Historical overview of experience in the Surgico-Orthdontics treatment in Taipei-Veterans General Hospital, Department of Stomatology
Shou-Yen Kao, DDS, MHA, DMSc
Chair and Professor, Department of Stomatology,
Taipei-Veterans General Hospital
National Yang-Ming University
In this talk, I will briefly give an introduction and historical
review to discuss the current diagnosis and the treatment sequence, further to
systemically go over our cases and conclusion. The teamwork of combined
surgical-orthodontics treatment in Taipei-VGH was primarily conducted from 1984
when our mentor, professor Richard Che-Shoa Chang, came back from his graduate
career in the University of Alabama. Since then a standard treatment sequence
of Taipei-VGH was built on the basis of presurgical analysis, combined meeting,
presurgical model set-up, paper surgery and peri-surgical care. Until now, more
than 1000 cases were treated in our hospital. Most cases were categorized to a class
III jaw relationship with feature of mandible prognathism. Relatively rare
cases were categorized as bimaxillary protrusion or class II jaw relationship.
Tracing back to the historical review, the pendulum of treatment guidance swang
from a pure surgical correction with or without minor assist in orthorontics, through
a comprehensive treatment sequence of combined surgico-orthodontics management,
and to a currently innovated & digital analysis based treatment sequence.
The contemporary treatment was conducted by planning on the website, simulating
model by Cad/Cam, guiding by navigation surgery. Even though didactic scientific
innovations in the skill and equipment had contributed to the major achievement
of orthognathic surgery from prediction to completion of treatment, the
cosmetics concern from patients’ expectation still attributed to some
uncertainty of “success”, which should be kept in mind especially for those
young surgeons who are interested in this challenging field of Maxillo-Facial
Surgery.
Keywords: surgico-orthodontics treatment, prognathism, cosmetics
