Anterior mandibular apical base augmentation in the surgical orthodontic treatment of mandibular retrusion. 2005

R Brusati, and A B Giannì
Department of Maxillo-Facial Surgery, S. Paolo Hospital Milan, University of Milan Italy, Via A. di Rudinì 8, 20142 Milan, Italy. roberto.brusati@unimi.it

The authors describe a surgical technique alternative to traditional pre-surgical orthodontics in order to increase the apical base in mandibular retrusion (class II, division I). This subapical osteotomy, optimizing inferior incisal axis without dental extractions and a long orthodontic treatment, associated to genioplasty permits to obtain an ideal labio-dento-mental morphology. This procedure avoids in some cases the need of a mandibular advancement and, if necessary, it reduces his entity with obvious advantages.

UI MeSH Term Description Entries
D008312 Malocclusion, Angle Class II Malocclusion in which the mandible is posterior to the maxilla as reflected by the relationship of the first permanent molar (distoclusion). Angle Class II,Angle Class II, Division 1,Angle Class II, Division 2,Class II Malocclusion, Division 1,Class II Malocclusion, Division 2,Malocclusion, Angle Class II, Division 1,Malocclusion, Angle Class II, Division 2,Class II, Angle
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D009971 Orthodontics, Corrective The phase of orthodontics concerned with the correction of malocclusion with proper appliances and prevention of its sequelae (Jablonski's Illus. Dictionary of Dentistry). Corrective Orthodontics
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D002680 Chin The anatomical frontal portion of the mandible, also known as the mentum, that contains the line of fusion of the two separate halves of the mandible (symphysis menti). This line of fusion divides inferiorly to enclose a triangular area called the mental protuberance. On each side, inferior to the second premolar tooth, is the mental foramen for the passage of blood vessels and a nerve. Mental Region,Mentum
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D019186 Mandibular Advancement Moving a retruded mandible forward to a normal position. It is commonly performed for malocclusion and retrognathia. (From Jablonski's Dictionary of Dentistry, 1992) Advancement, Mandibular
D063173 Retrognathia A physical misalignment of the upper (maxilla) and lower (mandibular) jaw bones in which either or both recede relative to the frontal plane of the forehead. Mandibular Retroposition,Mandibular Retrusion,Maxillary Retroposition,Maxillary Retrusion,Retrognathism,Mandibular Retropositions,Mandibular Retrusions,Maxillary Retropositions,Maxillary Retrusions,Retrognathias,Retrognathisms,Retroposition, Mandibular,Retroposition, Maxillary,Retropositions, Mandibular,Retropositions, Maxillary,Retrusion, Mandibular,Retrusion, Maxillary,Retrusions, Mandibular,Retrusions, Maxillary

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