Seminars in Orthodontics
Introduction
To maximize success with orthodontic treatment, cooperation between the orthodontist and other specialties is crucial. This is especially true for patients who need orthognathic surgery, where success depends on a team that is led by the orthodontist and surgeon, and supported by other specialties such as general dentists, prosthodontists, and periodontists. This issue of Seminars in Orthodontics addresses various interactions between oral surgeons and orthodontists, andit addresses some special challenges that orthodontists might face. There are nine articles in this issue. The first three are related to orthognathic surgery and orthodontics. In the first one, we discuss the interaction between orthodontists and surgeons with respect to orthognathic surgical patients; our aim is to improve communication between the specialties. Recent advancements in surgical orthodontics make cooperation between the orthodontist, surgeon, and rest of the interdisciplinary team more important than ever. Orthognathic surgery is truly an interdisciplinary challenge, and lack of coordination among the team will lead to compromised results. Beyond the mechanics of orthognathic surgery, clinicians should be aware that patients experience various psychological and emotional challenges in the course of the presurgical, surgical, and postsurgical stages of treatment. Many factors can influence the patient’s level of anxiety, emotional instability, and postoperative satisfaction, so an understanding of the patient’s state of mind during each stage of treatment is important. Drs. Moon and Kim from UCLA discuss psychological considerations of orthognathic surgery and orthodontics. Dr. Maurer and colleagues from the University of Oklahoma report on airway implications in orthognathic surgery treatment planning. In this study, they focused on an evaluation of the minimum crosssectional area of airway passages. The next three articles discuss the interaction between the surgeon and orthodontist to treat unique problems in children and adolescents. Dr. Becker and his colleagues from Israel describe a closed versus open surgical procedure for exposing impacted canines. Dr. Frazier-Bowers and her colleagues from University of North Carolina deal with primary failure of eruption and other eruption disorder management by the orthodontist and oral surgeon. Dr. Shetye from New York University describes an update on the timing of orthodontics and surgery in treating cleft patients. The last three articles look at challenges and criticalissuesinorthodontictreatment.Dr.Evans from the University of Pennsylvania describes a three-dimensional evaluation of the dentoalveolar anatomy which provides more predictable treatmentoutcomesfororthodontistsandsurgeons. I summarize some work done with my colleagues at the Catholic University of Korea dealing with the potential of implants to restore missing anterior teeth in growing patients and the effect of the immediate application of orthodontic forces on newly placed implants. Finally, Dr. Kim and his colleagues from Yonsei University in Korea review the pot
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