Aims: To show the objectives of pre-and post-surgical orthodontic treatment to correct dentofacial asymmetries and underline the importance of cone beam computed tomography (CBCT), for a more accurate and precise diagnosis. Materials and Methods: The cephalometric analysis performs symmetroscophic exam of dental and craniofacial diagnosis. It is useful to evaluate: gradual change in facial appearance, history of facial trauma or syndrome, difficulty biting and chewing, skeletal/dental relationship, facial asymmetry. Results: CBCT permitted to achieve a better and more accurate diagnosis of facial asymmetry and helped in treatment planning Conclusions: Craniofacial asymmetries are often associated to severe dento-skeletal deformities. These are corrected by a complex combined surgical orthodontic treatment, programmed in a different way depending on the etiology.
Scopi del lavoro: Evidenziare gli obiettivi del trattamento ortodontico pre-chirurgico e post-chirurgico nelle asimmetrie dento-scheletriche e sottolineare l’importanza della T.C. cone beam a basso dosaggio nella diagnosi 3D. Materiali e Metodi: Lo studio cefalometrico effettua l’esame simmetroscopico delle strutture cranio-maxillo-dentarie rendendo possibile la diagnosi differenziale, tra asimmetrie cranio basali, strutturali maxillari, mandibolari occluso-posizionali, mandibolari strutturali e dentarie. Risultati: La Cone Beam TC ha permesso di effettuare uno studio reale tridimensionale delle asimmetrie craniofacciali al fine di effettuare una corretta diagnosi con precisione elevatissima. Conclusioni: Le asimmetrie cranio facciali strutturali negli adulti spesso sono anomalie dell’apparato stomatognatico concomitanti a gravi malocclusioni scheletriche. Queste vengono corrette mediante un trattamento ortodontico-chirurgico complesso programmato differentemente in base all’eziologia della deformità dento-facciale.
3-D diagnosis and orthodontic surgical-treatment plan in craniofacial asymmetries - Asimmetrie cranio-facciali : diagnosi 3D e programmazione ortodontico-chirurgica / U. Garagiola, R. Soldo, F. Picchioni. ((Intervento presentato al 44. convegno Sido International Congress tenutosi a Roma nel 2013.
3-D diagnosis and orthodontic surgical-treatment plan in craniofacial asymmetries - Asimmetrie cranio-facciali : diagnosi 3D e programmazione ortodontico-chirurgica
U. GaragiolaPrimo
;
2013
Abstract
Aims: To show the objectives of pre-and post-surgical orthodontic treatment to correct dentofacial asymmetries and underline the importance of cone beam computed tomography (CBCT), for a more accurate and precise diagnosis. Materials and Methods: The cephalometric analysis performs symmetroscophic exam of dental and craniofacial diagnosis. It is useful to evaluate: gradual change in facial appearance, history of facial trauma or syndrome, difficulty biting and chewing, skeletal/dental relationship, facial asymmetry. Results: CBCT permitted to achieve a better and more accurate diagnosis of facial asymmetry and helped in treatment planning Conclusions: Craniofacial asymmetries are often associated to severe dento-skeletal deformities. These are corrected by a complex combined surgical orthodontic treatment, programmed in a different way depending on the etiology.
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