Department of Orthodontics and Pediatric Dentistry, Division of Orthodontics University of Maryland School of Dentistry, Baltimore, Md; Private practice, Olney and Rockville, Md.
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.
Am J Orthod Dentofacial Orthop. 2022 Jun;161(6):878-885. doi: 10.1016/j.ajodo.2022.01.009. Epub 2022 Mar 3.
Orthognathic camouflage refers to the use of procedures other than traditional orthognathic surgery for correction of facial dysmorphology that reflects underlying skeletal discrepancy that was either not addressed on initial orthodontic evaluation or not corrected by nonsurgical treatment of the malocclusion. The authors aim to illustrate to the orthodontic community the common clinical presentation of patients who seek consultation from a surgeon citing dissatisfaction with their facial appearance secondary to orthodontic correction of the malocclusion with dental compensation but without surgical correction of the underlying skeletal discrepancy. This article summarizes the orthognathic camouflage procedures that are available as options for correction of such deformities without subjecting the patient to the potential morbidity and prolonged recovery associated with orthognathic surgery. This manuscript represents Part II of a two-part series describing a surgeon's approach to patients who present with facial skeletal disharmony after orthodontic treatment with dental compensation for malocclusions associated with an underlying skeletal discrepancy.
正颌掩饰治疗是指采用传统正颌手术以外的方法来矫正反映潜在骨骼畸形的面型异常，这些骨骼畸形在最初的正畸评估中未被处理，或通过非手术方法治疗错颌畸形未能得到纠正。作者旨在向正畸界介绍寻求外科医生咨询的患者的常见临床表现，这些患者因正畸矫正错颌畸形并进行牙代偿，但未对潜在的骨骼畸形进行手术矫正，而对其面型不满意。本文总结了正颌掩饰治疗的各种方法，这些方法可作为矫正此类畸形的选择，而无需让患者承受与正颌手术相关的潜在发病率和延长的恢复期。本文是描述外科医生处理正畸治疗后面部骨骼不协调的患者的方法的两部分系列文章的第二部分，这些患者因存在潜在骨骼畸形相关的错颌畸形而进行牙代偿。
