Improving Preoperative Preparation of Patients with Post-Traumatic Pathological Open Bite for Orthognathic Surgery

Post-traumatic pathological open bite represents one of the most complex deformities of the dentofacial system due to its multifactorial etiology, functional impairment, and aesthetic consequences. Such malocclusions commonly arise following maxillofacial trauma, improper fracture management, temporomandibular joint injuries, or secondary skeletal remodeling. Orthognathic surgery remains the definitive method for correction; however, surgical success largely depends on comprehensive and structured preoperative preparation.

This article analyzes contemporary approaches to improving preoperative preparation of patients with post-traumatic pathological open bite prior to orthognathic surgery. Emphasis is placed on multidisciplinary diagnostics, orthodontic decompensation, functional rehabilitation of the stomatognathic system, temporomandibular joint evaluation, and optimization of systemic and psychological factors. A refined preparatory protocol is proposed to enhance surgical accuracy, stability of occlusal outcomes, and long-term functional results.