Open AccessAn overview of surgery-first approach: Recent advances in orthognathic surgery
Author(s) -
Vipul Kumar Sharma,
Kirti Yadav,
Pramod Tandon
Publication year - 2015
Publication title -
journal of orthodontic science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.298
H-Index - 4
eISSN - 2278-1897
pISSN - 2278-0203
DOI - 10.4103/2278-0203.149609
Subject(s) - orthognathic surgery , dentofacial deformity , medicine , orthodontics , dentistry
The disadvantages of having orthodontic interventions both before and after orthognathic surgery include a long treatment time of 7-47 months and temporary worsening of facial appearance. Nowadays, the concept of surgery-first, followed by orthodontic treatment is applied to orthognathic surgery cases in different orthodontic centers in the world. This concept and technique is called "surgery-first-orthognathic-approach" or "surgery-first approach" (SFA) rigid fixation (skeletal anchorage system) of the bony segments and regional acceleratory phenomenon were keys to broad implementation of the SFA. This article is intended to provide an overview of SFA including indications, general and specific guidelines, different protocol variations, success rate and potential problems.