atients with congenital or acquired abnormalities of facial bones and • soft tissue generally require the assistance of many medical and denfal specialists to achieve maximal rehabilitation. Patlerits with maloc lusions nd facial abnormalities resulting from an abnormal growth of acial bones usually require the services of general dentists, prosthodonti ts.
periodontists, orthodontists, and oral and maxillofacial surge ns. The care of patients with cleft lips and palates involves all of the dental specialists, as well as pediatricians, plastic surgeons, otolaryngologists, speech and hearng therapists, and psychologists. Chapters 25, 26, and 27 outline the treatments available for these patients, the sequence of treatment, and the need for participation of dental generalists and specialists.
Surgical procedures designed jo enhance facial and total body esthetics are
increasing in popularity. Patients of all ages are interested in procedures to
improve abnormal or unesthetic facial features such as poorly roportioned
noses, weak chins, and protruding ears. Aging patients are interested in’ procedures
that provide a more vouthful appearance to the face. Oral and maxillofacial
surgeons perform f~cial cosmetic procedures and help coordinate
other aspects of cosmetic dental treatment to provide the best possible esthetic improvement. Chapter 26 discusses these topics.
facial trauma and pathologic anomalies often result in the loss of large
portiops of the jaws and associated structures. Reconstruction of missing
portions of the jaws and associated facial bones and soft tissues usually
necessitates comprehensive and often multiple. surgical treatments to rehabilitate the patient adequately, Chapter 28 discusses the principles of max- . ilIofacial reconstruction.