ABSTRACT
Ossifying fibroma is a fibro-osseous benign lesion which usually occurs in mandible and maxilla but particularly mandible. When involving the maxilla or the paranasal sinuses , they show a very aggressive pattern. We report a case of 53 yr old female patient presenting with ossifying fibroma in the right upper posterior region of the maxilla , but clinically it had the appearance of pyogenic granuloma.
ABSTRACT
The surgery-first approach (SFA) or Surgery-first Orthognathic approach (SFOA) without pre-surgical orthodontic treatment, has become favoured in the treatment of dentomaxillofacial deformities. Conventional orthognathic surgery treatment involves orthodontic interventions both before and after orthognathic surgery, making the total treatment period of 3-4 years and temporary worsening of facial profile. Surgery-first approach involves orthognathic surgery being carried out first, followed by orthodontic treatment to align the teeth and occlusion and it takes the advantage of corticotomy- facilitated orthodontics allowing rapid tooth movement thus reducing treatment duration. The purpose of this article is to present a case of skeletal class III malocclusion treated with surgery-first approach with emphasis on selection of case, treatment protocol, indications, advantages and disadvantages of surgery-first approach.