The Patient

Veronique C.M.L. Timmer*, Peter Kessler*, Nicolas Hardt

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademic

Abstract

An accurate orthognathic planning is based on a combination of clinical examination, imaging, and facial analysis. Röntgen imaging commonly used for orthognathic diagnosis and planning includes conventional X-rays or conebeam computerized tomography (CBCT). Especially CBCT can reproduce an accurate visualization of the bone structures of the face but are less accurate in depicting soft tissues. However, soft tissue evaluation and prediction of soft tissue changes after surgery are essential to obtain a satisfying end result for the patient as well as for the surgeon. Therefore, physical examination and analysis of the facial soft tissues remain a fundamental step in orthognathic planning. This chapter will discuss the chronological steps of planning in orthognathic surgery. The frequently used radiologic imaging modalities and their technical background and clinical indications will be briefly evaluated.
Original languageEnglish
Title of host publicationIllustrated Manual of Orthognathic Surgery
Subtitle of host publicationOsteotomies of the Mandible
EditorsPeter Kessler , Nicolas Hardt , Kensuke Yamauchi
PublisherSpringer
Pages41-50
Number of pages10
ISBN (Electronic)9783031069789
ISBN (Print)9783031069772
DOIs
Publication statusPublished - 1 Jan 2024

Keywords

  • 2D-Planning
  • 3D-Planning
  • Basic measurements
  • Cephalometric analysis
  • Clinical examination
  • Computer-based planning
  • Cone-beam computerized tomography (CBCT)
  • Facial analysis
  • General planning
  • Intake
  • Lateral cephalogram
  • Panoramic radiograph
  • Patient
  • Photo documentation
  • Preoperative assessment
  • Preparations for the surgical procedure
  • Radiology
  • Simulation surgery
  • Soft tissue analysis

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