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

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