Behçet EROL, Ferhan YAMAN, Serhat ATILGAN

Long Face ve Gummy Smile’li Bir Olguda Bimaksiller Ortognatik Cerrahi Yaklaşım

Anahtar Kelimeler:

Uzun yüz, ortagnatik cerrahi, bimaksiller cerrahi

A Bimaxillary Orthognathic Surgery Approach to a Case of Long Face and Gummy Smile

The long face patients’ clinical characteristics are accompanied with gummy smileand/or anterior open bite. In these types ofpatients, both aesthetic and functionalreconstruction depend on a carefullyosteotomy planning.Upper lip position in relax, the relationbetween upper lip and incisors, face proportions are important criteria to decidewhether a patient has gummy smile and/oranterior open bite problems. Often verticalmaxillary excess is seen in these types ofdevelopmental malformation patients.Reducing the maxillary excess by Le Fort Iosteotomy and locating the mandible withrespect to maxilla by mandible osteotomyfor treatment provides satisfactory results.This study aims to present and discuss theaesthetic and functional results of a bimaxillary orthognathic surgical operation, conducted on a 21-year old female patient,who applied to our clinic with the complaints of aesthetic and chewing problems

Keywords:

Long face, orthognathic surgery, bimaxillary surgery,

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Fısh L.C., Epker B.N., Sullivan C.R.: Orthognathic Surgery: The Correction of Dentofacial Deformities. J. Oral Maxillofac. Surg. 51 (1):28-41,1993.
Bailey L.J., Proffit W.R., White R.J.: Assessment of Patients for Orthognathic Surgery. Semin. Orthod. 1999;5(4): 209-22.
Wolford L.M., Jr, Fields R.T.: Diagnosis and Treatment Planning for Orthognathic Surgery.In Fonseca R.J. (ed), Betts N.J., Turvey T.A. (Vol. Eds): Oral and Maxillofacial Surgery Vol. 2. W.B. Saunders Comp. Philadelphia, London, New York, St. Louis, Sydney, Toronto,2000: Pp.24-56.
Joos U.: Surgical Manegement of Skeletal Open Bite. In Beell W.H.: Modern Practive ın Orthognathic and Reconstructıve Surgery. Vol 3 W.B. Saunders Comp., Philadelphia, London, Toronto, Montreal, Sydney, Tokyo, 2000: Pp 2061-2109.
Bell W.H., Creekmore T.D., AlexandreR.G.: Surgical Correction of The Long Face Syndrome. Am. J. Orthod. 1977; (1): 40-67.
Bailey L.J., Collie F.M., White P.R.: Surgical Correction of The Long Face Syndrome. Int. J. Adult Orthod. Orthognath. Surg.1996;11(1): 7-18.
Hoppenreijs T.J. et al.: Skeletal And Dento-Alveolar 7
Stability Of Le Fort I İntrusion Osteotomies and Bimaxillary Osteotomies in Anterior Open Bite Deformities. Int. J. Oral Maxillofac Surg. 1997;26(3): 161-75.
Casteigt J., Dereudre B.: Surgical Approach of a Vertical Problem:The Long Face Syndrome. Rev. Stomatol. Chir. Maxillofac. 1984; 85(2):83-93.
Maurer P., Otto C., Eckert A.W., Schubert J.: Complications in Surgical Treatment of Malocclusions. Report of 50 Years Experience: Mund. Kiefer Gesichtschir. 2001;5(6):357-61. Yazıflma Adresi: Dr. Serhat ATILGAN