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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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Surgery-first in interdisciplinary class II cases.

Raúl Ferrando Cascales¹, Francesca Casolari², Federico Hernández-Alfaro^3,4

¹Department of Orthodontics, Faculty of Dentistry, San Antonio de Murcia Catholic University (UCAM), Murcia, Spain.

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [Et Al.]

|January 30, 2024

Summary

This study highlights a surgery-first orthognathic approach for skeletal class II and open bite correction. This method significantly reduced treatment time while achieving stable esthetic and functional outcomes.

Keywords:

anterior open bite class II malocclusion orthodontics orthognathic surgery surgery‐first

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Area of Science:

Orthodontics
Oral and Maxillofacial Surgery
Prosthodontics

Background:

Skeletal class II malocclusion with retrognathia and anterior open bite presents complex treatment challenges.
Traditional orthognathic surgery often requires lengthy pre-surgical orthodontic decompensation.

Purpose of the Study:

To present an interdisciplinary case utilizing a surgery-first orthognathic approach.
To evaluate the efficacy of this approach in a patient with skeletal class II, retrognathia, and anterior open bite.

Main Methods:

Virtual surgical planning was performed for accurate pre-operative assessment.
Bimaxillary orthognathic surgery was conducted without pre-surgical orthodontic decompensation.
Post-operative orthodontic and prosthodontic treatments were integrated to optimize esthetics and function.

Main Results:

The surgery-first approach achieved significant esthetic and functional improvements.
Treatment duration was considerably reduced compared to conventional methods.
The achieved results demonstrated stability over a 1-year follow-up period.

Conclusions:

An accurately planned surgery-first orthognathic protocol offers a stable, functional, and esthetic solution.
This approach effectively shortens overall treatment duration.
Longer-term follow-up is recommended to confirm sustained treatment stability.