

Here, we provide a brief overview of the challenges, innovations and potential opportunities facing contemporary management of individuals requiring orthognathic care.

Orthognathic surgery and orthodontics associated with orofacial harmonization: Case report

“…Orthognathic surgery often involves orthodontic treatment before and after surgical skeletal repositioning, and this three-stage sequence is the most popular method due to the greater likelihood of achieving occlusal stability after surgery [ 8 ]. However, an alternative method called “Surgery First” involving skeletal repositioning before the orthodontic treatment has been described more recently, showing potential advantages in reducing treatment time and improving facial esthetics at the beginning of the treatment [ 9 ].…”

Advent of artificial intelligence in orthognathic surgery: Advancements and challenges

“…In order to assess the complex dentofacial structures, 3D There is a lack of information regarding the ideal time to do surgery on patients who are still growing and it is unclear how such surgery may affect subsequent growth. 74 The other big challenge is (b) psychosocial evaluation -the patient with underlying psychological and/or psychiatric difficulties is one of the biggest hurdles in orthognathic surgery, especially when such problems are not identified until the postoperative period. To overcome such problem every orthognathic team should ideally have a clinical psychologist or liaison psychiatrist who is knowledgeable in the subject to evaluate patients before treatment and as needed throughout therapy.…”

“…Pre-treatment body dysmorphic disorder (BDD) screening tools, like the "Body Dysmorphic Disorder Questionnaire (BDDQ)", should be a common procedure. 74 Major disadvantage associated with virtual planning can be such that, the 3D virtual treatment planning viewer format requires a good graphically capable personal computer workstation, which is currently not standard. This issue will soon be resolved by the increasing graphic ability in recent commercially accessible personal computers.…”

Minimally Invasive Approaches in Orthognathic Surgery: A Narrative Review of Contemporary Techniques and their Clinical Outcomes

“…[ 27 28 29 ] Finally, when examining long-term outcomes and stability, both approaches exhibit comparable results, with MIT showcasing potential benefits in maintaining postoperative stability due to their tailored, patient-specific planning. [ 30 ]…”

“…MI orthognathic surgery faces challenges, including learning curve and specialized training, cost implications and resource constraints, patient selection criteria and anatomical constraints, as well as potential complications and revision surgeries;[ 30 31 ]…”