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Interdisciplinary Management of a Patient with a Skeletal Deformity Interdisciplinary Management of a Patient with a Skeletal Deformity

Author(s):

Vincent G. Kokich, Sr., DDS, MSD;Frank M. Spear, DDS, MSD, David P. Matthews, DDS

Date Added:

1/1/2005


Summary:

Patients with a skeletal aberration that results in a malocclusion are not uncommon in our patient population. Several treatment options exist for these patients, from undertaking no treatment at all to performing complex orthodontics, orthognathic surgery, and restorative therapies. A practitioner cannot simply use Angles' classification of occlusal relationships (i.e., Class I, normal molar and cuspid relationship; Class II, retrognathic molar and cuspid relationship; and Class III, prognathic molar and cuspid relationship) as the criteria for whether or not treatment is indicated, but must learn to evaluate the impact of the occlusal relationship on that specific patient esthetically, functionally, and biologically in order to determine if treatment is indicated. There are many patients with Class II and Class III relationships who do not need treatment. At the other extreme are patients whose esthetics, function, and biologic health are extremely compromised, and in spite of the patient and practitioner's desires to use a conservative treatment approach, nothing short of surgically correcting the skeletal deformity will solve the problem.

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