Interdisciplinary approach of orthognathic surgery and prosthodontics for the treatment of jaw discrepancies

Abstract

Nonsurgical orthodontic treatment is a choice for many cases of teeth malalignment, especially with the advances in orthodontic treatment. However, orthognathic surgery is sometimes recommended in cases with severe malocclusion, in patients with congenital disabilities, to treat patients with sleep apnea and for adding spaces for dental implants. Besides, it can be considered in patients with esthetic issues that need prosthodontic and restorative work. This paper aimed to show how involving a proper treatment plan using orthognathic surgery when patients required prosthodontic reconstruction maximized results and patient satisfaction compared with prosthetic reconstructions alone or with nonsurgical orthodontic treatment. The authors reported that four patients required prosthetic treatment. Each case had its own set of unique circumstances and challenges. The report showed the difference in treating these cases using nonsurgical orthodontic treatment or orthognathic surgery. Orthognathic surgery was indicated for the last reported case, showing a successful treatment and the patient reporting a high satisfaction level. Orthognathic surgery fastens and maximizes the result and satisfaction of cases with severe jaw discrepancies compared to prosthodontics alone or with nonsurgical orthodontic treatment. However, a proper treatment plan and work in a multidisciplinary team are required.