orthognathic 0.6 anatomical L pā

ʻO nā laina i kālai ʻia, ma ka hoʻonui 1 mm, ma nā implants e hāʻawi i kahi kōkua ʻike no ka piʻo ʻana o ka pā.

ʻO ka deformity waha a me ka maxillofacial e pili ana i ka nui a me ke ʻano o ka maxilla i kumu ʻole ʻia e ka ulu ʻana o ka maxilla, ka pilina ma waena o ka maxilla luna a me lalo a me kona pilina me nā iwi craniofacial ʻē aʻe, a me ka pilina ma waena o ka maxilla a me nā niho, ka hana ʻino o ka waha a me ka ʻōnaehana maxillary a me ke kumu kūpono o ka morphology o ke alo. discordant dental arch a me ka pilina ma waena o nā niho a me nā āwae, hoʻopau i ke keakea ma waena o nā niho a me nā āwae, hoʻonohonoho i ka dentition, a hoʻopau i ka compensatory inclination o nā niho, i mea e hiki ai i ka hana ke hoʻoneʻe i ka ʻāpana iwi incised i ke kūlana hoʻoponopono i hoʻolālā ʻia, a hoʻokumu i kahi pilina maikaʻi ma waena o nā niho a me nā ʻāwae.

I ka makahiki 1928, ua ho'āʻo ʻo Fauchard e hoʻoponopono i ka dislocation o ka niho hoʻokahi me ka hoʻopaʻa ʻana i ka niho, akā ua hoʻomohala ʻia ka mālama ʻana i nā iwi iwi a me nā deformities o ka iwi āpau e Hullihen i ka makahiki 1848 a hōʻike mua ʻia i ka makahiki 1849. ʻO ka mālamaʻana i nā niho a me ka maxillofacial deformities progresses slow.

Ma 1957, Trauner a me Obwegeser hōʻike no ka manawa mua i ka sagittal split ramus osteotomy me ka hoʻohana ʻana i ka intraoral i hoʻomaikaʻi ʻia e Dal Pony (1961), e hōʻailona ana i kahi hana hou o ka hoʻomaʻamaʻa ʻana o nā deformities maxillofacial. ʻO nā hoʻololi ikaika o kahi holomua, ua hoʻokumu hou i ke kumu ola o kēia manawa he ʻoki ʻāʻī, i mea e hoʻokō ai i kēlā me kēia niho - - sticky periosteal iwi transplantation o composite tissue pedicle translocation, hāʻawi i ke kumu ʻepekema a me ka hōʻoiaʻiʻo o ka kūleʻa. morphology.

No ka mea, o ka oki ana o na mea ma'i me ka niho a me ka maxillofacial deformities e pono ma muli o ka deformities a me ka lapaʻau koi, ka niho a me ka iwi paʻakikī pono e oki hamama a neʻe e hana hou i ka ekolu-dimensional spatial pili a me ka hana o ka maʻamau niho a me ka maxillofacial hale, a no ka loaʻaʻana satisfactory cosmetic hopena o ka maxillofacial plan. ʻO ka ʻoki ʻana, ke kuhikuhi a me ka mamao o ka neʻe ʻana o ka iwi, a me ke koho ʻana i ka hoʻolālā ʻokiʻoki pono e noʻonoʻo pono ʻia a hoʻolālā ʻia ma mua o ka hana ʻana, a pono e wānana mua ʻia ka hopena therapeutic i manaʻo ʻia o ka papahana i koho ʻia.

Hoʻohana ʻia ʻo Orthognathic no ka hoʻoponopono ʻana i nā mea ʻino a i ʻole nā ​​​​mea ʻino o ka helehelena ma muli o ka nui a me ke ʻano o ka maxilla ma muli o ka ulu ʻana o ka maxilla, a me ka pilina ma waena o ka nui a me ke ʻano o ka maxilla a me nā iwi maka. ka wehe ʻana, a me ka hoʻokaʻawale ʻana o ka iwi.