Basics of Orthognathic Surgery Flashcards
what can people with severe retrognathic mandibles suffer from
obstructive sleep apnoea and snoring
what can people with AOB suffer from
chronic gingivitis and dry mouth
what are the fundamentals of orthognathic surgery
team approach
history taking to understand patient
careful clinical examination
investigations
prediction planning
stable surgical techniques
who is in the orthognathic surgery team
psychologist
orthodontist
surgical
technologist
restorative
speech and language therapy
what is the job of the psychologist in the orthognathic surgical team
early recognition of psychological problems
understand real motivation for surgery
postsurgical depression
psychological adaptation to new face
what do psychologists look at in the psychological assessment of patients before orthognathic surgery
what is patients mental state
previous psychiatric problems
existing disorders
what would body dysmorphic disorder look like
pre-occupied with defect in appearance leading to significant distress
associated mental disorders - obsession
what is viropharyngeal incompetence and who has this
cleft lip and palate patients
soft palate and hypernasal tone
what is the job o the orthodontists in the orthognathic surgery team
recognise dentofacial deformities
orthodontic treatment before and after
follow up
what can the cause of facial deformity be
congenital causes
hormonal causes
trauma
pathology
syndromic malformation
what is included in the extra oral examination of patients for orthognathic surgery
vertical asymmetry
horizontal asymmetry
lip and nose morphology
AP relationship
paranasal hollowing
lips
what is vertical asymmetry
when one eye is higher than the other
what is horizontal asymmetry
when one eye is further to the left than the other
how much tooth and crown should a normal smile line show
whole crown and 1-2mm of gingiva
what should the intra-oral assessment for orthognathic surgery be
general dental assessment
occlusal relationship
centre line discrepancy relative to the face
overjet and overbite
crossbite
occlusal canting
incisors inclination
crowding and spacing
tongue size, mobility and speech pattern
cleft cases and viropharyngeal impairment
