Surgery -First Approach in Orthognathic Surgery- A Case Report.

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.