Surgical Procedures in Orthodontics

Surgical Procedures in
Orthodontics

Surgical Aids to
Orthodontics
• Koreksi maloklusi dengan perawatan
orto
• Stabilitas perawatan pasca
perawatan orto
• Mencegah relaps

Labial Frenectomy
• DIASTEMA SENTRAL

PERISISI
• GIGI ROTASI → TEKNIK

CIRCUMFERENTIAL SUPRA CRESTAL
FIBROTOMY
• ALTERNATF → DITENGAH SETIAP
PAPILA GINGIVA DIPISAHKAN 1 – 2 MM
DIBAWAH TEPI GINGIVA

EXPOSSURE OF IMPACTED
TEETH
IMPAKSI DI LABIAL

GIGI BERLEBIH
• ANTERIOR → DIASTEMA SENTRAL
• MENEKAN AKAR GIGI →
BERDESAKAN
• KISTA

INDIKASI PENCABUTAN GIGI IMPAKSI

• TERLALU JAUH DARI TEMPAT
• KOTAK GIGI BAIK → I2 – P
• MALPOSISI
• KELAINAN PATOLOGI

TRANSPLATASI
• Autogenus transplatasi

Impaksi M3
• Insisif rahang bawah berdesakan

ORTHOGNATIG SURGERY
Procedure by which dentofacial
deformities
and corrected with orthodontics
combined
with the surgical modification of the
facial
and various soft tissue structure

ORTHODONTIST
Dengan adanya perkembangan penggunaan
analisis sefalometri, sehingga dapat
dievaluasi mengenai diproporsional tulang
rahang dan bekerjasama dengan spesialis
bedah mulut agar didapatkan hasil yang
maksimal

INDICATIONS
1. Severe Class II or Class III skeletal
2.
3.
4.
5.

discrepancy
Deep over bite in non growing patient
Severe anterior open bite
Extreme vertical deficiency of maxilla
and mandible relationship
Skeletal Asymetry

WHY ORTH. SURGERY ?
• ESTHETICS (65%)
• FUNCTION
• TMJ DISOLDERS

THREE POSSIBILITIES FOR
SKELETAL CORRECTION

1. GROWTH MODIFICATION
2. CAMOUFLAGE
3. ORTHOGNATIC SURGERY

MASA PERTUMBUHAN

CAMOULFLAGE
Indication (Proffit):
1.Too old to be modified
2.Mild skeletal class II or class III
3.Good alignment of teeth
4.Good vertical demention or proportion

ORTHOGNATIC SURGERY

Result

Pre-operative

Post-operative

LONG FACE SYNDROME

THANK
YOU