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«Surgery first» or two stage complex rehabilitation plan for patients with malocclusions
A R Andreishchev1, A Yu Kavrayskaya1, A V Nikolaev1
1First Saint-Petersburg State Medical University named after I.P. Pavlov, Saint-Petersburg, Russia.
Summary
This study details two and three-stage rehabilitation treatment plans for complex malocclusions in 515 patients. It proposes criteria for a two-stage approach and evaluates treatment outcomes using quantitative analysis.
Area of Science:
- Dentistry
- Orthodontics
- Oral Rehabilitation
Background:
- Bite anomalies and complex malocclusions present significant challenges in dental rehabilitation.
- Standard treatment protocols often involve multiple stages, requiring careful planning.
Purpose of the Study:
- To describe and compare two-stage and conventional three-stage treatment plans for complex malocclusions.
- To establish indications for the implementation of a two-stage treatment protocol.
- To evaluate the efficiency and stability of treatment results.
Main Methods:
- Analysis of treatment plans for 515 patients with complex malocclusions.
- Description of two-stage and three-stage rehabilitation protocols.
- Application of a quantitative analysis system for dento-oral-facial disorders to assess outcomes.
Main Results:
- The study outlines specific indications for adopting a two-stage treatment protocol.
- Evaluation of treatment efficiency and long-term stability was performed.
- Quantitative analysis provided objective measures of treatment success.
Conclusions:
- A two-stage treatment protocol can be effectively indicated for specific complex malocclusions.
- The quantitative analysis system offers a reliable method for assessing rehabilitation outcomes.
- Optimized treatment planning enhances the efficiency and stability of results in managing bite anomalies.

