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“Clockwise Rotation of the Occlusal Plane for Aesthetic Purposes by Double Jaw Surgery without Orthodontic Treatment.”

Lee, Tae Sung M.D.; Park, Sanghoon M.D., Ph.D.

Plastic and Reconstructive Surgery: August 23, 2019 - Volume PRS Online First - Issue - p
doi: 10.1097/PRS.0000000000006248
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Background: The occlusal plane angle is an important factor in lateral facial aesthetics. Low occlusal plane facial profiles appear planar and long-faced, while high occlusal plane facial profiles are considered more attractive, especially in Asian regions. Clockwise rotation of the occlusal plane for truly aesthetic purposes can be accomplished with double jaw surgery, without need for orthodontic treatments.

Methods: Patients with normal occlusion who desired to improve their lateral facial aesthetics were included in this study. A conventional Le Fort I osteotomy was followed by a sagittal split ramus osteotomy under general anesthesia. The movement of the maxillomandibular complex was determined in accord with a preoperative analysis.

Results: From 2015 to 2017, 43 patients with normal occlusion underwent double jaw surgery without orthodontic treatment. While all patients were subjectively satisfied with the surgery, 2 underwent orthodontic treatment to correct mild occlusal discrepancies noticed after surgery. There were no delayed occlusal problems or relapses reported during the study.

Conclusion: For patients who desired to improve their lateral facial aesthetics but had normal occlusion, orthognathic surgery without orthodontic treatment can be effective. Clockwise rotation of the occlusal plane by double jaw surgery without orthodontic treatment resulted in satisfactory aesthetic outcomes with stable and reliable long-term results.

Center for Maxillofacial Surgery, ID Hospital, Seoul, Korea

Financial disclosure Statement: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Corresponding Author: Sanghoon, Park, M.D., Ph.D., Center for Maxillofacial Surgery, ID Hospital, Dosan-daero 142, Gangnam-gu, Seoul, 06039, Korea. Tel: +82-2-547-0050 / Fax: +82-2-547-0193 / E-mail: papark@nate.com

©2019American Society of Plastic Surgeons