Surgeon Carolinas Center for Oral and Facial Surgery Charlotte, North Carolina
The development of digital planning and custom fixation can be considered a renaissance in the field of orthognathic surgery. Exposure to the multidimensional nature of the deformity at the dental and skeletal level provides tremendous preoperative insight, improved intraoperative efficiency and accuracy, and beneficial outcomes for patients. Procedures such as the inverted L, Z, C and subapical osteotomies are not frequently within a surgeons armamentarium despite becoming more common and predictable due to digital planning and patient specific custom fixation. This presentation will review the most up to date and simplified data collection methods for digital planning, utilization of tooth-borne and bone-borne cutting guides and jigs for unconventional osteotomies and the design of customized plates.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Examine the limitations of the traditional sagittal split osteotomy for correction of mandibular deformities.
Analyze the management of segmental maxillary surgery in the absence of an occlusal splint postoperatively.
Demonstrate the use of occlusal-based and bone-borne marking guides to orient complex mandibular osteotomies with subsequent patient-specific custom fixation.