Cunha Arthur, Silveira Henrique Martins da, Miguel José Augusto Mendes
State University of Rio de Janeiro (UERJ), Orthodontic clinic (Rio de Janeiro/RJ, Brazil).
State University of Rio de Janeiro (UERJ), Division of Oral and Maxillofacial Surgery, Pedro Ernesto University Hospital (Rio de Janeiro/RJ, Brazil).
Dental Press J Orthod. 2025 Apr 7;30(1):e25spe1. doi: 10.1590/2177-6709.30.1.e25spe1. eCollection 2025.
Orthognathic surgery, a well-established procedure for correcting significant skeletal imbalances, addresses both aesthetic and functional concerns. Traditionally, fixed orthodontic appliances have been preferred due to their effectiveness in managing dental movements and ensuring postoperative stability. However, the increasing demand for more aesthetic and comfortable options has led to the growing use of clear aligners, even in complex surgical cases. Although aligners present some limitations, such as reduced control over certain dental movements and the need for greater patient compliance, they offer notable advantages in terms of comfort and aesthetics. Similar to fixed appliances, the successful integration of aligners with orthognathic surgery requires meticulous planning and close coordination between the orthodontist and surgeon.
This article provides detailed guidelines for professionals on planning and executing orthodontic-surgical treatments using clear aligners, covering both conventional and surgery-first approaches. Clinical examples will illustrate the aesthetic and functional benefits, as well as key technical challenges in daily practice.
正颌外科手术是一种成熟的矫正严重骨骼失衡的手术，可解决美观和功能问题。传统上，由于固定正畸矫治器在控制牙齿移动和确保术后稳定性方面的有效性，一直受到青睐。然而，对更美观舒适选择的需求不断增加，导致即使在复杂的手术病例中，透明矫治器的使用也越来越多。尽管矫治器存在一些局限性，如对某些牙齿移动的控制减少以及需要患者有更高的依从性，但它们在舒适度和美观性方面具有显著优势。与固定矫治器类似，矫治器与正颌外科手术的成功结合需要正畸医生和外科医生之间进行细致的规划和密切的协调。
本文为专业人员提供了使用透明矫治器进行正畸 - 外科治疗的详细规划和实施指南，涵盖传统方法和手术优先方法。临床实例将说明美观和功能方面的益处以及日常实践中的关键技术挑战。
