Case Report on Surgery-First Approach
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Published on: September 7, 2022
Preeti Bhattacharya1, Anil Kumar Chandana1, Ravi Bhandari1
1Department of Orthodontics and Dentofacial Orthopaedics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
The Rationale:
The surgery-first approach provides immediate improvement in facial aesthetics in orthognathic cases with a shorter total treatment period.
Patient Concerns:
A 21-year-old male came with the chief complaint of protrusive lower front teeth and a large lower jaw. His main concern was aesthetics.
Diagnosis:
This was a case of skeletal Class III malocclusion with reverse overjet of 4 mm, overbite of 6 mm with a concave profile, and a protrusive chin.
Treatment:
The patient was treated by bilateral sagittal split setback osteotomy of the mandible with surgery first approach via nonextraction therapy.
Outcome:
After an active treatment of 15 months, improved facial profile, facial proportions, and a significant reduction of mandibular prognathism were much appreciated. The treatment results were stable after a 1-year follow-up of the treatment.
Take-Away Lesson:
This case report highlights the utilization of nature's dental decompensation to achieve a desirable result, thereby attaining "more with less."
