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A dentofacial osteotomy or orthognathic surgery (also known as corrective jaw surgery) is an oral surgery where bone is cut, moved, modified, and realigned to correct a dentofacial deformity. The word "osteotomy" means the division, or excision of bone. The dental osteotomy allows surgeons to visualize the jawbone, and work accordingly. The operation is used to correct jaw problems in about 5% of general population〔 〕 presenting with dentofacial deformities like maxillary prognathisms, mandibular prognathisms, open bites, difficulty chewing, difficulty swallowing, temporomandibular joint disorder pains, excessive wear of the teeth, and receding chins. Many surgeons prefer this procedure for the correction of a dentofacial deformity due to its effectiveness. == History of the Dentofacial Osteotomy == Mandible and maxilla osteotomies date to the 1940s. They were used to correct dentofacial deformities like a malocclusion, and a prognathism.〔Puricelli, Edela. "A new technique for mandibular osteotomy." Head & Face Medicine 3.15 (2007). Head & Face Medicine. 13 Mar. 2007. BioMed Central Ltd. 27 Feb. 2009 http://www.head-face-med.com〕 Advances have been made in the procedures, and in the anesthesia used. In 1985, mandible and maxilla osteotomies were effectively used to correct more extreme deformities like receding chins, and to relieve pain from temporomandibular joint disorder (TMJ). Prior to 1991, some patients undergoing a dentofacial osteotomy still had third molars (wisdom teeth), and had them removed during surgery. An extensive study done by Dr. M Lacy and Dr. R Colcleugh, was used to identify threats of combining the two surgeries used 83 patients from the time span of 1987 and 1991. Patients were reviewed, and divided into two groups; those who had, and those who didn't have their third molars extracted during the dentofacial Osteotomy. The study showed that 73% of patients developed an infection of the hardware inserted into the jaw when having their third molars removed during an osteotomy. The data indicated that getting the osteotomy and the third molar extraction at the same time highly increases the chances of infection development.〔M, Lacey, and Colcleugh R. "Infected screws in patients treated by mandibular sagittal split osteotomy." Journal of oral and Maxillofacial Surgery 53.1 (2009): 510-12.〕 Advances in the surgical techniques allow surgeons to perform the surgery under local anesthesia with assistance from intravenous sedation. Dr. Raffaini introduced this technique in 2002 after a four-year study done with local anesthesia and assistance from intravenous sedation. Prior to this, surgeons would fully sedate patients, hospitalizing them shortly after the surgery for a 2-3 day recovery, specifically from the anesthesia. Advancements allow surgeons to expand the use of an osteotomy on more parts of the jaws with faster recovery time, less pain, and no hospitalization, making the surgery more effective with respect to time and recovery.〔Raffaini, Micro. "The sagittal mandibular osteotomy under local anesthesia and intravenous sedation:Four years of multicenter experience." Adult Orthod Orthognath Surgery. 14. 17 (2002): 267-71.〕 The procedure, which is strictly used for a mandibular (jaw) deformity and mobilization, has advanced from similar, very effective procedures performed since 1985. The original mandible and maxilla osteotomy procedure still remains almost unchanged, as it is the simplest and still the most effective for dentofacial deformity correction. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「dentofacial osteotomy」の詳細全文を読む スポンサード リンク
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