Surgery-First Approach for Dentofacial Deformity: A Systematic Review

Area of Science:

• Oral and Maxillofacial Surgery
• Orthodontics
• Plastic Surgery

Background:

• Dentofacial deformities present complex challenges requiring effective treatment strategies.
• The conventional treatment sequence for dentofacial deformities involves orthodontics followed by surgery.
• The surgery-first approach has emerged as an alternative paradigm in managing these conditions.

Purpose of the Study:

• To critically review the surgery-first approach for treating dentofacial deformities.
• To evaluate the advantages, limitations, and applicability of the surgery-first technique.
• To assess its role in reducing overall treatment time and improving patient outcomes.

Main Methods:

• Systematic literature review of studies employing the surgery-first approach.
• Analysis of clinical outcomes, treatment duration, and patient satisfaction.
• Evaluation of indications, contraindications, and potential complications.

Main Results:

• The surgery-first approach can significantly reduce overall treatment duration for dentofacial deformities.
• It is effective in various patient age groups and for specific applications like tissue transfer and oral cancer reconstruction.
• The approach demonstrates accuracy and appropriateness, maintaining patient health and potentially improving aesthetic and functional results.

Conclusions:

• The surgery-first approach is a viable and effective strategy for managing dentofacial deformities.
• Its implementation can lead to shorter treatment periods without compromising patient safety or outcomes.
• Further research can refine its application and expand its indications in maxillofacial surgery.