Severe dento-facial deformities, including mandibular prognathism, retrognathia, maxillary hypoplasia, open bites, and facial asymmetries, require a multidisciplinary approach to restore function, esthetics, and overall facial harmony.
Orthognathic surgery serves as a cornerstone in the management of these skeletal discrepancies, providing definitive correction that goes beyond conventional orthodontic treatment. From an orthognathic surgery perspective, treatment planning involves a detailed assessment of skeletal relationships, occlusion, airway function, and soft tissue adaptation to achieve optimal long-term outcomes.
Advancements in virtual surgical planning, three-dimensional imaging, and CAD/CAM technology have significantly improved surgical precision, enabling predictable skeletal repositioning and enhanced post-operative stability. Standard surgical techniques, such as Le Fort I osteotomy, bilateral sagittal split osteotomy (BSSO), and genioplasty, are tailored based on the patient’s specific anatomical needs and functional requirements.
A well-coordinated collaboration between orthodontists and maxillofacial surgeons is essential, as pre-surgical orthodontic preparation ensures proper decompensation, and post-surgical orthodontic management refines occlusion and stabilizes results.
It will be explored the evolving perspectives in orthognathic surgery, focusing on technological innovations, treatment planning strategies, and post-operative considerations that optimize both function and esthetics.
A comprehensive understanding of skeletal biomechanics, facial soft tissue response, and airway dynamics is critical in achieving successful outcomes, improving quality of life for patients with complex dento-facial deformities.