Surgical Procedures in Orthodontics
Post on 12-Jul-2016
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Surgical Procedures in Surgical Procedures in OrthodonticsOrthodontics
Surgical Aids to Surgical Aids to OrthodonticsOrthodontics• Koreksi maloklusi dengan perawatan Koreksi maloklusi dengan perawatan
ortoorto• Stabilitas perawatan pasca Stabilitas perawatan pasca
perawatan ortoperawatan orto• Mencegah relapsMencegah relaps
Labial FrenectomyLabial Frenectomy• DIASTEMA SENTRALDIASTEMA SENTRAL
PERISISIPERISISI• GIGI ROTASI GIGI ROTASI → TEKNIK → TEKNIK
CIRCUMFERENTIAL SUPRA CRESTAL CIRCUMFERENTIAL SUPRA CRESTAL FIBROTOMYFIBROTOMY
• ALTERNATF → DITENGAH SETIAP ALTERNATF → DITENGAH SETIAP PAPILA GINGIVA DIPISAHKAN 1 – 2 MM PAPILA GINGIVA DIPISAHKAN 1 – 2 MM DIBAWAH TEPI GINGIVA DIBAWAH TEPI GINGIVA
EXPOSSURE OF IMPACTED EXPOSSURE OF IMPACTED TEETHTEETH
IMPAKSI DI LABIALIMPAKSI DI LABIAL
GIGI BERLEBIHGIGI BERLEBIH• ANTERIOR ANTERIOR → DIASTEMA SENTRAL→ DIASTEMA SENTRAL• MENEKAN AKAR GIGI → MENEKAN AKAR GIGI →
BERDESAKANBERDESAKAN• KISTAKISTA
INDIKASI PENCABUTAN GIGI IMPAKSIINDIKASI PENCABUTAN GIGI IMPAKSI
• TERLALU JAUH DARI TEMPATTERLALU JAUH DARI TEMPAT• KOTAK GIGI BAIK KOTAK GIGI BAIK → I2 – P→ I2 – P• MALPOSISIMALPOSISI• KELAINAN PATOLOGIKELAINAN PATOLOGI
TRANSPLATASITRANSPLATASI• Autogenus transplatasiAutogenus transplatasi
Impaksi M3Impaksi M3• Insisif rahang bawah berdesakanInsisif rahang bawah berdesakan
ORTHOGNATIG SURGERY Procedure byProcedure by which dentofacial which dentofacial
deformitiesdeformities and corrected with orthodontics and corrected with orthodontics
combined combined with the surgical modification of the with the surgical modification of the
facial facial and various soft tissue structureand various soft tissue structure
ORTHODONTISTORTHODONTIST
Dengan adanya perkembangan penggunaan Dengan adanya perkembangan penggunaan analisis sefalometri, sehingga dapat analisis sefalometri, sehingga dapat dievaluasi mengenai diproporsional tulang dievaluasi mengenai diproporsional tulang rahang dan bekerjasama dengan spesialis rahang dan bekerjasama dengan spesialis bedah mulut agar didapatkan hasil yang bedah mulut agar didapatkan hasil yang maksimalmaksimal
INDICATIONSINDICATIONS
1.1. Severe Class II or Class III skeletal Severe Class II or Class III skeletal discrepancydiscrepancy
2.2. Deep over bite in non growing patientDeep over bite in non growing patient3.3. Severe anterior open biteSevere anterior open bite4.4. Extreme vertical deficiency of maxilla Extreme vertical deficiency of maxilla
and mandible relationshipand mandible relationship5.5. Skeletal AsymetrySkeletal Asymetry
WHY ORTH. SURGERY ?WHY ORTH. SURGERY ?
• ESTHETICS (65%)ESTHETICS (65%)• FUNCTIONFUNCTION• TMJ DISOLDERSTMJ DISOLDERS
THREE POSSIBILITIES FOR THREE POSSIBILITIES FOR SKELETAL CORRECTIONSKELETAL CORRECTION
1.1. GROWTH MODIFICATIONGROWTH MODIFICATION2.2. CAMOUFLAGECAMOUFLAGE3.3. ORTHOGNATIC SURGERYORTHOGNATIC SURGERY
MASA PERTUMBUHANMASA PERTUMBUHAN
CAMOULFLAGECAMOULFLAGE
Indication (Proffit):1.Too old to be modified2.Mild skeletal class II or class III 3.Good alignment of teeth4.Good vertical demention or proportion
ORTHOGNATIC SURGERYORTHOGNATIC SURGERY
Pre-operative Post-operative
Result
LONG FACE SYNDROME
THANKYOU
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