Orthognathic surgery

• Orthognathic surgery, also known as

corrective jaw surgery,
• it is surgery designed to correct condition of
jaw and face related to structure, growth,
sleep, TMJ disorder, malocclusion because of
skeletal disharmonies.
 Orthognathic surgery
• Al Quran
• Variety is the spice of life and human face
certainly no exception to this adage.
• It is the symmetry of each segment, which
contributes toward the total beauty of face
• Any deviation from normal facial
development brings unpleasant appearance
 Orthognathic surgery
• U,S.A national research council in their study
reveal 20 % of the whole population have
dentofacial deformaties.
• 5% of these are severe need correction.
 Orthognathic surgery
• Ackerman present a concept of dentofacial
deformaties in a diagram known as venn
diagram.
• Deformaties at AP plane
• At vertical plane
• Transverse plane
• Human face is 3D in planes,
Types of severe dentofacial deformaties

• MANDIBLE
• Mandibular prognathism
• Mandibular retrognathism
• Maxillary VME, VMD
• Bi maxillary combination
• Facial asymmetry
Manibular prognathism
Mandibular retrognathism
 Mandibular prognathism
• Facial features
• Prominent chin is dominant feature,
• Prominet lower third
• A concave profile
• A severe case shows lip incompetency
 Facial feature
• Steep mandible
• Obtuse gonal angle
• Middle of the face appear relatively deficient
• Anterior facial height may be increased
 Dental features
• Angles class 3 malocclusion will be seen
• Reverse horizontal overjet in the incisor area
• Posterior cross bite
• Mandibular incisor inclined lingually
• Maxillary teeth may protrusive
• An anterior open bite may be seen.
 Mandibular retrognathism
• Facial feature
• a convex profile
• Retruded chin, bird face deformity
• Upper lip short and protrusive
• An everted lower lip
• Acute gonal angle
 Dental feature
• Angle class 2 malocclusion
• Increase overjet
• Lower anterior teeth may be tipped forward
• Skeletal deep bite may be present