Surgical Management of Complex Dentofacial Deformities

Contemporary orthognathic surgery texts predominantly emphasize conventional techniques and routine dentofacial deformities. However, the management of complex craniofacial conditions frequently requires advanced decision-making and surgical approaches that extend beyond traditional paradigms. This textbook provides a comprehensive and systematic approach to the management of complex dentofacial deformities, with particular emphasis on atypical orthognathic osteotomies. Techniques that are often underrepresented or absent in standard references—including intraoral inverted L osteotomies, C-osteotomies, total subapical osteotomies, and corticotomy-assisted approaches are presented in detail, with a focus on indications, execution, and integration into broader treatment plans.In addition to surgical technique, this work uniquely emphasizes the interdisciplinary management of patients with complex craniofacial and dental conditions, including cleft-related deformities, amelogenesis imperfecta, oligodontia, and hypodontia. It is designed to serve as a collaborative resource not only for oral and maxillofacial surgeons, but also for orthodontists, periodontists, prosthodontists, plastic surgeons, and otolaryngologists involved in the comprehensive care of these patients.The textbook is authored by an international group of experienced clinicians, reflecting a broad range of perspectives and practices in the treatment of complex dentofacial deformities. With the evolution of virtual surgical planning, patient-specific implants, craniofacial prosthetics, and advanced orthodontic biomechanics, clinicians now possess an expanded armamentarium for managing these challenging cases. This text captures these advancements and provides a structured framework for incorporating them into contemporary clinical practice. It is intended to serve as both a practical reference and an academic foundation for clinicians seeking to optimize functional and aesthetic outcomes in the management of complex dentofacial deformities.