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Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery
Eric J W Liou1, Po-Hsung Chen, Yu-Chih Wang
1Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, and Graduate Institute of Oral and Craniofacial Medicine, Chang Gung University, Taoyaun, Taiwan. lioueric@ms19.hinet.net
Summary
The surgery-first approach prioritizes facial aesthetics before occlusion, shortening treatment duration. This method involves orthognathic surgery before orthodontic treatment, offering faster results for patients.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- The conventional orthodontics-first approach treats occlusion before facial aesthetics.
- The surgery-first approach reverses this sequence, prioritizing facial improvements.
Purpose of the Study:
- Introduce the surgery-first approach in orthognathic surgery.
- Provide guidelines for orthodontic management and model surgery without presurgical decompensation.
Main Methods:
- Osteotomy is used to address skeletal issues and dental compensation.
- A transitional occlusion is established post-surgery.
- Postoperative orthodontics refines the occlusion.
Main Results:
- Facial aesthetics and patient chief complaints are addressed early.
- Treatment duration is reduced to 1-1.5 years.
- Accelerated orthodontic tooth movement is observed post-surgery.
Conclusions:
- The surgery-first approach offers significant advantages in patient satisfaction and treatment efficiency.
- It effectively manages skeletal problems and dental compensation.
- Postoperative orthodontics plays a crucial adjunctive role.
