Osteoplasty facial bone augmentation

Certain jaw and cranio-facial deformities may cause significant functional impairment. These deformities include apertognathia either lateral or anterior not correctable by orthodontics alone , significant asymmetry of the lower jaw, significant class 2 and class 3 occlusal discrepancies, and cleft palate. Aetna considers orthognathic surgery medically necessary for correction of the following skeletal deformities of the maxilla or mandible when it is documented that these skeletal deformities are contributing to significant dysfunction, and where the severity of the deformities precludes adequate treatment through dental therapeutics and orthodontics alone:. Aetna considers orthognathic surgery medically necessary for correction of skeletal deformities of the maxilla or mandible when it is documented that these skeletal deformities are contributing to significant masticatory dysfunction, and where the severity of the deformities precludes adequate treatment through dental therapeutics and orthodontics:. Supraeruption of a dento-alveolar segment due to lack of opposing occlusion creating dysfunction not amenable to conventional prosthetics.
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Role of available bone in dental implants

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Orthognathic Surgery - Medical Clinical Policy Bulletins | Aetna

Otto S, et al. Cleft lip and palate is among the most frequent congenital abnormalities around the world. Bone grafting of the alveolar cleft is often indispensable to allow a descent of the canine adjacent to the cleft or an orthodontic closure of the tooth row. The patient with a cleft alveolus with a continuous bony gap reaching from the alveolar crest in region 22 into the piriform rim and nasal floor chose an allogeneic bone graft over iliac crest grafting for her tertiary alveolar cleft osteoplasty permanent dentition to restore normal anatomy in preparation for further combined orthodontic-orthognathic surgical treatment. Today, bone grafts from the iliac crest are most commonly used for osteoplasties of the cleft alveolus. This report shows the advantages of customized allogeneic bone grafts in comparison to autogenous bone, including immediate fit accuracy, abandoning free-hand sculpting and subsequent time savings, in addition to freedom from donor site morbidity with less pain and discomfort for the patient. Especially for alveolar cleft osteoplasty the use of customized allogeneic bone grafts offers the possibility to simultaneously reconstruct the palatal shelf and cranial parts of the premaxilla around the piriform aperture giving support to the alar base.
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Facial bone augmentation with an implant

Hyaluronic acid — fillers Radiofrequency facial rejuvenation using Syneron fractional sublative Face peeling for rejuvenation Body shape treatments Encurve - No1. Face surgeries. Cheekbones may be more pronounced using dermal fillers and lipofilling. In the last few years facial bone augmentation has become more popular especially among women but more and more men also want their cheekbones to be more pronounced.
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Fig 6. The height of the bone above the mandibular canal is adequate C The implant with 4 mm x 15 mm dimensions can be placed with its platform at the crest level with simultaneous lateral bone augmentation to cover the facially exposed implant threads near the crest.
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