Maxillofac Plast Reconstr Surg.  2019 ;41(1):10. 10.1186/s40902-019-0194-4.

Current status of the surgery-first approach (part I): concepts and orthodontic protocols

Affiliations
  • 1Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University, Gangneung, 25457 Republic of Korea.
  • 2Biomedical, Surgical and Oral Sciences Department, Maxillofacial and Dental Unit, School of Dentistry, University of Milan, Milan, Italy.
  • 3Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Jukheon gil 7, Gangneung, 25457 Gangwondo Republic of Korea. kimsg@gwnu.ac.kr.

Abstract

The "surgery-first" approach, defined as a team approach between surgeons and orthodontists for orthognathic surgery without preoperative orthodontic treatment, is aimed at dental decompensation. A brief historical background and indications for the surgery-first approach are reviewed. Considering the complicated mechanism of postoperative orthodontic treatment, the proper selection of patients is a vital component of successful surgery-first approach.

Keyword

Regional acceleratory phenomenon; Orthognathic surgery; Surgery-first approach; Orthodontics

MeSH Terms

Humans
Orthodontics
Orthodontists
Orthognathic Surgery
Surgeons
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