NDLI: An overview of surgery-first orthognathic approach: History, indications and limitations, protocols, and dentoskeletal stability.

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An overview of surgery-first orthognathic approach: History, indications and limitations, protocols, and dentoskeletal stability.

Content Provider	Europe PMC
Author	Ahmadvand, Atefe Alavi, Shiva Mehraban, Saeed Hasani
Copyright Year	2021
Abstract	The most common orthognathic surgery approach consists of three steps: presurgical orthodontic treatment, surgery, and postsurgical orthodontic treatment. Despite its advantages, this technique has some disadvantages, too, including a long treatment period, problems in mastication and articulation, temporary worsening of the patient's appearance, and psychological problems for the patient. The introduction of the surgery-first orthognathic approach has been an attempt to overcome these problems. In this article, we wish to provide a comprehensive overview on this approach. In this approach, which consists of surgery without orthodontic preparation and a short period of orthodontic treatment after it, the overall duration of treatment decreases and the patient's appearance improves. The skeletal anchorage, placed at the time of surgery, can be used to facilitate tooth movements after surgery. Despite the advantages of this technique, it is associated with some limitations; in particular, occlusion cannot have a guiding role during surgery. Therefore, correct diagnosis, prediction of the outcomes, and simulating correction with the model setup are of crucial importance. The surgeon's knowledge and expertise have a significant role in this respect.
ISSN	17353327
Journal	Dental Research Journal
Volume Number	18
PubMed Central reference number	PMC8351934
PubMed reference number	34429867
e-ISSN	20080255
Language	English
Publisher	Wolters Kluwer - Medknow
Publisher Date	2021-06-22
Publisher Place	India
Access Restriction	Open
Rights License	This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2021 Dental Research Journal
Subject Keyword	Maxillofacial orthognathic surgery orthodontics orthognathic surgical procedure stability
Content Type	Text
Resource Type	Article
Subject	Dentistry

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