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- Title
Surgery first approach in orthognathic surgery - Considerations and clinical case report.
- Authors
Borges, Thaynan; Sol, Izabella; de Castro Rodrigues, Cristovão; Peres Lima, Felipe; Silva, Claudia; Furtado, Lair
- Abstract
The Rationale: The surgery first approach is a safe and stable procedure for the correction of dentofacial deformities that requires little orthodontic correction, leading to a faster return of functions. Patient Concerns: Patient with facial discrepancies seeks treatment that returns function and aesthetics, requiring a less prolonged treatment with adequate results. Diagnosis: Clinical, facial, and radiological image analysis was used for diagnosis and treatment plan. Treatment: Surgery first approach was performed in a patient with facial pattern II dolichocephalic, vertical maxillary excess, mandibular growth deficiency, aesthetic, and functional complaints, with the completion of the orthodontic treatment in 15 months. Outcomes: Follow-up of 36 months showed no evidence of recurrence of the initial condition and occlusal stability was maintained. The patient had no more functional and aesthetic complaints. Take-away Lessons: Aesthetic and functional improvements were observed more rapidly due to the correction of the skeletal deformity, with improvement in behavior and self-esteem.
- Subjects
ORTHOGNATHIC surgery; CORRECTIVE orthodontics; SURGERY; IMAGE analysis; HUMAN abnormalities; DIAGNOSIS; MALOCCLUSION
- Publication
Annals of Maxillofacial Surgery, 2021, Vol 11, Issue 2, p349
- ISSN
2231-0746
- Publication type
Case Study
- DOI
10.4103/ams.ams_8_21