PERlOPERATIVE CARE OF tHE ORTHOGNATHIC SURGICAL PATIENT

PERlOPERATIVE CARE OF tHE ORTHOGNATHIC SURGICAL PATIENT

PERlOPERATIVE CARE OF tHE ORTHOGNATHIC SURGICAL PATIENT — PERlOPERATIVE CARE
OF tHE ORTHOGNATHIC
SURGICAL PATIENT

PERlOPERATIVE CARE OF tHE ORTHOGNATHIC SURGICAL PATIENT — PERlOPERATIVE CARE
OF tHE ORTHOGNATHIC
SURGICAL PATIENT

FIG 25-30 — FIG 25-30

monitors postoperative progress. The patient is discharged when feeling comfortable, taking food and fluid orally without difficulty, and ambulating well. The postsurgical hospital stay usually ranges from 1 to of days.
Patients generally require only mild-to-moderate pain medication during this time and often require no analgesics after discharge. As soon as is feasible, postoperative radiographs are obtained to ensure that the predicted bone changes have taken place.

!-IG 2S -:) 1 Distraction osteoqenesrs with surgically assisted palatal expansion for correction of transverse maxillary deficiency. A, Severe constriction of maxilla with inadequate arch length (note that severe crowding exists even though premolars have been extracted). B, Expansion device in place. C, Maxilla expanded (note .space between central incisors). Both osteogenesis, with bone formation, and histogenesis, with formation of gingival tissue, are occurring. D, Space closed with anterior teeth orthodontically aligned using newly formed regenerate bone. E, Radiograph showing expansion with immature regenerate if}anterior space. F, Radloqraph after orthodontic alignment. (Text related to these images is found" on page 589.) — !-IG 2S -:) 1 Distraction osteoqenesrs with surgically assisted palatal expansion for correction of transverse
maxillary deficiency. A, Severe constriction of maxilla with inadequate arch length (note that severe
crowding exists even though premolars have been extracted). B, Expansion device in place. C, Maxilla
expanded (note .space between central incisors). Both osteogenesis, with bone formation, and histogenesis,
with formation of gingival tissue, are occurring. D, Space closed with anterior teeth orthodontically
aligned using newly formed regenerate bone. E, Radiograph showing expansion with immature regenerate
if}anterior space. F, Radloqraph after orthodontic alignment. (Text related to these images is found”
on page 589.)

FIG. ~5 3~ Case report of distraction csteogenesis (~O) to correctsevere mandibular deficiency. A and B, Preoperative facial esthetics demonstrating s-evere mandibular deficiency. C and D, Preoperative <!r:clusion demonstrating class II relationship. (Text related to these images is foun~ on page 58g.) Continued — FIG. ~5 3~ Case report of distraction csteogenesis (~O) to correctsevere mandibular deficiency.
A and B, Preoperative facial esthetics demonstrating s-evere mandibular deficiency. C and D, Preoperative
<!r:clusion demonstrating class II relationship. (Text related to these images is foun~ on page 58g.)
Continued

FIG. 25-32 — FIG. 25-32

~I('. 2')-3 L-;: — ~I(‘. 2’)-3 L-;:

FIG .. 25-33 — FIG .. 25-33

pag. (01). After an adequate accommodation period. the occh.c.il splint is removed and thepatient returned to the orthodontist’s care.

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