3.8 Orthognathic Surgery

Orthognathic surgery corrects conditions of the jaw related to structure, growth, malocclusion or trauma.

Categories:

  • BSSO – Bilateral Sagital Split Osteotomy (Mandible)
  • Genioplasty – Chin augmentation (Mandible)
  • Le Fort 1 – Osteotomy (Maxilla)
  • SARPE – Surgically Assisted Rapid Palatal Expansion (Maxilla)

These procedures require the Sterile Technique. They are typically performed under General Anesthesia in a hospital setting. The patients are often admitted for a night or two.

Armamentarium:

OMS Tray (remove elevators and forceps if not extracting teeth)
Irrigation & Suction Tray

Disposables:
Anesthetic
Sterile Barriers (light handle, etc)
Sterile Drape
Surgical Site Prep
Gauze
Saline
Scalpel Blade
Suction Tubing
Sutures

Add:
Magnetic Drape, Mallet, Hemostats, Wire Twisters (2), Wire Cutter, 25G Wire
Surgical Splint and Kidney Basin (with betadine), Bone Plates and Screws, Screw Drivers, Plate Benders
Caliper (Maxilla)
Depth Gage (Mandible)

POWER: Drill and Saw System
Drill
Reciprocating Saw
Oscillating Saw

Latex Elastics (in betadine)

SARPE Add:
Expansion Key

Post Op Panorex and Ceph (Double Jaw and Genioplasty)

LeFort 1 Osteotomy (maxilla), BSSO (mandible), Genioplasty (chin)

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Oral & Maxillofacial Surgery - A Handbook for Certified Dental Assistants Copyright © 2018 by Kathryn Truant is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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