Recent Advances In Orthodontics
Today's orthodontist has many treatment options to choose from in
reaching goals of treatment. Virtually all of these treatment options are
designed to reach the same general orthodontic treatment goal that is
class I occlusion with good facial esthetics.
However each treatment choice almost always has an effect on the face
and facial cosmetics. This is very true with orthodontic treatment and may
be even more dramatic with combined orthodontic and orthognathic
surgical cases. Sometimes our treatment goals may be at cross-purposes
to facial cosmetics.
For example in a camouflage treatment of class II mandibular deficiency
over retraction of maxillary anteriors to achieve normal Overjet will result
in “dished profile”. This will have an unpleasing effect on the profile and
facial esthetics. I t e area of orthognathic surgery, impaction of the maxilla
to correct an open bite may result in unacceptable widening of the base of
the nose. In the area of facial cosmetic surgery, camouflage of mandibular
deficiency with an implant may result in a “witch's bob”.
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