Handbook of Orthognathic Treatment - A TeamApproach
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More About This Title Handbook of Orthognathic Treatment - A TeamApproach


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 assessment through to post-operative support.
  • A systematic approach to dentofacial assessment, including a section on diagnostic records and an overview of cephalometry.
  • A logical step-by-step approach to treatment planning, emphasising the interactive thought process required when setting orthodontic and surgical objectives.
  • The fundamentals of surgical orthodontics, with the scope and limitations of orthodontic appliances clearly explained for each phase of treatment.
  • A description of orthognathic technical procedures and how potential errors can be minimised in order to improve the accuracy of model surgery.
  • An account of how to carry out photo-cephalometric profile prediction planning, including a critique of the method.
  • A detailed description of the full range of mandibular and maxillary orthognathic surgical procedures, including indications and complications.
  • A chapter on higher-level osteotomies for the treatment of more severe craniofacial abnormalities is included for completeness.
  • A series of six contrasting case studies.

There is an emphasis on the technological advances that are rapidly enabling the global paradigm shift from 2D to 3D planning.


Ashraf  Ayoub, Professor of Oral & Maxillofacial Surgery, the University of Glasgow, the UK.

Balvinder Khambay, Associate professor of Orthodontics, the University of Hong Kong.

Philip Benington, Consultant in Orthodontics, GlasgowUniversityDentalHospital & School, the UK.

Lyndia Green, Consultant Clinical Psychologist, Glasgow Royal Infirmary, the UK.

Khursheed Moos, Honorary Clinical Research Fellow, the University of Glasgow, the UK.

Fraser Walker, Consultant Maxillofacial Prosthetist, the regional maxillofacial unit at the Southern General Hospital, Glasgow, the UK.


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


“This is a great introductory book for maxillofacial surgery senior house officers in particular. At a time when computer software is becoming pertinent clinically and emphasis on psychological aspects of healthcare is growing, this book succeeds in updating our basic knowledge.”  (British Dental Journal, 27 June 2014)