Download Aesthetic Perspectives in Jaw Surgery by Harvey M. Rosen M.D., D.M.D (auth.) PDF

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By Harvey M. Rosen M.D., D.M.D (auth.)

Harvey M. Rosen, M.D., D.M.D., broadens the classy targets of maxillofacial surgey during this new, complete quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the way in which so much surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), bargains his personal own strategies of jaw surgical procedure. because of the introduction of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of soppy facial tissue corrections through redefining the objectives of aesthetic surgery.

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Extra resources for Aesthetic Perspectives in Jaw Surgery

Example text

2. A. : Psychosocial complications in surgery and orthodontics. R. P. ): Surgical Orthodontic Treatment. St. Louis: Mosby, 1991, pp. 71-92. 3. : Psychologic changes in orthognathic surgery patients: A 24-month follow-up. J Oral Surg 42:506, 1984. 4. : Major vascular complications following orthognthic surgery: Hemorrhage associated with Le Fort I osteotomies. J Oral Maxillofac Surg 48:561, 1990. 5. : Aseptic necrosis following maxillary osteotomies: Report of 36 cases. J Oral Maxillofac Surg 48:142, 1990.

None of these factors can be corrected with orthodontic tooth movement. With lesser degrees of tooth and gingival exposure, an osseous genioplasty may provide for an acceptable aesthetic result. In this situation, the chin must be moved upward as well as forward to reduce overall height of the face (Fig. 5-4). However, if the depth of the labiomental fold is excessive, chin surgery should not be considered an option (see Chapter 11). An additional aesthetic orthodontic consideration in the Class II long-face patient is that any orthodontic retraction of the maxillary teeth may increase the extent of their exposure beneath the relaxed upper lip.

This is clinically manifested in lower lip eversion, deepened labiomental folds, jowls, and submental fullness. Overall, these patients' faces are short and square, a morphologic pattern that is characteristic of older individuals. Certainly, to achieve the best possible aesthetic result in these patients, jaw surgery is an ideal treatment plan. However, for those patients who decline major surgery, orthodontic correction combined with osseous genioplasty can provide for moderate improvement. In these situations, chin surgery must not only advance the chin (to a more modest extent than with the Class II long-face patient) but must also vertically elongate the chin to effect an increase in overall height of the lower face.

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