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Orthognathic surgery (/ ˌ ɔːr θ ə ɡ ˈ n æ θ ɪ k /), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, and other orthodontic dental bite problems that cannot ...
In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; [ 1 ] Edward Angle (1855–1930), the "father of modern orthodontics", [ 2 ] [ 3 ] [ need quotation to verify ] popularised it.
Open bite is a type of orthodontic malocclusion which has been estimated to occur in 0.6% of the people in the United States. This type of malocclusion has no vertical overlap or contact between the anterior incisors. [1] The term "open bite" was coined by Carevelli in 1842 as a distinct classification of malocclusion.
Orthodontics [a] [b] is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, as well as misaligned bite patterns. [2] It may also address the modification of facial growth, known as dentofacial orthopedics. Abnormal alignment of the teeth and jaws is very common.
Both fixed and removable functional appliances can be used to correct a malocclusion in three planes: Anterior-Posterior, Vertical and Transverse. In the Anterior-Posterior dimension, appliances such as Class II and Class III are used. Appliances used in transverse dimension are utilized to expand either the maxillary or the mandibular arch.
A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma, particularly those affecting the mid-face.
Class 3 elastics are used when the molar relationship is close to Class 1 malocclusion. Class 3 malocclusions due to skeletal discrepancy (mandibular prognathism) cannot be corrected with Class 3 elastics. [8] It is important to evaluate soft tissue and hard tissue esthetics of a patient before attempting to use Class 3 elastics.
The appliance's gradual adjustment mechanism also facilitates tooth movement, with the rod exerting pressure to push the upper teeth backward and the lower teeth forward. Orthodontists may incorporate bushings to extend the fixed length of the rod, aiding in the progressive correction of the malocclusion. [5]