Home Subscription Services

The International Journal of Adult Orthodontics & Orthogathic Surgery
AOOS Home Page
About the Editor
Reprints / Articles
Quintessence Publishing: Journals: AOOS


The International Journal of Adult Orthodontics & Orthognathic Surgery
(Published from 1986-2002)

Edited by Robert L. Vanarsdall, DDS and Raymond P. White, Jr, DDS, PhD

Continued by World Journal of Orthodontics.

ISSN 0742-1931

The International Adult Orthodontics & Orthognathic Surgery
Volume 17, Issue 4


The sagittal mandibular osteotomy under local anesthesia and intravenous sedation: Four years of multicenter experience

Mirco Raffaini,MD,DMD, PhD, Federico Hernandez Alfaro, MD,DMD, Rolando Ghilardi,MD,DMD, Alicia Garcia Lopez,MD,DMD

Today many surgical procedures involving head and neck areas can be performed under local anesthesia and intravenous sedation. The authors add to this list the sagittal osteotomies of the mandibular rami, thereby avoiding the need for general anesthesia and a hospital stay. The authors designed a protocol to be followed in a multicenter study (Milan and Barcelona) and applied it in 35 clinical cases with Class II malocclusion. The surgical procedure was performed with the Monitored Anesthesia Care technique, a combination of regional anesthesia and intravenous sedation.The results were good in all the clinical cases; skeletal correction of Class II was achieved in all patients and there were no intraoperative or postoperative complications. The major advantage of this technique is the functional control of the temporomandibular joint, which avoids displacements caused by gravity and the muscular relaxation commonly seen under general anesthesia. Furthermore, this protocol allows a reduction in costs, duration of surgery, and patient morbidity and convalescence.When this technique is accepted without hesitation, all Class II patients with only mandibular deficiency deformity may be treated in the most suitable way, thus providing the most satisfactory outcomes for the patient, orthodontist, and surgeon.

Full Text PDF File | Order Article

  © 2022 Quintessence Publishing Co Inc

Home | Subscription Services | Books | Journals | Multimedia | Events | Blog
Terms of Use | Privacy Policy | About Us | Contact Us | Advertising | Help | Sitemap | Catalog