Orthognathic surgery

Assessment
Associated problem of patient?
 Associated problem
• Aesthetic problems
• Functional problems
• Psychological problems
• Impairment of mastication
• Impact on digestion, G. health
• Associated speech problems
• Possible TMJ pain dysfunction
Diagnosis?
 diagnosis
• Patient personal data
• Facial , dental deformity
• Facial deformity diagnosis
• Facial esthetic analysis – frontal, profile
• Lateral cephalometric analysis – soft tissue,
dental. Skeletal
Frontal view, horizontal planes
Frontal view, vertical planes
Lateral cephalogram
Planes and points of cephalogram
 Occlusal , dental diagnosis
• Dental arch form
• Dental alignment/ symmetry
• Dental occlusion
• Tooth mass relation
Arch form
Dental alignment/ symmetry
Dental alignment
Dental occlusion
Dental occlusion
 Treatment planning
• Growth modification
• Orthodontic camouflage
• Orthognathic surgery