Introduction
Vertical maxillary excess (VME) is a common skeletal discrepancy that is often associated with malocclusion and facial esthetic issues. It refers to an excessive vertical growth of the maxilla, leading to an overdevelopment of the upper jaw in relation to the rest of the facial structures.
Relationship with Orthodontic Orthognathic Surgery
VME can significantly impact the occlusion and facial profile, necessitating a comprehensive treatment approach that may involve orthodontic orthognathic surgery. Orthodontics alone may not be sufficient to address severe cases of VME, especially if there are significant functional and esthetic concerns. In such cases, orthognathic surgery may be recommended as part of the treatment plan to correct the underlying skeletal discrepancy.
Treatment Options
Orthodontic Treatment: In less severe cases of VME, orthodontic treatment may be the primary modality for addressing the malocclusion. This may involve the use of braces, aligners, or other orthodontic appliances to correct the dental misalignment and improve the occlusal relationship. However, it is important to note that orthodontic treatment alone may not address the underlying skeletal discrepancy associated with VME.
Orthognathic Surgery: For more severe cases of VME, orthognathic surgery may be indicated to reposition the maxilla and establish a more harmonious relationship between the upper and lower jaws. This surgical intervention aims to correct the skeletal discrepancy and achieve optimal facial balance and function. The decision to undergo orthognathic surgery will involve careful examination, diagnosis, and treatment planning by an orthodontist and oral and maxillofacial surgeon.
Orthodontic Pre-Surgical Preparation: In cases where orthognathic surgery is planned, pre-surgical orthodontic treatment is often necessary to align the teeth and create an ideal dental arch form. This initial orthodontic phase prepares the dentition for the surgical repositioning of the maxilla and facilitates the overall treatment process.
Post-Surgical Orthodontic Treatment: Following orthognathic surgery, post-surgical orthodontic treatment is typically required to further refine the occlusion and ensure long-term stability of the surgical correction. This phase focuses on detailing the dental alignment and occlusal adjustments to achieve optimal functional and esthetic outcomes.
Possible Outcomes
Successful correction of vertical maxillary excess through a combined approach of orthodontics and orthognathic surgery can lead to a range of positive outcomes, including:
- Improved occlusion and dental alignment
- Balanced facial aesthetics and harmony
- Enhanced functional efficiency of the masticatory system
- Enhanced patient satisfaction and confidence
It is important for individuals with VME to seek a comprehensive evaluation by an orthodontist and oral and maxillofacial surgeon to determine the most appropriate treatment plan tailored to their specific needs and goals.