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 hana 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 maʻamau ma waena o ka maxilla a me ka maxilla. nā niho, ka hana maʻamau o ka waha a me ka maxillary system a me ka abnormal facial morphology.ʻO ke kumu o ka ʻokiʻoki orthognathic ʻo ia ka hoʻoponopono ʻana i nā niho i kuhi hewa ʻia, hoʻoponopono i ka arch dental discordant a me ka pilina ma waena o nā niho a me nā ʻāwae, e hoʻopau i ka hoʻopili ʻana ma waena o nā niho a me nā ʻāwae, hoʻonohonoho i ka niho, 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.

Ma mua o ka makahiki 1928, ua ho'āʻo ʻo Fauchard e hoʻoponopono i ka dislocation o ka niho hoʻokahi me ka hoʻopaʻa ʻana i nā niho, akā ua hoʻomohala ʻia ka mālama ʻana i nā iwi iwi a me nā deformities e Hullihen i ka makahiki 1848 a hōʻike mua ʻia i ka makahiki 1849. e ʻimi a hoʻomaikaʻi, ʻaʻole kūpono ka hopena lapaʻau ma muli o ka palena ʻenehana a me ka pae olakino i kēlā manawa, no laila i loko o nā makahiki 100 e hiki mai ana, e holo mālie ana ka mālama ʻana i nā deformities niho a me ka maxillofacial. anesthesiology, ʻokiʻoki kumu, anatomy noiʻi a me nā mea hana ʻoki kūikawā, ua ulu wikiwiki ka hoʻoponopono ʻana o nā niho a me ka maxillofacial.

Ma 1957, Trauner a me Obwegeser hōʻike no ka manawa mua i ka sagittal split ramus osteotomy me ka hoʻohana ʻana i ke ala intraoral i hoʻomaikaʻi ʻia e Dal Pony (1961), e hōʻailona ana i kahi hana hou o ka mālama ʻana i nā deformities maxillofacial. Mai ka makahiki 1970, no ka Bell a me ka hooikaika ana o na mea akamai he nui, ma ka iwi a me ke kino o ka hoolako ana i ke koko o ka anatomy, a oki i ka iwi koko ma hope o na hoololi ikaika o kahi holomua, ua hoonoho hou i ke kumu olaola o keia wa, o ke oki auwae, i mea e loaa ai kela niho. - - sticky periosteal iwi transplantation o composite kiko pedicle translocation, e hoʻolako i ka 'epekema kumu a me ka hōʻoiaʻiʻo o ka holomua. Eia kekahi, i ka hoʻokumu 'ana i ka loina o ka surgical-orthodontic hui hui lapaʻau i ka surgical lapaʻau o dental a me maxillofacial deformities oi hemolele, a maoli komo. he wā hou o ka hoʻohui ʻana i ka hana me ka morphology.

No ka mea, ʻo ka hoʻomaʻamaʻa ʻana i nā mea maʻi me nā deformities a me ka maxillofacial e pono e hoʻokumu ʻia ma luna o nā deformities a me nā koi o ka mālama ʻana, pono e ʻoki ʻia ka paʻakikī niho a me ka iwi e hoʻoneʻe hou i ka pilina spatial ʻekolu-dimensional a me ka hana o ka hale niho maʻamau a me ka maxillofacial. a no ka loaʻa ʻana o ka hopena hoʻonaninani maikaʻi o ka maxillofacial. 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 hoʻolālā i koho ʻia.

Hoʻohana ʻia ʻo Orthognathic no ka hoʻoponopono ʻana i nā mea ʻino a i ʻole nā ​​​​mea ʻino o ka morphology i kumu ʻia e ka nui a me ke ʻano o ka maxilla i hoʻokumu ʻia e 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 ʻē aʻe. Pono paha ke ʻoki ʻana no ka hoʻomaikaʻi ʻana i nā hiʻohiʻona maka, e like me ka puka ʻana o ka mua alveolar kiʻekiʻe o luna (buckteeth), ka puka mua o ka alveolar haʻahaʻa (overbite), ka wehe ʻana o ka ʻāwae mua, a me nā ʻiʻo koʻikoʻi.