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Surgery-First Approach for Dentofacial Deformity: A Systematic Review.

Om Prakash1, Santosh K Verma2, Awanindra K Jha3

  • 1Department of Oral and Maxillofacial Surgery, Dental College, Rajendra Institute of Medical Sciences, Ranchi, IND.

Cureus
|March 20, 2023
PubMed
Summary

The surgery-first approach for dentofacial deformity offers a systematic method to reduce treatment duration across all age groups. This approach is effective for tissue transfer and oral cancer, demonstrating accuracy without compromising patient health.

Keywords:
dentofacialorthodonticorthognathic treatmentpico frameworksurgery-first approach

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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.