Establishing a clinical psychology team within the orthognathic service: A triad model of orthodontic, maxillofacial and psychological care.

The importance of psychological support for orthognathic patients has taken an increasing precedence over recent years and is embedded in orthognathic commissioning guidelines. Furthermore, attention towards mental health-related conditions and their management is of prime importance and continues to be a key area of focus within healthcare settings. With this in mind, this paper aims to outline our experience of establishing a need for and subsequently securing funding to establish a clinical psychology service within an existing orthognathic service in the NHS.

Incidence and impact of previous orthodontic treatment in patients attending orthognathic combined clinics: a survey.

This prospective questionnaire-based study was designed to determine the incidence of patients attending orthognathic combined clinics who have previously had orthodontic treatment, and to assess the impact, if any, this has had on their proposed surgical treatment. Contemporaneous and historical data from consecutive patients at different stages of treatment who were attending clinics at two London hospitals during a three-month period were included. In total 22/56 patients (39%) had previously had orthodontic treatment, and of those, it had had an undesirable effect on the current management of 10 (45%).

Use of the alar base cinch suture in Le Fort I osteotomy: is it effective?

The alar base cinch suture is often used to mitigate the unfavourable increase in nasal width after Le Fort I impaction or advancement of the maxilla. Recently a number of studies have looked at the stability and clinical outcome of this intervention. We investigated the effect of an alar base cinch suture on the change in width of the alar base after Le Fort I osteotomy using a three-dimensional imaging system.

Maxillary calcifying epithelial odontogenic (Pindborg) tumor presenting with abnormal eye signs: case report and literature review.

Calcifying epithelial odontogenic tumors (CEOT) are uncommon, accounting for less than 1% of all odontogenic tumors. The CEOT, since its description by Pindborg in 1958 as a separate pathologic entity, is commonly known as the Pindborg tumor. We present an unusual case of such a tumor in the maxilla presenting with abnormal eye signs.

Anterior transmandibular osteodistraction: clinical and model observations.

Introduction: The aim of this paper was to study the effect of transmandibular distraction on the periodontal and dental structures, and the initial movements of the mandibular halves, when using an axial plane non-rigid bone-borne distractor (TMD).

Material And Methods: Fourteen patients undergoing bimaxillary transverse osteodistraction had their six lower anterior teeth assessed for mobility, sensitivity, and pocket depth. Recordings were made pre-operatively, post-distraction, post-consolidation and at 1-year follow-up.