Aplicabilidade das mentoplastias na complementação estético-funcional em deformidades de face

Abstract

Facial harmony comes from adequate stability between the different parts of the viscerocranium. In that sense, the dentofacial deformities of the chin result in the inadequacy of its bone positioning, being aesthetically reproduced by its underlying soft tissues, with surgical chinoplasty one of the corrective modalities for these cases. Therefore, as it is a therapeutic option that helps to correct the relationship between facial dimensions and dental positions, it also contemplates the achievement of functional results, at the same time that provides a satisfactory facial harmony, it needs a precise and accurate diagnosis, a careful planning, giving importance to the association between clinical examination and cephalometric analysis. Synchronously, these principles will provide the desired degree of predictability, given that soft tissues can respond differently to movements performed in bone tissue, causing possible recurrences and the need for filling with alloplastic materials in place. In addition, the type of genioplasty provided will be guided according to the clinical demand of the patient, as in cases of patients with hypoplasia of the region, asymmetry resulting from malformation of condyles and obstructive sleep hypopnea syndrome. From a clinical point of view, bone replacements will be performed with the purpose of recovering masticatory, phonetic, breathing and facial aesthetic functions, directly influencing the individual's personal and social life. The objective of this work is to report the influence of surgical therapy in the chin on the contribution of aesthetic-functional results in patients with facial deformity, taking into account its correct planning, its approaches and applications.