1. Total mandibular alveolar osteotomy
- Author
-
Robert Bruce MacIntosh
- Subjects
Orthodontics ,business.industry ,medicine.medical_treatment ,Alveolar process ,Mandible ,Dentistry ,General Medicine ,Inferior alveolar nerve ,Osteotomy ,medicine.disease ,Hypoplasia ,stomatognathic diseases ,medicine.anatomical_structure ,stomatognathic system ,Agenesis ,Occlusion ,medicine ,Prognathism ,Surgery ,business - Abstract
Summary Anterior mandibular alveolar osteotomy, as described by Hofer (1942), is a time-honored technique utilized in the correction of a variety of maxillo-mandibular disharmonies. Mobilization of the mandibular alveolar process further distally, certainly as far distally as the 3rd molar region, would seem to have very few indications. Mobilization of the entire alveolar process in this fashion, however, has proved successful in several situations, most predominantly infantile apertognathia. The author views mandibular condylar agenesis/hypoplasia and regression subsequent to mandibular repositioning through the ramus as other indications. Trauma to the inferior alveolar nerve is the most prominent theoretical and actual undesirable effect of this surgery, but, in all cases treated thus far, post-operative paresthesias have been transient. Maintenance of the desired occlusion with no suggestion of regressive tendency (longest postoperative period 27 months) is the major advantage of the technique. Review of the European and American literature suggests that total mandibular osteotomy has not been previously reported.
- Published
- 1974