The oromaxillofacial rehabilitation in orthodontic-surgical protocols

Abstract

Oro-maxillo-facial rehabilitation is an ancient practice that has developed over recent years through research and integration with physiotherapists in multidisciplinary teams, as is the case with orthodonticsurgical procedures. At the same time, the progress made in orthognathic and orthodontic surgery over the last 20 years encourages more and more patients to undergo surgery. Preoperative treatment is based on early assessment and preparation for optimal surgical conditions to come up with a functional plan. A short stay in a hospital, focusing on rehabilitation, is recommended. During the postoperative phase, the key objectives are to ensure the muscles and arteries all function perfectly, acceptance of the new face, and the immediate correction of any orofacial dyspraxia that has occurred during myofunctional therapy. The various specialists in this multidisciplinary team must constantly be in communication. The importance of postoperative physiotherapy will be illustrated by a study consisting of 35 cases of maxillomandibular osteotomy with orthodontic preparation and monitoring. The purpose of this study is to show occurrence of suboccipital and cervical muscle tensions as well as masticatory muscles. Then we will be able to see the importance of these practices, the impact on recovery, the impact on posture and how best to treat.