Dalia Latkauskiene received her dental degree in 1999, and her post-graduate certificate in orthodontics in 2002 from Kaunas University of Medicine. Since 2002 she has been in full-time private practice. Dalia Latkauskiene continued as lecturer for postgraduate programs in orthodontics 2006-2007 at the same university. She defended her Phd thesis „Herbst- effects on jaws and dental arches in growing Class II patients“ in 2013 and is involved with Riga Stradins University, Latvia in this project.

Dalia Latkauskienė has presented lectures, seminars and continuing education courses on crowned Herbst appliance, adult orthodontics, multidisciplinary treatment and combined orhodontic-orthognatic treatment (together with maxillo facial surgon S. Grybauskas DDS, MD, Phd) to dental and orthodontic organizations as well as conferences in European Union, Russia and some other Eastern European countries. Dalia Latkauskiene is currently Invisalign Diamond provider. Current interests focus on orthodontic-orthognatic team work, orthodontic treatment of myofunctional disorders and aligner orthodontics. More information  about dr. Latkauskiene on  www.latkauskiene.lt

Lecture Abstract

“Most common mistakes made in orthodontic preparation for surgery. The protocol.”

Dalia Latkauskiene , Simonas Grybauskas, (Lithuania)


Correction of skeletal malocclusion by means of orthodontics and orthognathic surgery is a multidisciplinary treatment. That is why it has to be properly coordinated between the surgeon and the orthodontist. The best results are achieved when both players are active in team and communicate throughout the treatment.

It is important to understand that the orthodontist works at the dentoalveolar level whereas the surgeon works at the skeletal level and does not interfere into the teeth setup during the surgery. That is why the teeth should be setup properly within the jaw bones and allow the anticipated repositioning of jaw bones in the necessary vectors and distance. If not, the surgeon may be cornered during planning process and will have to alter it both incurring hesitations whether the surgical outcome is going to be the same as planned.

We are going to discuss the most usual mistakes in orthodontic setup for surgery: dental midlines non-coincident with skeletal midlines, inadequate angulation of front teeth, overzealous expansion or constriction, flaws created by improper closure of extraction spaces, unstable orthodontic mechanics resulting in postoperative orthodontic relapse. Intrinsic coordination of upper and lower dental arch shapes and extrinsic coordination of dental arches to the skeletal bases of the jaws set the protocol of our work: stable orthodontic alignment, minding the midlines and angulation of teeth while aiming to achieve maximal decompensation within physiological limits. Facial aesthetics largely depends on the surgical plan of jaw repositioning, however, the plan may largely depend on the accuracy and quality of preoperative orthodontic setup.