Balancing the dental occlusion and facial aesthetic features in cleft orthognathic surgery: Patient-centered concept for computer-aided planning

被引:16
作者
Denadai, Rafael [1 ,2 ,4 ]
Pai, Betty C. J. [2 ,3 ]
Lo, Lun-Jou [1 ,2 ,4 ]
机构
[1] Chang Gung Mem Hosp Linkou, Dept Plast & Reconstruct Surg, 5 Fusing St, Taoyuan 333, Taiwan
[2] Chang Gung Mem Hosp Linkou, Craniofacial Res Ctr, Taoyuan, Taiwan
[3] Chang Gung Mem Hosp Linkou, Dept Craniofacial Orthodont, Taoyuan, Taiwan
[4] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
关键词
Unilateral cleft lip and palate; Dental occlusion; Facial aesthetics; Orthognathic surgery; Skeletofacial reconstruction; Midline; DIAGNOSIS;
D O I
10.1016/j.bj.2019.12.008
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Patients with cleft lip and palate could develop dentofacial deformity characterized by malocclusion, midface retrusion, midline discrepancy and asymmetry. Cleft orthognathic surgery has evolved from the simple maxillary LeFort I advancement with correction of dental malocclusion to the current model of patient-centered approach focusing on skeletofacial reconstruction using computer-assisted diagnosis and planning. Threedimensional imaging and surgical simulation have provided valuable information for facial aesthetics and surgical feasibility. Surgery-first approach and two-jaw orthognathic surgery have gradually become prevalent replacing the conventional method. A better dentofacial outcome is achieved with reduction of the burden of care.
引用
收藏
页码:143 / 145
页数:3
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