MODERN APPROACH TO REHABILITATION MEASURES AFTER SURGICAL TREATMENT OF DENTAL-JAW SYSTEM DEFORMATIONS
Keywords:
sorthognathic surgery, rehabilitation, dentofacial deformities, ERAS, myofunctional therapy, TMJ.Abstract
The article presents the development and implementation of comprehensive rehabilitation measures after orthognathic surgery in patients with dentoalveolar deformities. Based on international and domestic data from 2024–2025, key stages of preoperative, early, and late rehabilitation were defined. Special attention is given to ERAS protocols, myofunctional and speech therapy, nutritional support, and digital stability control. A model for implementing the rehabilitation pathway at the multidisciplinary clinic of Tashkent Medical Academy (TMA) is proposed.
References
Aliaga-Del Castillo A., Soldevilla L., Valerio M.V. and others. Treatment of class II malocclusion using an individual double-strength distalizer. Am J Orthod Dental orthopedist. 2021;160(5):743-756. doi:10.1016/j.ajodo.2020.06.037
Alzabibi BA, Burhan AS, Hajeer MY, Nawaya FR. Short-term effects of the orthodontic removable traction appliance in the treatment of skeletal Class III malocclusion: A randomized controlled trial. Dent Med Probl. 2021;58(2):163-172. doi:10.17219/dmp/126304.
ARIPOVA G. E., RASULOVA S. R. APPROACH TO TREATING PATIENTS WITH DISTAL BITE, TAKEN INTO ACCOUNT THE TYPE OF GROWTH OF THE JAW BONES // YOUTH INNOVATION NEWSLETTER Founders: Voronezh State Medical University named after NN Burdenko. – 2022. – T. 11. – No. S1. – pp. 414-415.
Aripova G. et al. Efficiency of orthodontic treatment of children with distal occlusion of the dentition during the period of change of bite //Stomatologiya. – 2019. – T. 1. – No. 2 (75). – pp. 10-12.
Aripova G. et al. The effectiveness of orthodontic treatment of children with distal occlusion of the dentition during the period of change of bite //Stomatologiya. – 2019. – T. 1. – No. 2 (75). – pp. 10-12.
de Souza RA, Rino Neto J, de Paiva JB. Maxillary protraction with rapid maxillary expansion and facemask versus skeletal anchorage with mini-implants in class III patients: a non-randomized clinical trial. Prog Orthod. 2019;20(1):35. Published 2019 Sep 2. doi:10.1186/s40510-019-0288-7
Inchingolo AD, Patano A, Coloccia G, et al. Treatment of Class III Malocclusion and Anterior Crossbite with Aligners: A Case Report. Medicina (Kaunas). 2022;58(5):603. Published 2022 Apr 27. doi:10.3390/medicina58050603
Janson G., Niederberger Al.G., Janson G., Valerio M.V., Caldas V., Valarelli F.P. Stability of treatment of class II malocclusions using class II elastic materials. Am J Orthod Dental orthopedist. 2023;163(5):609-617. doi:10.1016/j.ajodo.2021.10.017.
Kosyuga S. Yu., Sirotkina V. S. Treatment of distal occlusion in children // Dentistry for everyone. – 2020. – No. 1. – pp. 52-55.
Lim LI, Choi JY, Ahn HW, Kim SH, Chung KR, Nelson G. Treatment outcomes of various force applications in growing patients with skeletal Class III malocclusion. Angle Orthod. 2021;91(4):449-458. doi:10.2319/090320-768.1
Lu W, Song G, Sun Q, et al. Analysis of facial features and prediction of lip position in skeletal class III malocclusion adult patients undergoing surgical-orthodontic treatment. Clin Oral Investig. 2021;25(9):5227-5238. doi:10.1007/s00784-021-03830-x.
Ma H, Li W, Xu L, et al. Morphometric evaluation of the alveolar bone around central incisors during surgical orthodontic treatment of high-angle skeletal class III malocclusion. Orthod Craniofac Res. 2021;24(1):87-95. doi:10.1111/ocr.12408.
Magomedova E. Sh. Comparative characteristics of distal bite correctors // Bulletin of medical Internet conferences. – Limited Liability Company “Science and Innovation”, 2014. – T. 4. – No. 5. – P. 767.
Malygin M. Yu., Malygin Yu. M. Comparison of different types of faces in normal conditions and with distal occlusion before its treatment // Orthodontics. – 2012. – No. 1. – pp. 20-24.
Martina R, D'Antò V, De Simone V, Galeotti A, Rongo R, Franchi L. Cephalometric outcomes of a new orthopaedic appliance for Class III malocclusion treatment. Eur J Orthod. 2020;42(2):187-192. doi:10.1093/ejo/cjz037
Parubok Yu. M. Features of the treatment of dentoalveolar forms of distal occlusion without tooth extraction // Orthodontics. – 2007. – No. 4. – pp. 28-32.
Rasulova Sh. R., Aripova G. E., Nasimov E. E. Rationale for taking into account the vertical component of growth in diagnosis and treatment planning in patients with distal occlusion // Journal "Medicine and Innovations". – 2021. – No. 1. – pp. 101-104.
Sarangal H, Namdev R, Garg S, Saini N, Singhal P. Treatment Modalities for Early Management of Class III Skeletal Malocclusion: A Case Series. Contemp Clin Dent. 2020;11(1):91-96. doi:10.4103/ccd.ccd_393_19.
Vahidi F. Minimally Invasive Treatment of an Adult with Severe Pseudo Class III Malocclusion. J Prosthodont. 2019;28(7):737-742. doi:10.1111/jopr.12924.
Wang XJ, Zhang YM, Zhou YH. Beijing Da Xue Xue Bao Yi Xue Ban. 2019;51(1):86-92. doi:10.19723/j.issn.1671-167X.2019.01.016.