scholarly journals Guidelines for “Surgery First” Orthodontic Treatment

10.5772/33626 ◽  
2012 ◽  
Author(s):  
Jeong Hwan ◽  
Niloufar Nouri ◽  
Carla A.
Keyword(s):  
Orthodontic Treatment ◽  
Surgery First

scholarly journals A Retrospective Cohort Study of 45 Cases Treated With Surgery First Approach in Orthognathic Surgery and a Short Review

2020 ◽  
pp. 194338752095008
Author(s):  
Gaurav Singh ◽  
Utsav Singh Gurung ◽  
Madan Mishra ◽  
Amit Gaur
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Orthodontic Treatment ◽  
Joint Venture ◽  
Sagittal Split Ramus Osteotomy ◽  
Skeletal Malocclusion ◽  
Maxillary Osteotomy ◽  
Surgery First ◽  
Bimaxillary Protrusion

Study Design: Retrospective cohort study. Objective: The purpose of this study was to evaluate and share our experience with the surgery first approach (SFA) for correction of skeletal malocclusion. Methods: After consultation with the department of orthodontics, 45 patients with skeletal malocclusions suitable to undergo SFA were enrolled in this study (14 bimaxillary protrusion and 31 skeletal class III malocclusion). Le Fort I maxillary osteotomy, bilateral sagittal split ramus osteotomy, subapical osteotomy, and genioplasty were performed as required. After a healing period of 2 weeks, postoperative orthodontic treatment was started to achieve the final occlusion. Results: The mean duration of postoperative orthodontic treatment was 15.2 months, which is much shorter than the conventional orthodontic first approach (OFA) where presurgical orthodontic duration alone takes 12-24 months according to an individual. In the bimaxillary protrusion group, it was 18 months, which was significantly longer than for the other group ( P < .05). Conclusions: SFA offers an efficient alternative to conventional OFA with shorter total treatment duration, immediate marked improvement in facial profile, reduced biological costs, and similar operative stability. However, it comes at the cost of heightened challenges regarding case selection, accurate prediction, and surgical precision. With a joint venture between skilled and experienced surgeons and orthodontists, the outcome can be very promising.

A Survey of Orthodontic Treatment in Team Care for Patients With Syndromic Craniosynostosis in Japan

2018 ◽  
Vol 55 (4) ◽  
pp. 479-486 ◽  
Author(s):  
Takafumi Susami ◽  
Toshihiko Fukawa ◽  
Haruyo Miyazaki ◽  
Teruo Sakamoto ◽  
Tadashi Morishita ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Extraction ◽  
Mixed Dentition ◽  
Actual Condition ◽  
Maxillary Expansion ◽  
Team Care ◽  
Syndromic Craniosynostosis ◽  
Maxillary Molars ◽  
Risk Of Injury ◽  
Surgery First

Objective: To understand the actual condition of orthodontic treatment in team care for patients with syndromic craniosynostosis (SCS) in Japan. Design: A nationwide collaborative survey. Setting: Twenty-four orthodontic clinics in Japan. Patients: A total of 246 patients with SCS. Main Outcome Measure: Treatment history was examined based on orthodontic records using common survey sheets. Results: Most patients first visited the orthodontic clinic in the deciduous or mixed dentition phase. Midface advancement was performed without visiting the orthodontic clinic in about a quarter of the patients, and more than a half of the patients underwent “surgery-first” midface advancement. First-phase orthodontic treatment was carried out in about a half of the patients, and maxillary expansion and protraction were performed. Tooth extraction was required in about two-thirds of patients, and the extraction of maxillary teeth was required in most patients. Tooth abnormalities were found in 37.8% of patients, and abnormalities of maxillary molars were frequently (58.3%) found in patients who had undergone midface surgery below the age of 6 years. Conclusions: Many patients underwent “surgery-first” midface advancement, and visiting the orthodontic clinic at least before advancement was considered desirable. First-phase orthodontic treatment should be performed considering the burden of care. Midface advancement below the age of 6 years had a high risk of injury to the maxillary molars. This survey is considered useful for improving orthodontic treatment in team care of patients with SCS.

