Surgery first orthognathic approach for skeletal Class III malocclusion corrections--a literature review
Leelasinjaroen, P.; Godfrey, K.; Manosudprasit, M.; Wangsrimongkol, T.; Surakunprapha, P.; Pisek, P.
Journal of the Medical Association of Thailand 95 Suppl. 11: S172-S180
2012
ISSN/ISBN: 0125-2208 PMID: 23961640 Document Number: 15102
Management for patients with skeletal Class III malocclusion is orthognathic surgery which involves both orthodontics and surgery. Nowadays, there are two approaches for orthognathic surgery: orthodontics-first and surgery-first approaches. The orthodontics-first approach, or presurgical orthodontics treatment, causes longer treatment time and worsens facial appearance before surgery compared with a surgery-first approach. Conversely, with the surgery-first approach or the surgery-first-orthognathic-approach (SFOA), correction can be resolved more rapidly. SFOA needs high level skill of orthodontist and surgeon and also needs good cooperation between them to accomplish best results. The purpose of this article is to review the concept, indications, contraindications, the stages of treatment and advantages, and disadvantages of SFOA.