Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics

Thorough planning and execution is the key for successful treatment of dentofacial deformity involving surgical orthodontics. Presurgical planning (paper surgery and model surgery) are the most essential prerequisites of orthognathic surgery, and orthodontist is the one who carries out this procedur...

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Main Authors: Narayan H Gandedkar, Chai Kiat Chng, Vincent Kok Leng Yeow
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2016;volume=7;issue=3;spage=386;epage=390;aulast=Gandedkar
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author Narayan H Gandedkar
Chai Kiat Chng
Vincent Kok Leng Yeow
author_facet Narayan H Gandedkar
Chai Kiat Chng
Vincent Kok Leng Yeow
author_sort Narayan H Gandedkar
collection DOAJ
description Thorough planning and execution is the key for successful treatment of dentofacial deformity involving surgical orthodontics. Presurgical planning (paper surgery and model surgery) are the most essential prerequisites of orthognathic surgery, and orthodontist is the one who carries out this procedure by evaluating diagnostic aids such as crucial clinical findings and radiographic assessments. However, literature pertaining to step-by-step orthognathic surgical guidelines is limited. Hence, this article makes an attempt to provide an insight and nuances involved in the planning and execution. The diagnostic information revealed from clinical findings and radiographic assessments is integrated in the "paper surgery" to establish "surgical-plan." Furthermore, the "paper surgery" is emulated in "model surgery" such that surgical bite-wafers are created, which aid surgeon to preview the final outcome and make surgical movements that are deemed essential for the desired skeletal and dental outcomes. Skeletal complexities are corrected by performing "paper surgery" and an occlusion is set up during "model surgery" for the fabrication of surgical bite-wafers. Further, orthodontics is carried out for the proper settling and finishing of occlusion. Article describes the nuances involved in the treatment of Class III skeletal deformity individuals treated with orthognathic surgical approach and illustrates orthodontic-orthognathic step-by-step procedures from "treatment planning" to "execution" for successful management of aforementioned dentofacial deformity.
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spelling doaj.art-05e41e7ef5d34ec083604fe48049b85f2022-12-22T01:59:51ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612016-01-017338639010.4103/0976-237X.188575Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodonticsNarayan H GandedkarChai Kiat ChngVincent Kok Leng YeowThorough planning and execution is the key for successful treatment of dentofacial deformity involving surgical orthodontics. Presurgical planning (paper surgery and model surgery) are the most essential prerequisites of orthognathic surgery, and orthodontist is the one who carries out this procedure by evaluating diagnostic aids such as crucial clinical findings and radiographic assessments. However, literature pertaining to step-by-step orthognathic surgical guidelines is limited. Hence, this article makes an attempt to provide an insight and nuances involved in the planning and execution. The diagnostic information revealed from clinical findings and radiographic assessments is integrated in the "paper surgery" to establish "surgical-plan." Furthermore, the "paper surgery" is emulated in "model surgery" such that surgical bite-wafers are created, which aid surgeon to preview the final outcome and make surgical movements that are deemed essential for the desired skeletal and dental outcomes. Skeletal complexities are corrected by performing "paper surgery" and an occlusion is set up during "model surgery" for the fabrication of surgical bite-wafers. Further, orthodontics is carried out for the proper settling and finishing of occlusion. Article describes the nuances involved in the treatment of Class III skeletal deformity individuals treated with orthognathic surgical approach and illustrates orthodontic-orthognathic step-by-step procedures from "treatment planning" to "execution" for successful management of aforementioned dentofacial deformity.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2016;volume=7;issue=3;spage=386;epage=390;aulast=GandedkarModel surgerypresurgical orthodonticssurgical waferssurgical orthodontics
spellingShingle Narayan H Gandedkar
Chai Kiat Chng
Vincent Kok Leng Yeow
Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
Contemporary Clinical Dentistry
Model surgery
presurgical orthodontics
surgical wafers
surgical orthodontics
title Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
title_full Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
title_fullStr Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
title_full_unstemmed Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
title_short Orthodontic-orthognathic interventions in orthognathic surgical cases: "Paper surgery" and "model surgery" concepts in surgical orthodontics
title_sort orthodontic orthognathic interventions in orthognathic surgical cases paper surgery and model surgery concepts in surgical orthodontics
topic Model surgery
presurgical orthodontics
surgical wafers
surgical orthodontics
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2016;volume=7;issue=3;spage=386;epage=390;aulast=Gandedkar
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AT chaikiatchng orthodonticorthognathicinterventionsinorthognathicsurgicalcasespapersurgeryandmodelsurgeryconceptsinsurgicalorthodontics
AT vincentkoklengyeow orthodonticorthognathicinterventionsinorthognathicsurgicalcasespapersurgeryandmodelsurgeryconceptsinsurgicalorthodontics