Orthognathic surgery

Orthognatic surgery
• Mandibular prognathism
• Mandibular rethrognathism
• Vertical maxillary excess
• Vertical maxillary deficiency
• Bi maxillary protrusion
• Facial asymetry
 Orthognathic surgery
vertical maxillary excess
• Facial features
• Increased height of middle third of face
• Narrow alar base
• Prominence of infra orbital rim
• Large inter labial gap
• Excessive incisor display- typical gummy smile
• Recessive chin
 Orthognathic surgery
vertical maxillary excess
• Dental feature
• High arch palate
• V shaped maxillary dental arch
• With anterior open
• Without anterior open bite
 Vertical maxillary deficency
• Facial features
• A short square shaped face with edentulous
appearance
• Mandible appears square and prominent due
to over closure
• Deep mentolabial fold
• Over closure of lips
 Vertical maxillary deficency
• Dental features
• Anglr class 1 or class 2 molar occlusion
• Deep overbite
• Mandibular incisor frequently occlude with
the palatal gingiva
• Severe attrition of the teeth may be seen
 Bi-Maxillary protrusion
• Convex profile
• Protrusion of mandibular and maxillary
incisors
• Lip strain is evident
• Apparent chin deficiency
• Thick looking lips with an averted vermilion
border and a rolled appearance
 Bimaxillary protrusion
• Dental appearance
• Anterior open bite or edge to edge bite may
be present
• May be associated with a severe tongue
thrusting habit
Bi max- lip incompetency
Bi max- profile - dental
Bimax protrusion
 Thank you

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