Comprehensive treatment approach for condylar hyperplasia and mandibular crowding with custom lingual braces and 2-jaw surgery

Kyteas, Panagiotis G.; McKenzie, W.S.; Waite, Peter D.; Kau, Chung How

doi:10.1016/j.ajodo.2015.11.032

Cited by 18 publications

(10 citation statements)

References 7 publications

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“…These methods have been showed to help create the best possible outcomes to aid both the orthodontist and surgeon (Wang et al, 2019; Wong et al, 2019). In addition, it also created the most ideal aesthetic results (Kyteas et al, 2017). One compromise of a surgery-first approach is the inability to decompensate the malocclusion at the start of the surgery and there was some degree of proclination in the upper incisors at the end of the surgery.…”

Section: Summary and Discussionmentioning

confidence: 99%

Team approach in the management of revision surgery to correct bilateral temporomandibular joint replacements

2020

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This case report describes the successful second surgical treatment of a 26-year-old white female patient with a retrognathic mandible and previous bilateral total joint prostheses placement. The patient had previously presented with bilateral idiopathic condylar resorption (ICR) which caused clockwise mandibular rotation and resulted in anterior open bite and a retrognathic mandible. The patient had undergone definitive corrective for the ICR where condylectomies were performed bilaterally. In addition, total joint prostheses using ‘stock joints’ were used to restore the condyle and glenoid fossa on both sides. Although the previous surgery corrected the anterior open bite and restored the condyles, the patient was still suffering from joint symptoms (significant pain), restricted mandibular movements, increased overjet (12 mm) and a retrognathic mandible. The treatment plan included a combined orthodontic surgical approach: (1) bimaxillary orthognathic surgery: a surgical procedure on the mandible to reposition the prosthetic joints and correct the mandible position, and a segmental LeFort I to expand the maxilla; and (2) post-surgical orthodontics treatment to detail the occlusion. At the end of the treatment, good aesthetic and functional results were obtained with the cooperation of two specialties. This case emphasises the importance of three-dimensional planning and multidisciplinary treatment when addressing complex jaw movements. It also emphasises the importance orthodontic planning and collaboration with the orthodontist.

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Section: Summary and Discussionmentioning

confidence: 99%

Team approach in the management of revision surgery to correct bilateral temporomandibular joint replacements

2020

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“…CBCT allows a 3D treatment plan. [ 12 13 14 15 ] The “surgery first” approach has several biological and psychosocial advantages: patient satisfaction is guaranteed, the patient sees a major improvement in the profile at the beginning of treatment, and treatment time is reduced significantly. In the present case, we treated a skeletal Class III patient using the surgery's first approach.…”

Section: Discussionmentioning

confidence: 99%

Enhancing the orthognathic surgery experience: Treatment in 10 weeks “surgery first” approach

Salazar

Waite

Kau

2020

Ann Maxillofac Surg

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This case report describes the successful treatment of a 25-year-old male with maxillary retrognathism, skeletal and dental Class III malocclusion, anterior and posterior crossbite, negative overjet and overbite, mild mandibular crowding, and lower midline deviation. The nonextraction treatment plan included: (1) maxillary and mandibular arch fixed appliance and (2) Le Fort 1 maxillary osteotomy and postsurgical orthodontic treatment. The orthodontic treatment was initiated with 0.022” preadjusted brackets bonded to all the teeth except the maxillary second molars, 2 days before the surgery without any archwires. Two weeks after the surgery, maxillary and mandibular arch alignment along with the occlusal adjustments was started with the use of 0.018” NiTi wires, in both arches. Optimum esthetic and functional results were achieved in 10 weeks after the surgery, with the cooperation of two specialties and the use of surgery first approach.

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“…However, the combined traditional fixed appliance and clear aligner therapy was chosen because of the need to satisfy both the patient and needs of the practice. Some authors have showed that an adult patient with severe maxillary crowding was treated with limited, segmental fixed appliance before clear aligner (Giancotti and Di Girolamo, 2009) while others have applied a dual-system approach to managing complex orthodontic problems (Kyteas et al, 2017; Rahman et al, 2019; Wang et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Contemporary management of an orthodontic-orthognathic patient with limited time availability in an orthodontic office setting: Case report

Kau

Wang

et al. 2020

J Orthod

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Introduction: This case report describes the treatment of a 21-year-old man who presented in an orthodontic office for treatment but lived in a city 100 miles away and wanted the orthognathic surgery in another state in America. The patient presented with an anterior open bite and skeletal Class III relationship. Methods: The treatment plan included: (1) effective and careful communication of the treatment plan with the patient, orthodontist and oral and maxillofacial surgeon; (2) pre-surgical alignment and levelling of the teeth in both arches with Invisalign; (3) a long-distance communication between the orthodontist and the surgeon for surgical plan with virtual surgical planning (VSP Orthognathics; 3D Systems, www.3Dsystem.com ) online; (4) maxillary advancement (LeFort I osteotomy) with mandibular set-back (bilateral sagittal split osteotomy); (5) postsurgical correction of the malocclusion with clear brackets and aligners; and (6) retention and final small tooth movement adjustments with aligners/clear retainers. Results: The anterior open bite was treated, crowding was eliminated in the upper and lower anterior segment, correction of skeletal and dental Class III malocclusion was obtained, mandibular plane angle was reduced and facial profile improved. Conclusions: The results suggest that aesthetic and functional results can be achieved with long-distance communication of two specialties and with the combined use of clear aligners and clear fixed appliances.

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Comprehensive treatment approach for condylar hyperplasia and mandibular crowding with custom lingual braces and 2-jaw surgery

Cited by 18 publications

References 7 publications

Team approach in the management of revision surgery to correct bilateral temporomandibular joint replacements

Team approach in the management of revision surgery to correct bilateral temporomandibular joint replacements

Enhancing the orthognathic surgery experience: Treatment in 10 weeks “surgery first” approach

Contemporary management of an orthodontic-orthognathic patient with limited time availability in an orthodontic office setting: Case report

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