A Scoping Review of the Role and Limitations of Surgical Versus Non-Surgical Management of Dentofacial Deformities

Ricardo Grillo; Alexandre Meireles Borba; Yuri Slusarenko da Silva; Mariana Aparecida Brozoski

doi:10.58600/eurjther1933

Authors

Ricardo Grillo Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP and Department of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília-DF, Brazil https://orcid.org/0000-0002-8096-738X
Alexandre Meireles Borba Department of Oral and Maxillofacial Surgery, General Hospital of Cuiaba, Cuiaba-MT, Brazil https://orcid.org/0000-0001-5536-2285
Yuri Slusarenko da Silva School of Dentistry – UniFG University Center, Guanambi-BA, Brazil https://orcid.org/0000-0002-8307-9134
Mariana Aparecida Brozoski Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP, Brazil https://orcid.org/0000-0003-4669-4418

DOI:

https://doi.org/10.58600/eurjther1933

Keywords:

Aesthetics, Dermal Fillers, Facial analysis, Orthognathic Surgery, Scoping Review

Abstract

Objectives: The amount of dermal filler procedures is increasing. Some patients opt to undergo dermal fillers instead of orthognathic surgery to treat unesthetic complaints from dentofacial deformities. The aim of this work is to carry out a literature review with regard to a comparison of role and limitations between aesthetic indications of orthognathic surgery and dermal fillers.

Methods: A scoping review was performed according to the PRISMA-ScR guidelines on Pubmed, Web of Science and Google Scholar. A second search was conducted to highlight topics very close subjects to the main subject: the importance of social media and measures to avoid litigation in facial aesthetics.

Results: Literature on the subject is very rare. Clinical facial analysis is fundamental to both procedures. Although patients wishes are important issues, facial analysis cannot be neglected due to its objectivity. Body dysmorphic disorder is considered a contraindication for both procedures. Social media is important in patient decision-making, but should not influence treatment planning by experts. Preventing litigation or reducing financial and reputational damage can be accomplished with a few simple steps.

Conclusions: A helpful list of indications and particularly contraindications for orthognathic surgery and dermal fillers was drawn up. Dermal fillers must not substitute orthognathic surgery. Further studies are urgently needed to discuss this contemporary issue.

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