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J Korean Dent Assoc. 2012;50(11):677-681. Published online November 30, 2012.
DOI: https://doi.org/10.22974/jkda.2012.50.11.003
- 임상가를 위한 특집 3 - 악교정 수술과 함께하는 mandibular angle management
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한세진
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단국대학교 치과대학 구강악안면외과
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- Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery
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Se-Jin Han
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Dept. of OMS, College of Dentistry, Dankook University
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- Abstract
- Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.
Keywords :orthognathic surgery;V-line;mandibular angle shaving;
