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Surgery First Approach in Orthognathic Surgery - Considerations and Clinical Case Report
Thaynan Maximiano Borges1, Izabella Sol1, Cristovão Marcondes de Castro Rodrigues1
1Department of Oral and Maxillofacial Surgery, Traumatology and Implantology - Hospital de Clínicas, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
The Rationale:
The surgery first approach is a safe and stable procedure for the correction of dentofacial deformities that requires little orthodontic correction, leading to a faster return of functions.
Patient Concerns:
Patient with facial discrepancies seeks treatment that returns function and aesthetics, requiring a less prolonged treatment with adequate results.
Diagnosis:
Clinical, facial, and radiological image analysis was used for diagnosis and treatment plan.
Treatment:
Surgery first approach was performed in a patient with facial pattern II dolichocephalic, vertical maxillary excess, mandibular growth deficiency, aesthetic, and functional complaints, with the completion of the orthodontic treatment in 15 months.
Outcomes:
Follow-up of 36 months showed no evidence of recurrence of the initial condition and occlusal stability was maintained. The patient had no more functional and aesthetic complaints.
Take-Away Lessons:
Aesthetic and functional improvements were observed more rapidly due to the correction of the skeletal deformity, with improvement in behavior and self-esteem.
