Anterior maxillary osteotomy technique

Wassmund technique1935 preserves both buccal and palatal pedicle. Anterior mandibular alveolar osteotomy, as described by hofer 1942, is a timehonored technique utilized in the correction of a variety of maxillomandibular disharmonies. The first anterior segmental maxillary osteotomy asmo was reported at the beginning of the twentieth century. Anterior maxillary osteotomy amo is a versatile procedure in the management of a variety of deformities of the anterior maxillary dentoalveolar. Pdf anterior maxillary sandwich osteotomy technique with. Maxilla osteotomy an overview sciencedirect topics. Anterior maxillary segmental osteotomy introduction. Interosseous and soft tissue collateral circulation and the freely anastomosing gingival, palatal, floor of the nose and periodontal plexuses permit many variations of the anterior maxillary osteotomy technique labial versus palatal pedicles without detriment to the integrity of the blood supply to the anterior maxillary segment 24 fig. Surgical technique disection techniques anterior superior inferior. The anterior segmental maxillary osteotomy pocket dentistry. Anterior maxillary osteotomy, usama dakrory md part 1. This bird wing segment technique is a simple procedure, which allows the precise amount of calculated bone removal in a single piece from the nasal floor. It is also used to move the segment superiorly or inferiorly as indicated. In his pioneering article in 1921, he described the evolution of his idea to perform an osteotomy of the anterior segment of the maxilla while preserving the vestibular pedicle and, in a later design, also the palatal artery.

This prospective study aimed at studying the complications associated with different techniques of anterior segmental maxillary osteotomy. Osteotomy kept 56 mm apical to apical to roots of maxillary teeth, it means 30 35 mm from the tip of the crown. Place the bulb of your forefinger to feel for the cut. A complication during anterior maxillary osteotomy. Aim this prospective study aimed at studying the complications associated with different techniques of anterior segmental maxillary osteotomy. Obtaining appropriate access to maxillary segment,apices of root identified by the bony protuberance or by using peria apical or panoramic radiographs. The soft tissue flap provided adequate blood supply to the. Inferior repositioning of the maxilla farther than 3 mm requires a bone graft for added stability. A modified anterior maxillary ostectomy sciencedirect. Care should be taken not to tear the palatal mucosa. Alternatively, the osteotomy line can be modified for maxillary inferior repositioning. The anterior maxillary segmental osteotomy described by wassmund 1935a and wunderer 1962 was one of the most frequently used osteotomies to set back the anterior segment of the maxilla in cases of dentoalveolar protrusion. Anterior maxillary sandwich osteotomy technique with. Anterior maxillary osteotomy amo is a versatile procedure in the management of a variety of deformities of the anterior maxillary dentoalveolar component.

Anterior maxillary osteotomy in dental treatment jada. Stability after inferior or anterior maxillary repositioning by le fort i osteotomy. Histologic examination of the maxillae revealed that this technique is sufficient to support total maxillary osteotomy through 28 days. Anterior maxillary osteotomy through buccal approach cuper approach. Anterior segmental maxillary osteotomy used when alteration of premaxilla in the vertical plane is required as in anterior open bite or deep over bite three techniques are usually described down fracture technique preferred when vertical movement is required. Anterior maxillary osteotomy is done at the premolar region with a micromotor and 590 surgical bur. The international journal of adult orthodontics and. Experience with anterior maxillary osteotomy techniques. One success ful surgical orthodontic procedure, the anterior maxillary osteotomy, permits the movement of the anterior maxilla after the premolars have been re. C, posterior wires combined with anterior plate and screw fixation can reduce the cost of the. Materials and methods nine patients suffering from multiple missing anterior maxillary teeth were selected with vertical dimension not less than 10 mm. Gunther cohnstock tried to surgically correct a marked overjet and overbite of the central maxillary teeth.

The anterior maxillary osteotomy amo is employed primarily to reposition the anterior dentoosseous segment posteriorly. Nine patients suffering from multiple missing anterior maxillary teeth were selected with vertical dimension not less than 10 mm. When posterior maxillary inferior repositioning of 3 mm or less is desirable, a curvilinear cut is made in the posterior maxilla. Although the techniques of maxillary osteotomy lefort i level and. Two basic operative approaches for anterior maxillary ostectomy have been used.