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Surgery first: an alternative approach to ortho-surgical patients
José Augusto M Miguel1, Eveline C B Gava
1Department of Orthodontics, Rio de Janeiro State University, Brazil.
Objective:
To make a brief description of the Surgery-First approach, where surgery is performed prior to orthodontic movement.
Materials And Methods:
Three clinical cases involving this type of treatment are reported. The cases presented here show different approaches, providing clinicians with an idea of how to plan this type of treatment.
Results:
The cases presented satisfactory results that are similar to results of the conventional technique, once a well-designed treatment plan was conducted.
Conclusions:
The Surgery-First approach is a viable technique; however, collaborative and careful planning by the orthodontists and surgeons is needed. When well planned, the results of the Surgery-First approach are similar to those of conventional surgical-orthodontic treatment.

