An interview with Simonas Grybauskas

interview An interview with Simonas Grybauskas » Simonas is graduated from the Kaunas University of Medicine and acquired his dental degree in 2000. » He completed his training in Oral Surgery (2003) and Maxillofacial Surgery (2006) at Vilnius University. » In 2008 he acquired his Medical degree and became a double qualified oral and maxillofacial surgeon. » He passed the exams and became a member of the Royal College of Surgeons of Edinburgh in 2005. » In 2009, he was awarded a PhD degree by Riga Stradins University (Latvia). » Consultant in Oral and Maxillofacial Surgery at Vilnius University. » Private practice S’OS (Simonas Grybauskas’ Orthognathic Surgery). » Visiting professor at University of Ferrara, Italy. » Author of scientific publications. » A professor who has delivered more than 100 lectures on orthognathic and reconstructive surgery in international conferences and courses. » A member of the Lithuanian Association of Maxillofacial Surgery since 2002, a member of the Baltic Association of Maxillofacial and Plastic Surgery since 2003, and a member of the European Association for Cranio-Maxillofacial Surgery since 2005. » Host and director of two major international events – the 1st and the 2nd Baltic Sea Conferences on Orthognathic Surgery and Orthodontics, in Vilnius in 2009 and in Riga in 2015. » Dedicated, for most of his time, to orthognathic and reconstructive surgery and development of virtual surgical planning techniques. DOI: https://doi.org/10.1590/2177-6709.23.4.014-035.int In the contemporary world of surgery, arts and technology merge. Art is modified by technology, just as technology is made from art and creates new ways of doing art. This fusion takes place positively in several chapters of this world, especially in the one involving the face: the treatment of dentoskeletal deformities through orthognathic surgery. Surely, the one who has all technology and is limited in relation to the arts, will definitely not achieve excellence of results. And it is here that enters Simonas — equipped with Technology (science) and Art (sense). Coming from a new country, Lithuania, which suffered with war, we may consider Simonas a revolutionary of the knowledge of ideal faces. Capable of balancing himself between technology and art, he knows how to read a face very well and has the most appropriate numbers for the three-dimensional movements of the jaws, teeth and soft tissues. Born curious, with a high intellect and provided with a big heart, Simonas is loved all over the world, on the five continents. For those who do not know him yet, may this interview bring some of histhinking and surgical philosophy. Open your wings a lot, Simonas, your flight will be even higher! Arte e tecnologia se fundem no mundo cirúrgico contemporâneo. A arte é modificada pela tecnologia, assim como a tecnologia se faz a partir da arte e cria novas formas de fazê-la. Essa fusão se faz valer positivamente em vários capítulos desse mundo, principalmente naquele que envolve a face: o tratamento das deformidades dentoesqueléticas por meio da cirurgia ortognática. Absolutamente, aquele que dispõe de toda tecnologia e se limita da arte ficará sem conhecer resultados verdadeiramente de excelência. E é aqui que entra o Simonas, equipado com tecnologia (ciência) e arte (senso). Vindo de um país novo, a Lituânia, e sofrido pela guerra, consideremos o Simonas uma revolução do conhecimento da face ideal. Capaz de equilibrar-se entre a tecnologia e a arte, ele sabe ler muito bem a face e ter os números mais adequados para os movimentos tridimensionais dos maxilares, dentes e tecidos moles. Curioso nato, com um alto intelecto e provido de um grande coração, Simonas se faz querido pelo mundo, nos cinco continentes. Para aqueles que não o conhecem ainda, que esta entrevista possa trazer um pouco do seu pensamento e filosofia cirúrgica. Abra muito suas asas, Simonas, seu voo será ainda mais longo! Lucas Senhorinho Esteves (interview coordinator / coordenador da entrevista) How to cite: Grybauskas S, Moser L, Esteves L, Cintra O, Schneider-Moser U. An interview with Simonas Grybauskas. Dental Press J Orthod. 2018 JulyAug;23(4):14-35. DOI: https://doi.org/10.1590/2177-6709.23.4.014-035.int Submitted: May 03, 2018 - Revised and accepted: June 20, 2018 © 2018 Dental Press Journal of Orthodontics 14 Dental Press J Orthod. 2018 July-Aug;23(4):14-35 interview Grybauskas S, Moser L, Esteves L, Cintra O, Schneider-Moser U 1) As orthodontics is the specialty that is closer related to orthognathic surgery, besides surgery itself, in your opinion, the information that comes from digital virtual planning can help to clarify orthodontic diagnosis and also orthodontic preparation for a better surgery? Octávio Cintra Previously in our practice, orthodontic setup used to be random. Orthodontists used to align teeth, surgeons were used to face the resultant setup and had to find the way out. At present, a surgeon performs a detailed analysis of dental arches and their relationship with the skeletal parts, and gives guidelines for the orthodontist — but that is not enough, as the orthodontist receives only a small part of the picture. In the future, the surgeon will create a virtual setup of decompensated dentition and send it to the orthodontist, who will choose the best and the fastest treatment to arrive at point B from point A. Orthodontists could do this step by themselves if they were trained to evaluate the relationship of the dental arches with the skeletal parts of the jaws, setting the midlines and the cants, as well the vertical asymmetries of the alveolar process and differences in molar torques1. Many of them can do it by themselves, some are not into it. In some countries, computed tomography (CT) scans are not justified for initial examination of the patient, therefore neither surgeons nor orthodontists can set a 3D diagnosis and 3D treatment plan for orthodontic preparation, and it is started empirically or is based on lateral cephalogram only. The surgeon does not change the position of separate teeth during surgery; therefore, for the surgeon, the shape of the dental arch may often appear to be an obstacle for good repositioning of bones. That is why orthodontists must realize that a millimeter makes a huge difference and may convert a 3-hours surgical adventure into a 5-hours challenge if teeth are not aligned inside the arch or are not concentric within the skeletal parts of the jaws, that is why additional skeletal osteotomies must be made to correct them. your requests for a perfect presurgical orthodontic preparation and what are the most common mistakes you encounter? Ute Schneider-Moser My wish list is very long for the orthodontist when we deal with asymmetries; however, it is very difficult to complete all tasks due to lack of anchorage or restrictions in mechanics. The biggest challenge in asymmetries is the goal to set the lower dentition in good coordination with mandi (...truncated)