Abstract
Data was collected retrospectively from 44 patients who had orthognathic surgery between May 2012 and October 2014. Treatment was completed by a single consultant surgeon and three orthodontists.
References
Dunbar C, McIntyre G, Laverick S. Orthodontic treatment and orthognathic surgery – do we predict the length of treatment accurately?. BOS Clin Effect Bull. 2013; (31)8-9
Arad I, Jandu J, Bassett P, Fleming PS. Influence of single-jaw surgery vs bimaxillary surgery on the outcome and duration of combined orthodontic-surgical treatment. Angle Orthod. 2011; 81:(6)983-987 https://doi.org/10.2319/030211-150.1
Jeremiah HG, Cousley RR, Newton T, Abela S. Treatment time and occlusal outcome of orthognathic therapy in the East of England regions. J Orthod. 2012; 39:(3)206-211
Luther F, Morris DO, Hart C. Orthodontic preparation for orthognathic surgery: how long does it take and why? A restrospective study. Br J Oral Maxillofacial Surg. 2003; 41
Dowling P, Espeland L, Krogstad O, Stenvik A, Kelly A. Duration of orthodontic treatment involving orthognathic surgery. Int J Adult Orthod Orthognath Surg. 1999; 14
McGuinness NJ, McDonald JP. The influence of operator changes on orthodontic treatment times and results in a postgraduate teaching environment. Eur J Orthod. 1998; 20:(2)159-167
Huang CS, Hsu SS, Chen YR. Systematic review of the surgery-first approach in orthognathic surgery. Biomed J. 2014; 37:184-190
Epker BN, Fish LC. Surgical-orthodontic correction of open-bite deformity. Am J Orthod. 1977; 71:278-299
Baek SH, Ahn HW, Kwon YH, Choi JY. Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment. J Craniofac Surg. 2010; 21:332-338
Assessing the duration of combined orthodontic and orthognathic surgery treatment
From Volume 9, Issue 2, April 2016 | Pages 59-62
Article
Patients undergoing combined orthodontic and orthognathic surgical treatment constitute up to 7% of a UK-based orthodontic consultant's caseload.1 Patients wish to know duration of treatment. Therefore, each unit needs awareness of average treatment times to inform patients better and thus improve the consent process and patient-centred care. Owing to the prolonged and involved nature of this treatment, requiring numerous hospital visits, patients are keen to have as accurate an idea as possible as to the duration of treatment.
The process we are most familiar with today involves pre- and post-surgical orthodontics, with surgery performed once teeth have been suitably aligned and decompensated. Post-surgical orthodontics involves finishing and perfecting the occlusion, a process which is not possible by surgical movements alone.
Cases involving combined orthodontic and orthognathic treatment are most commonly treated in a hospital setting because of the multidisciplinary care necessary for their management. The complexity of treatment also has an affect upon the duration of treatment, and it is therefore important to have an average duration of treatment for the particular treating department as times may vary from those quoted in the literature and thus quoted to patients during consultation and treatment planning.
Register now to continue reading
Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
What's included
- Up to 2 free articles per month
- New content available