Orthognatic surgery

Treatment planning
 Treatment planning
• Phase -1
• Assemble the data of assessment
• Synthesis the problem list
• Team conference
 Treatment planning
• Phase- 2
• Interdisciplinary problem list
• Dento facial problem in order of priority list
• Possible solution
• Tentative treatment planning
• Patient/team conference
• Definitive plan
 Treatment planning
• Phase- 3
• Preparatory therapy, endodontic,
periodontics, prosthetic etc.
• Definitive orthodontic surgical treatment
• Continuous team monitoring, re evaluation,
interaction, modifying the therapy
 Treatment planning
• Phase- 4
• maintenance
 Final treatment plan
 presurgical orthodontics
 Surgery plan
 Postsurgical orthodontics
 maintenance
 Orthognatic surgery
• Historical development
• 1921 Cohn Stock Anterior jaw osteotomy
• 1954 Cadwel latterman, vertical subsigmoid
ramus osteotomy
• 1954 Obwegeser published his famous intra
oral sagittal split of mandibl1979 Luhr
introduce miniplate in orthognatic surgery
Subsigmoid osteotomy
BSSO
Osteotomy?
 osteotomy
• Simple splitting of the bone is known as
osteotomy and removal of part of bene is
known ostectomy. In orthognatic surgery the
jaw bones are intentionally sectioned in
various sites to correct the dentofacial
deformaties and then repositioned at desired
position.
 Next
• Protocole of different osteotomies