Complications in Orthognathic Surgery : A Literature Review

Abstract

The orthodontic-surgical treatment involves interaction of numerous professionals. A patient with skeletal malocclusion develops dental compensations, precluding or restricting the surgical correction. In this review we attempt to summarize the current knowledge of complications in orthognathic surgery. Based on the literature, temporomandibular disorders, challenging outcomes of orthognathic surgery in class 3 patients and unfavorable splits with the bilateral sagittal split osteotomy are known as the most complications. In conclusion, most published studies related to the surgery-first approach were mainly on orthognathic correction of skeletal Class III malocclusion. Both the surgery-first approach and orthodontics-first approach had similar long-term outcomes in dentofacial relationship. However, the surgery-first approach had shorter treatment time. There are relatively few reports concerning intraoperative complications relating to mandibular osteotomies. So, the aim of the current study was to determine complications in orthognathic surgery using the PubMed and Medline database English literature by the terms: ``Orthognathic surgery{''}, ``complications{''}, ``Bone density{''}.