Dr Udo Windsheimer

Title: Orthognathic surgery in conjunction with clear aligners

Abstract

Orthognathic surgery in conjunction with clear aligners

Clear Aligners are used successfully in correcting a wide range of skeletal and dental irregularities, like complex cases, Class II and Class III malocclusions, open and deep bites, extraction cases and also orthognathic surgery.

While structural skeletal discrepancies often need surgical management combined with orthodontic treatment, dental misalignment and a variety of functional deviations can be treated orthodontically with aligners.

If the skeletal discrepancy is so severe that it is not possible to camouflage the jaw discrepancy by compensating with dental tooth movements alone, orthognathic surgery to reposting the basal bone structure and jaws must be considered to correct the skeletal discrepancy and dental malocclusion and also often the function.

In practice, the treatment decision is based on the clinical examination and the cephalometric analysis by assessing the amount of sagittal and vertical discrepancy, dentoalveolar compensations, and facial esthetics.

Different cases are presented, treated with orthodontic surgery, performed in conjunction with clear aligner treatment.