APERTOGNATHIA

-Class-2
/Apertognathi
-Bilateral Corpus
Osteotomy
Class-2 /Apertognathia
-Class-1/
Apertognathia
Bilateral maxillary
cross-bite
Class-1 / Apertognathia
Ant.Max.Subapical Osteotomy
Bilat.Corpus Osteotomy
2-MAXILLARY PROCEDURES
- APERTOGNATHIA
- MAXILLARY HYPERPLASIA /
HYPOPLASIA
- MAXILLARY RETRUSION / PROTRUSION
- FURTHER LE FORT I MODIFICATIONS
- MAXILLARY ALVEOLAR PROCESS
DEFORMITIES


PROCEDURES FOR CORRECTION
DYSGNATHIA-3

CONDITION PROCEDURE(S) STABILITY OF RESULT

1. Maxillary hyperplasia
Vert. excess(long face) Excellent
Horizontal excess Total maxillary osteotomy Excellent
(protruson)
2.Maxillary hypoplasia
Vert. deficiency - Total maxillary osteotomy Good to Excellent
short face with autologous bone
Horiz. deficiency- retrus. graft or alloplast Good to excellent
3. Maxillary alv. proc.
deformity
Protrusion Ant. seg. alv. osteotomy Excellent
Supraeruption(over-bite) Fair to good
Infraeruption(open-bite) Post. seg. alv. Osteotomy Fair to good
Posterior crossbite
(unilat.) Good to excellent



MAXILLARY DEFICIENCY


MAXILLARY PROTRUSION

3- COMBINED PROCEDURES

Skelethal Open-Bite
It is abnormal situation that
characterized with typical changes in
soft tissue and bone and facial
vertical problem.
Elongation of lower face
Lip deficiency
Tongue Thrust
Long Face
Skelethal Open-Bite

Posttraumatic Malocclusion

Le Fort I Ostheotomy
Post-traumatic Malocllusion and
Facial Deformity
Post-traumatic and Post-operatif
Deformities
Trafic accident
Treated in different
center
Result
1- Ortognathic surgical deformities can lead not
only facial aesthetic but also;
a- Malfunction
b- Speech Disorders
c- TMJ diseases
d- Periodontal problems and
e- Psychological problem.
2- Compherensive treatment is needed in the
treatment of Dento-facial deformities and
especially dramatical facial asymmetry and
skeletal open-bite.
Result
3- Before these deformities treatment
compherensive clinical and radiological
examination, cooperation between
surgeon and orthodontist, stabile
occlusion, a good functional relation
among teeth and satisfactory facial
aesthetic are needed.
4- If it is necessary the combination of
surgical procedures can use to correct the
facial deformities.
Thank you For your
Attention