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Introduction to Part VII

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Introduction to Part VII endstreamendobj INTRODUCTION TO ART VII WHEN THE CLEFT ANOMALY HAS OCCURRED ON THE FRAMEWORKOF FACE WHICH WITHOUT THE CLEFT WOULD HAVE BEEN PROGNATHIC ANGLE IT TENDS INCREASE CLASS III OR RETROGNATHIC ANGLE CLASS II TO OR BETWEEN DECREASE RESPECTIVELY THE ABSOLUTE OCCIUSAL DISCREPANCY THE TWO JAWS EDWARD ANGLE OF PASADENA WAS THE MODERN FATHER OF ORTHODONTICS IN THE EARLY 1900S CEPHALOMETRIC ANALYSIS MAY AID IN THE DEFINING OF THE DEFORM IN THE FINAL THE DECISION AS TO WHICH STRUCTURE IS ITY BUT ANALYSIS AND WHICH SHOULD BE MAXILLA OR DEFORMED OPERATED UPONTHE EDWA ANGLE THE MANDIBLEWILL NEED TO BE MADE ON CLINICAL BASIS WITH AN UNDERSTANDING OF WHAT WOULD CONSTITUTE THE MOST PLEASING ES 1111111 THETIC ICLATIONSHIPS FOR THE PARTICULAR PALICORS FACE CEPHALOMER FIXED LINE TIC ANALYSIS TAKES UHC SELLANASION SFL LINE AS THE THE OF THE MAXILLA AGAINST WHICH TO MEASURE IRLOST ANTERIOR POINT POINT AL AND THE MOST ANTERIOR POINT OF THE MANDIBLE POINT DINGMAN AND DODENHOFFS CEPHALOMERRIC XRAY TRACINGS DEMON STRATE THE DIFFERENCES BETWEEN NOIMAL RELATIONSHIPS PSEUDOPROG NATHISM AND TRUE PROGNARHISM IN SEVERE MAXILLOFACIAL DEFORMITIES THE CEPHALOMETRIC BASELINES THEMSELVES BECOME AFFECTED AND INVALID AS IN THE PATIENT WITH THE CROUZONS DISEASE WITH STEEPLY TILTED ANTERIOR BASE OR IN CRANIAL BASE PATIENT WITH HEMIFACIAL MICROSOMIA HO HAS SHORT RR CLEFT ON THE AFFECTED SIDE THE MAJORITY OF ADULT POSTOPERATIVE PATIENTS WILL HAVE CLASS III MALOCCLUSION DUE TO MAXILLARY HYPO SHOULD PLASIA AND GENERALLY THE MAXILLA THE BLIGHTED STRUCTURE BE MOVED FORWARD RATHER THAN THC MANDIBLE BACKWARD TO OBTAIN FACIAL BOTH PROPER DENTAL OCCLUSION AND SATISFACTORY PROFILE TH TQJ FROM CEPHALOIRETRIC DETERMINATIONS THE MANDIBLE IS MORE 397 PROTUBERANT THAN THE MAXILLA IS RECESSIVE THE MANDIBLE MAY BE MOVED BACK IN THE ANY MAJOR DISCREPANCY SIZES OF MAXILLARY AND MANDIBU LAR ARCHES IS USUALLY CAUSED BY THE MAXILLARY DEFORMITY AS RULE THE MAXILLA SHOULD BE EXPANDED BUT AGAIN IN SOME CASES THE DE WILL BE FORMITY PREDOMINANTLY DUE TO AN OVERLARGE MANDIBULAR ARCH WHICH WILL NEED TO BE REDUCED BY BODY OR SYMPHYSEAL OSTECTOMY CORRECTING PRIO RITIES IN 1959 HEINRICH KDE OF GRAZ MADE THIS SOUND OBSERVATION THE CHOICE BETWEEN ORTHODONTIC AND SURGICAL TREATMENT IS BASED ON THE SEVERITY OF THE DEFORMITY AND THE OF THE AGE PATIENT GENERALLY SURGERY IS WHEN THE PREFERRED MALFORMATIONS ATE VERY PRONOUNCED OR WHEN BONE GROWTH HAS CEASED IT IS THE OF OPINION OBWEGESER TESSIER DAUTREY PRUZANSKY ADUSS AND OTHERS AS WELL AS WOLFE AND BERKOWITZ IN OUR UNIT THAT MANDIBULAR PROGNATHISM AS WE DEFINE IT BY CEPHALOMETRIC ANALYSIS IS NOR MORE COMMONIN THE CLEFT AND LIP PALATE GROUP FURTHERMORE OUR UNIT HAS NOT HAD GRATIFYING RESULTS IN TREATING MANDIBULAR PSEUDOPROGNATHISM IE RETROMAXILLISM WITH OR THODON TICS HEN THERE WAS KEICTA DISEREPANCX BETWEEN THE BASAL ALVEOLAR BONE OF THE MAXILLA AND MANDIBLE MANY OF OUR PATIE1 