Abstract
Surgery-first orthognathic approach (SFOA) demands meticulous planning and execution. The understanding and visualizing of the post-surgery ‘transitional occlusion’ are crucial for the success of SFOA. A ‘transitional occlusion’ is set up to enable ‘skeletal problems’ to be corrected with surgery, whilst the post-surgery dental problems will then be corrected with orthodontics within the realm of treatable dental malocclusion. The chapter discusses the case selection criteria for SFOA, along with treatment planning and execution using 2D conventional method and 3D virtual surgical planning. Also, two modes of surgery-first approaches (orthodontic-driven and surgery-driven) that are employed to achieve stipulated objectives are discussed.
Diagnosis is not the end, but the beginning of practice.
—Martin H. Fischer (1879–1962)
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References
Sugawara J, Nagasaka H, Yamada S, Yokota S, Takahashi T, Nanda R. The application of orthodontic miniplates to sendai surgery first. Semin Orthod. 2018;24(1):17–36.
Nagasaka H, Sugawara J, Kawamura H, Nanda R. “Surgery first” skeletal Class III correction using the Skeletal Anchorage System. J Clin Orthod. 2009;43:97.
Baek S-H, Ahn H-W, Kwon Y-H, Choi J-Y. Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment. J Craniofac Surg. 2010;21:332–8.
Hernández-Alfaro F, Guijarro-Martínez R, Molina-Coral A, Badía-Escriche C. “Surgery first” in bimaxillary orthognathic surgery. J Oral Maxillofac Surg. 2011;69:e201–e7.
Hernández-Alfaro F, Guijarro-Martínez R, Peiró-Guijarro MA. Surgery first in orthognathic surgery: what have we learned? A comprehensive workflow based on 45 consecutive cases. J Oral Maxillofac Surg. 2014;72:376–90.
Kim J-Y, Jung H-D, Kim SY, Park H-S, Jung Y-S. Postoperative stability for surgery-first approach using intraoral vertical ramus osteotomy: 12 month follow-up. Br J Oral Maxillofac Surg. 2014;52:539–44.
Liou EJ, Chen P-H, Wang Y-C, Yu C-C, Huang C, Chen Y-R. Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg. 2011;69:771–80.
Yu C-C, Chen P-H, Liou E, Huang C-S, Chen Y-R. A surgery-first approach in surgical-orthodontic treatment of mandibular prognathism—a case report. Chang Gung Med J. 2010;33:699–705.
Lin H-H, Lo L-J. Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: a literature review. J Formos Med Assoc. 2015;114:300–7.
Polley JW, Figueroa AA. Orthognathic positioning system: intraoperative system to transfer virtual surgical plan to operating field during orthognathic surgery. J Oral Maxillofac Surg. 2013;71:911–20.
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Chng, C.K., Gandedkar, N.H., Liou, E.J.W. (2019). Diagnosis and Treatment Planning of Surgery-First Orthognathic Approach. In: Surgery-First Orthodontic Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18696-8_2
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DOI: https://doi.org/10.1007/978-3-030-18696-8_2
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