Technical description subapical osteotomy in the treatment of mandibular traumatic deformity

Abstract

Post-trauma deformity after a complex trauma fracture or mishandle is not an often situation and represents a challenge for healthprofessionals who treat the facial area. Treatment begins with a preand post-trauma radiographic interpretation, clinical assessment and measurement of study models. The aim of treatment is to recover function, aesthetics and correction of the facial sequel. The treatment plan for this condition may be orthodontic, surgical, rehabilitation or a combination of these. Several surgical techniques to correct maxillary deformities have been described. The most common osteotomies are at body, ramus and alveolar level. This article presents the case of a patient with right alveolar mandibular deformity as a consequence of an inadequate management of facial trauma re-treated with a subapical segmental osteotomy and cortical release to move the alveolar nerve.