Orthosurgical treatment of patients in the growth period: at what cost?

Awaiting growth to end prior to starting orthosurgical treatment is sometimes extremely difficult for patients suffering from severe facial deformities. In cases of substantial skeletal disharmonies surgery may be indicated during active growth phase when the patient is psychosocially, aesthetically...

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Bibliographic Details
Published in:Dental press journal of orthodontics 2012-02, Vol.17 (1), p.159-177
Main Authors: Capelli Junior, Jonas, Almeida, Rhita Cristina Cunha
Format: Article
Language:English
Subjects:
DENTISTRY, ORAL SURGERY & MEDICINE
Orthodontics
Orthognathic surgery
Psychosocial impact
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Summary:Awaiting growth to end prior to starting orthosurgical treatment is sometimes extremely difficult for patients suffering from severe facial deformities. In cases of substantial skeletal disharmonies surgery may be indicated during active growth phase when the patient is psychosocially, aesthetically and/or functionally compromised. To indicate this therapy, orthodontic criteria, such as mild intramaxillary discrepancy and the possibility of preoperative preparation without major dental repositioning, must be met. A second orthosurgical treatment will probably prove necessary after growth has ended. This treatment should not be considered as routine, but rather as a therapeutic option in carefully selected cases.
ISSN:2176-9451
2177-6709
2176-9451
2177-6709
DOI:10.1590/S2176-94512012000100019