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Facial and Dental Planning for Orthodontists and Oral Surgeons

Oral Maxillofacial Surgery and Pathology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505 601-984-6090 phone; 601-984-4949 fax; hprecheur{at}sod.umsmed.edu.

This book represents the authors’ goal-directed, systematized, and objective approach to the diagnosis and treatment planning of the orthodontic and/or orthognathic-orthodontic patient. Their approach addresses the following concerns: 1) the occlusion with special emphasis on maintenance of periodontal health; 2) facial balance with particular attention to the patient’s chief concern; 3) temporomandibular joint health; 4) long-term stability; and 5) airway competency.

Prior to the table of contents there is "an overview of the facial planning process," which conveniently subdivides the book into two segments: "gathering information" and "identifying the problems." This overview summarizes the contents of each chapter, enabling readers to direct their attention to particular areas of interest at any point in time.

The authors present detailed criteria for the clinical examination and stress the importance of integrating this information into the soft tissue cephalometric analysis, keeping in mind the patient’s chief concern. They also present an approach to evaluating and managing temporomandibular dysfunctions both prior to and during therapy and its significance in long-term case stability.

Chapter 7, "Facial Treatment Planning," for example, demonstrates how the information gathered, utilizing the previously presented methodology, is distilled to present a problem list to be addressed in achieving the "goals of treatment." The three groups of treatment protocols—orthodontic, surgical, and orthodontic possible surgical—are systematically laid out in detail with emphasis on comprehensive analysis of the borderline orthodontic possible surgical cases.

There are some limitations in the book. In chapter 5, "Diagnosing the Case," the authors point out that their soft tissue cephalometric analysis is based on a database from a 1999 article by Dr. Arnett in the American Journal of Orthodontics and Dental Orthopedics, but the database is derived from the analysis of forty-six Class I Caucasian patients chosen on the basis of "Balance of Facial Parts," which potentially limits the use of this analysis to that particular racial group. An analysis of similar data collected from other racial groups would allow a more universal application of the authors’ protocols.

The authors’ writing style is direct and practical, and the book is well organized. Each chapter is generously supported with excellent diagrams, tables, forms, and photographs of clinical cases. The references at the end of each chapter are followed by the authors’ clinical cases to illustrate and elaborate on the information in that chapter. Throughout the book, the authors provide reproductions of their information-gathering and treatment-planning instruments. This volume would be a valuable addition to the library of all those involved in the treatment of orthodontic and/or orthognathic surgical cases.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Precheur, H. V. Search for Related Content PubMed Articles by Precheur, H. V.