Segmental Osteotomy for the Mandible

This chapter presents a comprehensive overview of mandibular segmental osteotomy, a surgical procedure used to correct deformities and improve function by dividing and repositioning bone. The focus is on its benefits in dentistry, where it addresses mandibular deformities affecting mastication, speech, and facial esthetics. Starting with a detailed description of mandible anatomy, the chapter emphasizes its significance in planning and executing a successful osteotomy. Indications for the procedure are then discussed, encompassing dental malocclusion, mandibular asymmetry, temporomandibular joint disorders, and post-traumatic and congenital deformities. The chapter also outlines preoperative assessments and planning, including medical history, dental examination, and radiographic evaluation, which are crucial for a positive outcome. The section on surgical techniques provides a step-by-step guide, highlighting the role of modern technology in enhancing precision and safety. Postoperative care and management are addressed, focusing on patient instruction, complication management, and follow-up. Lastly, the chapter explores expected outcomes and prognosis following mandibular segmental osteotomy, emphasizing factors that can influence these outcomes. Throughout, the importance of meticulous surgical technique, careful preoperative planning, and thorough postoperative care is emphasized to achieve successful results in mandibular segmental osteotomy.