Recent advances in maxillofacial orthopedic surgery
Keywords:
CIRUGÍA BUCAL; CIRUGÍA ORTOGNÁTICA; DESARROLLO TECNOLÓGICO., SURGERY, ORAL; ORTHOGNATHIC SURGERY; TECHNOLOGICAL DEVELOPMENT., CIRURGIA BUCAL; CIRURGIA ORTOGNÁTICA; DESENVOLVIMENTO TECNOLÓGICO.Abstract
Introduction: orthognathic surgery constitutes an essential procedure to correct dentofacial deformities, simultaneously improving oral function and facial aesthetics.
Objective: to describe recent advances in surgical techniques, emerging technologies, and interdisciplinary approaches applied to orthognathic surgery.
Methods: a systematic review of the scientific literature was conducted across various databases. The search was performed using an algorithm with keywords and Boolean operators, allowing the identification of relevant sources. The selected studies, after applying inclusion and exclusion criteria, were critically analyzed considering timeliness, methodological quality, and thematic relevance, and were integrated into the final synthesis of the review.
Development: the findings highlight the incorporation of three-dimensional computed tomography, magnetic resonance imaging, and virtual planning as tools that optimize surgical precision. Three-dimensional printing enables the design of customized fixations and implants, reducing trauma and accelerating recovery. Minimally invasive techniques such as Le Fort I osteotomy, sagittal split ramus osteotomy, and genioplasty are described, which decrease edema and postoperative complications. Likewise, the “surgery-first” approach has improved patient satisfaction and motivation, integrating psychological and functional aspects. Interdisciplinarity among surgeons, orthodontists, and other specialists is consolidated as a cornerstone for successful outcomes.
Conclusions: orthognathic surgery has evolved toward more precise, personalized, and less invasive procedures, supported by digital technologies and virtual planning. These advances strengthen safety, reduce morbidity, and improve patients’ quality of life, consolidating a comprehensive approach that combines aesthetics, function, and psychological well-being.
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