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Patient First: Surgery First and More.

Camillo Azzuni1, Alessandro Moro, Gianmarco Saponaro

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This study introduces a modified surgery-first approach, eliminating pre-operative braces and wires. Post-operative clear aligners enhance patient comfort in orthognathic surgery.

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Area of Science:

  • Orthognathic Surgery
  • Orthodontics
  • Patient-Centered Care

Background:

  • The surgery-first approach prioritizes patient satisfaction and comfort.
  • Enhancing patient comfort during the perioperative period is a key goal.
  • This study explores reducing or eliminating orthodontic appliances during surgery.

Purpose of the Study:

  • To investigate a modified surgery-first protocol minimizing perioperative orthodontic appliances.
  • To assess the feasibility of eliminating pre- and post-operative braces and wires.
  • To improve patient comfort in orthognathic surgery.

Main Methods:

  • No orthodontic braces or wires were used before surgery.
  • Intraoperative intermaxillary fixation (IMF) was achieved using IMF screws.
  • Surgical splints were utilized with IMF screws for planned occlusion after osteotomies.

Main Results:

  • Elimination of pre-operative orthodontic braces and wires is feasible.
  • Intraoperative intermaxillary fixation can be successfully managed with IMF screws.
  • Selected cases allow for post-surgical orthodontic treatment with clear aligners.

Conclusions:

  • A modified surgery-first approach can significantly reduce the need for traditional orthodontic appliances.
  • Utilizing IMF screws and clear aligners enhances patient comfort.
  • This protocol offers a more appealing and comfortable experience for orthognathic surgery patients.