By Harvey M. Rosen M.D., D.M.D (auth.)
Harvey M. Rosen, M.D., D.M.D., broadens the cultured objectives of maxillofacial surgey during this new, finished quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the way in which so much surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), bargains his personal own ideas of jaw surgical procedure. as a result of the introduction of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of sentimental facial tissue corrections by way of redefining the pursuits of aesthetic surgery.
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Additional resources for Aesthetic Perspectives in Jaw Surgery
As the severity of the Class II discrepancy increases, orthodontic correction risks excessive opening of the nasolabial angle and loss of upper lip support as the maxillary incisors are retracted. In addition, the excessive facial convexity and posterior divergence remain (Fig. 5-3). In such patients, advancement genioplasty will provide only minimal improvement. In those Class II patents associated with abnormalities of lower face height, orthodontic correction becomes more tenuous because there is little control over height of the lower face.
Perhaps the most useful indication to alter the occlusal plane in an effort to improve aesthetic results occurs in the severely micrognathic individual in whom both the mandibular ramus and body of the mandible is deficient. As a result, there is a lack of posterior face height and excessive anterior face height due to an excessive vector of vertical growth in the mandible. This is always accompanied by an abnormally steepened mandibular occlusal plane. Surgical correction must involve counterclockwise rotation of the occlusal plane to achieve adequate projection of the lower face C H A PT E R 3 Treatment Planning: Prediction Tracings and Model Surgery 37 Treatment Plan l-BSSRO => 6mm@1Tf =>12mm @ Pg fi 5mm@Me Preoperative tracing B A Postoperative prediction AHOM 16mm c FIG.
2. : Inclinations of the facial profile: Art versus reality. Plast Reconstr Surg 75:509, 1985. 3. : Reversing segmental osteotomies of the upper jaw. Plast Reconstr Surg 96:88, 1995. 4. : Discussion of reduction mentoplasty. Plast Reconstr Surg 70:151, 1982. 5. : A 3-year evaluation of skeletal stability of mandibular advancement with rigid fixation. ] Oral Maxillofac Surg 48:587, 1990. 6. L. : Soft tissue cephalometric analysis for orthognathic surgery. ] Oral Surg 38:744, 1980. CH A PTE R 1 Treatment Planning: Aesthetic Goals 7.
Aesthetic Perspectives in Jaw Surgery by Harvey M. Rosen M.D., D.M.D (auth.)