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Handbook of Orthognathic Treatment A TEAM APPROACH Handbook of Orthognathic Treatment A TEAM APPROACH Ashraf Ayoub, Balvinder Khambay, Philip Benington and Lyndia Green, Khursheed Moos, Fraser Walker This edition first published 2014 © 2014 by John Wiley & Sons, Ltd Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www. wiley.com/wiley-blackwell The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. 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No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom. Library of Congress Cataloging-in-Publication Data Ayoub, Ashraf, author. Handbook of orthognathic treatment : a team approach / Ashraf Ayoub [and five others]. p. ; cm. Includes bibliographical references and index. ISBN 978-0-470-65905-2 (cloth : alk. paper) – ISBN 978-1-118-70940-5 – ISBN 978-1-118-70943-6 – ISBN 978-1-118-70949-8 (epub) I. Title. [DNLM: 1. Orthognathic Surgical Procedures–methods–Case Reports. 2. Orthognathic Surgical Procedures–psychology–Case Reports. 3. Maxillofacial Abnormalities–psychology–Case Reports. 4. Patients–psychology–Case Reports. WU 600] RK521 617.6'43–dc23 2013017937 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Cover images: Top left and top right: reproduced with permission from Elsevier; bottom left: source – 123RF.COM © fixer00; background: reproduced with permission from Greater Glasgow & Clyde NHS Trust; middle left: courtesy of the authors. Cover design by Sandra Heath Set in 8.5/11 pt Stone serif by Toppan Best-set Premedia Limited, Hong Kong 1 2014 Contents List of authors, vii Foreword, ix Preface, xi 1 Psychological considerations for the orthognathic patient, 1 2 Dentofacial assessment, 16 3 The treatment planning process, 51 4 The role of orthodontics, 62 5 Orthognathic technical procedures, 80 6 Prediction planning, 94 7 Basic orthognathic surgical procedures, 111 8 High level osteotomies, 146 9 Case reports, 155 9.1 Class II, division 2 malocclusion, 157 9.2 Vertical maxillary excess, 160 9.3 Class III malocclusion, 163 9.4 Mandibular asymmetry with 3D planning, 166 9.5 Anterior open bite, 170 9.6 Class II, division 1 with hypodontia, 173 Index, 177 v List of authors Professor Ashraf F. Ayoub Dr Lyndia Green BDS, MDS, PhD, FDS RCS(Ed), FDS RCPS(Glas), BA(Hon), DClinPsy, MAppSci FDS(OS) RCS(Ed) Consultant Clinical Psychologist Professor of Oral & Maxillofacial Surgery Glasgow Royal Infirmary The University of Glasgow Glasgow, UK Glasgow, UK Professor Khursheed Moos Dr Balvinder S. Khambay BDS, MBBS, FRCS(Ed), FDS RCS(Eng), FDS RCS(Ed), BDS, PhD, FDS RCS(Eng), MOrth RCS(Ed), RCPS(Glas), FRCPS(Glas) FDS(Orth) RCS(Eng) Honorary Research Fellow Clinical Associate Professor in Orthodontics The University of Glasgow Faculty of Dentistry Glasgow, UK The University of Hong Kong Hong Kong Mr Fraser Walker MSc, FIMPT Mr Philip C.M. Benington Consultant Maxillofacial Prosthetist BDS, FDS(Orth) RCS(Ed), FDS RCPS(Glas), MSc, Regional Maxillofacial Unit MOrth RCS(Eng) The Southern General Hospital Consultant and Honorary Clinical Senior Lecturer Glasgow, UK in Orthodontics Glasgow Dental Hospital and School Glasgow, UK vii

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This handbook provides a short, contemporary text on the management of dentofacial deformities. The importance of a well organised, inter-disciplinary approach is emphasised throughout and the following key areas are presented:A detailed account of the role of the psychologist, from initial assessme