Balancing the dental occlusion and facial aesthetic features in cleft orthognathic surgery: Patient-centered concept for computer-aided planning
- Resource Type
- article
- Authors
- Rafael Denadai; Betty CJ. Pai; Lun-Jou Lo
- Source
- Biomedical Journal, Vol 43, Iss 2, Pp 143-145 (2020)
- Subject
- Unilateral cleft lip and palate
Dental occlusion
Facial aesthetics
Orthognathic surgery
Skeletofacial reconstruction
Midline
Medicine (General)
R5-920
Biology (General)
QH301-705.5
- Language
- English
- ISSN
- 2319-4170
Patients with cleft lip and palate could develop dentofacial deformity characterized by malocclusion, midface retrusion, midline discrepancy and asymmetry. Cleft orthognathic surgery has evolved from the simple maxillary LeFort I advancement with correction of dental malocclusion to the current model of patient-centered approach focusing on skeletofacial reconstruction using computer-assisted diagnosis and planning. Three-dimensional imaging and surgical simulation have provided valuable information for facial aesthetics and surgical feasibility. Surgery-first approach and two-jaw orthognathic surgery have gradually become prevalent replacing the conventional method. A better dentofacial outcome is achieved with reduction of the burden of care.