Surgical correction of abnormalities of maxilla, mandible or both.
Indications
- Severe anteroposterior discrepancies (class II, Class III)
- Vertical discrepancies (open bite/ deep overbite)
- Transverse discrepancies
- Skeletal asymmetry
Contraindications
- Growing patients
- Mild malocclusions
- Medical problems
- Patient with body dysmorphic syndrome
Steps in Orthognathic surgery
- Diagnosis & treatment planning
- Pre-surgical orthodontics
- Orthognathic surgery
- Post-surgical orthodontics
Types of surgical procedure
Bilateral sagittal spilt mandibular osteotomy
Vertical sub sigmoid osteotomy
Mandibular distraction
Le fort –I Maxillary