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	Scilit
Author	Alavi, Shiva Ahmadvand, Atefe 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.
Related Links	https://www.drjjournal.net/article.asp?issn=1735-3327;year=2021;volume=18;issue=1;spage=47;epage=47;aulast=Ahmadvand;type=2
File Format	XHTML
ISSN	17353327
e-ISSN	20080255
DOI	10.4103/1735-3327.318942
Journal	Dental Research Journal
Issue Number	1
Volume Number	18
Language	English
Publisher	Medknow
Publisher Date	2021-01-01
Access Restriction	Open
Subject Keyword	Dentistry and Oral Surgery Maxillofacial Orthognathic Surgery Orthodontics Orthognathic Surgical Procedure Stability Dental Research Journal, Volume 18, Issue 1
Content Type	Text
Resource Type	Article
Subject	Dentistry

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