ALTHOUGH THEY END UP WITH SATISFACTORY DENTAL OCELU HAVE SION REQUITED ONLAY BONE GRAFTING TO THESE MAXILLAE WHICH STILL THEIR POSSESS RESSED LIYPUPLASTIC APPEARANCE THE SURGEON MUST WORK CLOSELY WITH THE ORTHODONTIST IN THE AND DEFINING DEFORMITY PLANNING THE PROPER PROCEDURE THE ORTHODONTIST IN TURN MUST KNOW WHICH CASES SHOULD NOT BE TREATED ORTHODONTICS ALONE BY ORTHODONTICS TREATS THE MALALIGN OF MENT TEETH BUT WHEN THE SUPPORTING SKELETAL STRUCTURES THE ALVEOLAR OF THE MAXILLA AND RIDGES MANDIBLEARE IN POOR RELA MUST BE BEFORE TIONSHIP SURGERY PERFORMED SATISFACTORY DENTAL AND FACIAL RESULT CAN BE OBTAINED MOST USED IN SURGICAL PROCEDURES COMMONLY CLEFT PATIENTS ARE SEGMENTAL PROCEDURES PROCEDURES FOR MANDIBULAR RECESSION 898 PROCEDURES FOR MAXILLARY ADVANCEMENT FOR WITH ORTHO ONLAY BONE GRAFTING PROCEDURES PATIENTS CLASS OCCLUSION BUT MAXIL DONTICALLY OBTAINED PERSISTENT LARY HYPOPLASIA OF THE MODERN PREMIER HARD TISSUE SURGEON FOR CORRECTION CLEFT AND MANDIBLE AND MAXILLA IS HUGO POSTOPERATIVE LIP PALATE IN THE INTRODUCTION TO HIS 1971 FOR OBWEGESEROF ZURICH CHAPTER HE STATED CLEFT LIP AND PALATE DEFORMIRIES AND REERH ATE USUAL VARIOUS DEGIEES OF RESIDUAL JAW DISPLACED OF CLEFTS OF RHE AND THEY HA BEEN SEQUELAE RO PRIMARY CLOSURE LIP PALATE THEM WILL STILL IN THE ARE STILL SEEN AND BELIEVE SOME OF PRESENR PASR THEY THERE IS NO OCCUR IN THE FUTURE NEW SURGICAL TECHNIQUES NOTWITHSTANDING FOUR IN CLEFT THE CAUSE OF THESE ANOMALIES IS ATTRIBUTABLE TO PANACEA SURGERY OF USED SKILL OF THE FACTORS GENERIC TYPE SURGICAL PIOCEDURE 6S AND RHE OIRHODONRIC TREATMENT SURGEON HAVE OFTEN SEVERE FACIAL MOST PATIENTS WITH MALPOSED JAWS AN ALTERARED DISHARMONY BE THE SOFT IN CLEFT CASES SOME SUPPLEMENTARY CORRECTION MAY REQUIRED ON OF THE AS IN TISSUES HOWEVER THIS SHOULD FOLLOW THE CORRECTION BONY PARTS MAXILLOFACIAL IN THE CORRECTION OF SECONDARY ANY TYPE OF SURGERY ESPECIALLY MUST ADHERE TO THE FINI THE BONE THEN THE OFT JAW LEFOTMITIES ONE PIINCIPLE TH NES OBWEGESER GENERALIZED BELIEVE THAT IN CLEFT CASE IT IS EXTREMEL DIFFICULT FOR ONE TO POSTULATE HAVE BEEN HAD EXACTLY HAT THE INTERRELATIONSHIPS OF THE FACIAL BONES WOULD AND THE FURTHER THEY NOT BEEN CHANGED BY BOTH THE CLEFT DEFORMITY DISTUPRIVE THIS THE TREATMENT FORCES OF SURGICAL INTERVENTION FOR REASON SURGEONS AND INTUITIVE FACTORS PLANNING IS GREATLY INFLUENCED BY IMAGINATIVE MOST OF CREATE THE BEST POSSIBLE OCCLUSAL RELATIONSHIP THIS IS BASIC GUIDE III OF IN THE THESE PATIENTS HAVE AN ANGLE CLASS TYPE APPEARANCE PAST AND THE RESULTS WERE ONLY OPERATED PRIMARILY ON THE MANDIBLE MARGINALLY THE MANDIBLE FREN CREATED SARISFA THE OPERATION ON ONH PRO LOWER THIRD OF THE FACE NOUNCED RERRODISPLACEMENT OF THE MIDDLE THIRD AND SELDOM TODA IN CLEFT CASES USUALLY OPERATE ON THE UPPER JAW ONLY MANDIBLE AND ON THE OPERATE ON BOTH THE MAXILLA AND VERY INFREQUENTLY HEN THE MAXILLA IS MOVED MANDIBLE EXCLUSIVEH FOR PROFILE CONSIDERATIONS THUS OX FOIWARD SOLVE TO CREATE CLASS II OCCLUSION SLIGHTL ERCORRECTING THE OCCLUSION 899.
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