Combined surgical-orthodontic treatment: how did it evolve and what are the best practices now?
It has been 50 years since the landmark presentation by Hugo Obwegeser at Walter Reed Army Hospital. At that conference, Professor Obwegeser offered American surgeons techniques to correct facial skeletal deformities with access through intraoral incisions. As important advances in surgical technique and anesthesia evolved for the surgical procedures, a major contribution by American orthodontists in collaboration with surgeons was the creation of a common diagnostic, planning, and treatment scheme for use by both clinician groups in the treatment of dentofacial deformities, the skeletal and dental problems of the most severely affected 5% of the population. This article summarizes what American orthodontists and surgeons have learned in the late 20th and early 21st centuries, and forecasts what might be the future of treatment for patients with dentofacial deformities.
Kenan distinguished professor, Department of Orthodontics, School of Dentistry, University of North Carolina, Chapel Hill, NC. Electronic address: William_Proffit@unc.edu.
William R
WR
Proffit
Dalton McMichael distinguished professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of North Carolina, Chapel Hill, NC.
Raymond P
RP
White
D003131:Combined Modality Therapy; D063169:Dentofacial Deformities / Q000601:surgery / Q000628:therapy; D005544:Forecasting; D063172:Genioplasty / Q000379:methods; D006297:Health Services Accessibility; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007180:Incisor / Q000473:pathology; D007348:Insurance, Health; D007400:Interprofessional Relations; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy; D008313:Malocclusion, Angle Class III / Q000601:surgery / Q000628:therapy; D008437:Maxilla / Q000601:surgery; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000639:trends*; D056948:Orthognathic Surgical Procedures / Q000639:trends*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010155:Palatal Expansion Technique; D010347:Patient Care Planning; D010348:Patient Care Team; D019239:Practice Patterns, Dentists'; D011320:Primary Health Care; D012017:Referral and Consultation; D016896:Treatment Outcome