Essentials of Orthognathic Surgery, Second Edition by Johan P. Reyneke

Author:Johan P. Reyneke
Language: eng
Format: epub
ISBN: 9780867155518
Publisher: International Quintessence Publishing Group
Published: 2012-05-02T04:00:00+00:00

Orthodontic mechanics

Crowding is often present in the maxillary arch and requires tooth extraction. The canines are usually blocked out, which is often the patient’s main complaint before treatment. The decision whether to extract the first or second premolars is influenced by the amount of crowding and required decompensation of the incisors. Presurgically, the maxillary incisors should be placed in good angulation in the central trough of bone. To achieve the best esthetic result, anteroposterior positioning of these teeth should be based on the visual treatment objective. Decompensation of the mandibular incisors is seldom indicated. The mandibular arch should be leveled and aligned to act as the “template” for the maxillary dental arch.

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