Docteur Eric Girard
Ancien Assistant Hospitalo-Universitaire – Master Orthodontie Linguale – Romans sur Isère – France
Lingual braces and surgical orthognatic treatment
To guarantee their stability over time, post-growth orthodontic treatments make for harmonious smiles by re-arranging teeth according to the patient’s anatomy and function.
Sometimes the difference between natural anatomy and ideal configuration is such important that it can only be solved by surgery. The resulting orthodontic and surgical treatment is based on a tight collaboration between orthodontist and maxillofacial surgeon: the orthodontist decompensates and idealizes the jaws in order for the maxillofacial surgeon to fixate them in occlusion.
While the orthodontic preparation requires a non-removable material to be stuck on the teeth, the braces may be fixed on the lingual surface so that they’re invisible. This method calls for tailor-made material. As the appliance’s manufacturing is now computer assisted, the orthodontist-and-surgeon team opens to a third member: the computer-scientist lab technician. He’s in charge of organizing the making of braces and orthodontic appliances.
Orthognatic surgery also evolves into a partnership between maxillofacial surgeon and computer-scientist lab technician. In the near future, it will be possible to compare a simulated future dental composition to a simulated future bone constitution. Before actually beginning any treatment, the final and ideal result will already be virtually achieved.