scholarly journals Current concept of the surgery-first orthognathic approach

2021 ◽  
Vol 48 (2) ◽  
pp. 199-207
Author(s):  
Jong-Woo Choi ◽  
Jang-Yeol Lee
Keyword(s):  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Review Article ◽  
Current Status ◽  
Class Ii Malocclusion ◽  
Class Iii ◽  
Clinical Experiences ◽  
Class Iii Malocclusion ◽  
Advantages And Disadvantages ◽  
Surgery First

Traditional orthognathic surgery has long been performed after presurgical orthodontic treatment. Despite some concerns, the surgery-first orthognathic approach (SFOA) or surgery-first approach (SFA) without presurgical orthodontic treatment has gradually gained popularity. In recent years, several articles dealing with the concepts of the SFA have been published worldwide. However, the SFA has not yet been standardized, and many surgeons use slightly different protocols and concepts. This review article discusses the beginning and evolution of the SFA and its current concepts, including some opinions based on the authors’ clinical experiences over the last 15 years. According to recent investigations, the SFA could be applied effectively in several situations including class III malocclusion, class II malocclusion, and facial asymmetry. However, debate on the SFA continues and many issues remain to be resolved. This review article addresses the current issues regarding the SFOA, including its advantages and disadvantages, as well as its indications and contraindications. The authors summarize various aspects of the SFA and expect that this review article will help surgeons and orthodontists better understand the current status of the SFA.

scholarly journals Dentoskeletal Stability in Conventional Orthognathic Surgery, Presurgical Orthodontic Treatment and Surgery-First Approach in Class-III Patients

2018 ◽  
Vol 7 (3) ◽  
pp. 283-293 ◽  
Author(s):  
Massoud Seifi ◽  
Negin-Sadat Matini ◽  
Amir-Reza Motabar ◽  
Mahtab Motabar ◽  
◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Class Iii ◽  
Surgery First

Surgery-first or orthognathic surgery approach: Psychosocial and physical changes

2016 ◽  
Vol 33 (S1) ◽  
pp. S147-S147
Author(s):  
E. Gambaro ◽  
C. vecchi ◽  
C. Gramaglia ◽  
A. Losa ◽  
M. Giarda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Short Form ◽  
Self Esteem ◽  
Care Quality ◽  
Surgical Approaches ◽  
Facial Esthetics ◽  
Surgery First

IntroductionTwo surgical approaches exist for malocclusion: in the surgery-first approach the orthognathic surgery precedes the orthodontic treatment, treating facial esthetics first and then occlusion, whereas in the conventional approach (the orthodontics-first approach) the orthodontic treatment precedes the orthognathic surgery, treating occlusion first and then facial esthetics. The advantages of the surgery-first approach include the fact that patient's dental function, and facial esthetics are restored and improved soon after the beginning of treatment. Moreover, the entire treatment lasts only 1 to 1.5 years or less and orthodontic management is easier to achieve.AimsOur study aims to compare patients undergoing surgery-first or orthognathic surgery approach as for as self-esteem, satisfaction with their appearance in the pre- and postoperative care, quality of life and psychosocial changes, are concerned.MethodsWe recruited 50 patients undergoing surgery-first or orthognathic surgery approach at SC Maxillo-Facciale of Novara between October 2014 and December 2017. Assessment were performed at baseline (T0) and at follow-up (T1: 5 weeks; T2: 5–6 months), with Rosenberg Self-Esteem Scale (RSES), Temperament and Character Inventory (TCI: only at T0), Short Form Health Survey 36 (SF-36), Beck Depression Inventory (BDI-II), Resilience Scale for Adult (RSA), Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile (OHIP-14).ResultsData collection is still ongoing. We expect to find a better quality of life and higher self-esteem in patients undergoing surgery first approach.ConclusionSatisfaction is crucial for patients’ adherence to treatment and to avoid revolving door. Clinical implications will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The correction of roll-type asymmetry using surgery first approach and minimal orthodontic treatment

2016 ◽  
Vol 40 (4) ◽  
pp. 210-221
Author(s):  
조하영 ◽  
강성남 ◽  
Sung-hoon Lim ◽  
오지수
Keyword(s):  
Orthodontic Treatment ◽  
Roll Type ◽  
Surgery First
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