Domyślny

The notion of orthognathics is related to all surgeries performed involving bones which compose the face. It is a relatively new discipline of maxillofacial surgery in Poland, which is being developed by a small group of dentists specializing in this specific form of treating facial developmental defects (dr hab. n. med. Katarzyna Sporniak-Tutak).

The improvement of features is not only a result of a desire to improve one’s appearance but, most of all, a result of the necessity to restore basic functions, such as correct speech, swallowing, biting, and chewing. Regardless from the above, deformed features cause various types of negative social and psychological disorders which hinder social relationships and professional development.

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As a consequence, the increasing stress and anxiety may have adverse effects on mental and physical health.

This is mainly a result of the fact that modern societies have increased the role of physical attractiveness in their recognition of reality; aesthetics becomes more important than a person’s character and quality. In many cultures, physical attractiveness has become an important aspect motivating people to improve their image, what is often fuelled with unrealistic photos of movie stars and celebrities presented in mass media.

In most cases, patients are aware of their reasonable aesthetic problems resulting from developmental defects of facial bones. After the treatment, their self-esteem is improved and their self-confidence is increased because the patients perceive themselves as more attractive and so does their environment. Their emotional stability and mood are also improved. As a consequence, their social acceptability rises. This has a significant influence on the improvement of the patients’ mental state. Research has indicated that the improvement of appearance has a beneficial effect on interpersonal relationships and employment opportunities, what is really important nowadays.

Orthognathic treatment is performed in stages and requires good coordination of several specialists: a maxillofacial surgeon, an orthodontist, and, sometimes, a prosthodontist. It also requires a well-prepared surgical base, i.e. an operating room with an anaesthetic team. 

STAGE 1 – DIAGNOSTICS. The diagnostics includes, most of all, the analysis of the facial features and bite of the patient. This consists mainly in determining the proportions and distances between separate parts of the face. Basic functions of the oral cavity (speech, swallowing, biting) are assessed. More detailed examinations are performed based on specialist x-rays or CT scans. Auxiliary materials include plaster diagnostic models and face photos taken from various angles (profile, half-profile, front, full smile, half smile).

STAGE 2 – PREPARATION. The preparation usually consists in a decompensation of (increase in) the occlusal defect, teeth alignment, and the harmonization of teeth arches. The purpose of these is to make the teeth come together normally after the surgery.

STAGE 3 – SURGERY. The surgery is performed in centres adapted to surgical treatment, i.e. in hospitals and private centres with surgery rooms and post-surgical care. It is always performed with general anaesthesia. This means that a patient has to stay in hospital for a short time, 2-3 days or longer – after more complex surgeries. AESTHETIC DENT meets these requirements. The treatment consists in the restoration of proportions of and relationships between facial bones by performing a surgery on one or both jaws. This can be additionally supported with plastic operations of chin, nose, or cheek bones (cheek curves). The decision about the type of surgery is made by the surgeon based on the initial analysis of the patient’s features and performed diagnostic examinations. The aim of the surgery is to improve, to a maximum extent, the facial features and the bite as well as to achieve correct functioning of maxillary joints and the stability of the reached treatment results.

STAGE 4 – RETAINING. This includes muscular rehabilitation which consists in the adaptation of the work of facial muscles to the new bite and the final stage of the orthodontic treatment, which consists in the stabilization of the achieved treatment results using various retainers. Sometimes, an additional aesthetic and prosthetic treatment is recommended which restores the desired teeth appearance.

ESTHETIC DENTISTRY ORTHODONTICS

RESEARCH

Aesthetic Dent team led by Katarzynę Sporniak-Tutak is involved in a multicenter research program which brings together the most prestigious research centers from Switzerland, Austria, USA and Spain. Aesthetic  Dent Clinic is currently the only center in Poland, which conducts research on such a large scale in the field of short implants. The aim of the study is a long-term (5.5 years) functional assessment of short- implant in bony compromised conditions.

 
Thanks to changing technology of implants production to increase bone-to-implant contact, we investigate efficacy of short implants compared to standard dimensions implants. Based on the preliminary results, we expect many positive effects of the treatment. These include: reducing the need for CT scans, irradiation decrease, limitation and reduction of peri-implant advanced procedures such as bone grafting or bone reconstruction procedures. Also abridgement of treatment time and associated costs. Short implants can also be safely used in patients with systemic diseases that would hinder the process of surgery and healing.
 
 
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