Volume 21, Number 3 & 4, September & December 2009
| | Multidisciplinary Treatment for Correction of Malocclusion due to Maxillofacial Deformity from Fractures: a Report of 2 Patients |
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Yasuharu Yamazaki,1 Koichi Nakakuki,1 Masahiko Ozeki,2 Toshihiko Fukawa,3 Yasuo Ishiwata,4 Eiju Uchinuma5
1Division of Oral and Maxillofacial Surgery, Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, Kanagawa, 2Department of Removable Prosthodontics, Showa University School of Dentistry, Tokyo, 3Fukawa Orthodontic Office, 4Ishiwata Orthodontic Office, and 5Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, Kanagawa, Japan
Abstract
This report demonstrates the importance of multidisciplinary treatment for achieving optimal results for secondary correction of malocclusion. This report describes 2 patients who were treated for malocclusion due to maxillofacial deformity from fractures sustained in traffic accidents. Patient 1 was a 22-year-old man who presented with malocclusion and scar contracture after undergoing treatment for brain contusion from a fracture of the skull base and multiple fractures of the maxillofacial bone. Patient 2 was a 24-year-old woman who presented with an infection after undergoing treatment for multiple maxillofacial fractures (Le Fort Type I + II), mandibular fracture, and facial lacerations. Separate treatment plans developed for each individual by multidisciplinary teams of specialists involved orthodontic treatment, osteotomy, and dental implant therapy. In both patients, a team approach successfully achieved cosmetic reconstruction as well as recovery of maxillomandibular function and occlusion.
Key words: Dental implants, Jaw fractures, Malocclusion, Osteotomy, Patient care team
Asian J Oral Maxillofac Surg. 2009;21:114-119.
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