Modified surgery-first approach for management of severe class III malocclusion with maxillary skeletal midline discrepancy
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20232494Abstract
This case report describes orthosurgical case that used the recently introduced surgery-first approach to correct a severe skeletal class III malocclusion with severe maxillary midline discrepancy. A 23-year-old adult male presented with severe mandibular prognathism and midline discrepancy associated with upper jaw. Firstly partial orthodontic movement were facilitated to decrowd the lower teeth in order to avoid any hindrance while anterior tooth advancement. After which prediction of the postsurgical tooth movement and surgical simulation was done by using Nemoceph software than 2-jaw surgery that included maxillary advancement differentially initiated to correct midline followed by mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 11 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained even after patient was followed for six years.
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Huang CS, Hsu SS, Chen YR. Systematic review of the surgery-first approach in orthognathic surgery. Biomed J. 2014;37:184-90.
Kim SJ, Kim MR, Shin SW. Evaluation on the psychosocial status of orthognathic surgery patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:828-32.
Hernandez-Alfaro F, Guijarro-Martinez R, Peiro-Guijarro MA. Surgery first in orthognathic surgery: what have we learned? A comprehensive workflow based on 45 consecutive cases. J Oral Maxillofac Surg. 2014;72:376-90.
Skaggs JE. Surgical correction of prognathism. Am J Orthod. 1959;45:265-71.
Behrman SJ, Behrman DA. Oral surgeons' considerations in surgical orthodontic treatment. Dent Clin North Am. 1988;32:481-507.
Peiróguijarro MA, Guijarromartínez R, Hernándezalfaro F. Surgery first in orthognathic surgery: a systematic review of the literature. Am J Orthod Dentofacial Orthop. 2016;149:448-62.
Proffit WR, Miguel JA. The duration and sequencing of surgical orthodontic treatment. Int J Adult Orthodon Orthognath Surg. 1995;10:35-42.
Proffit WR, White RP. Development of surgeon-orthodontist interaction in orthognathic surgery. Semin Orthod. 2011;17:183-5.
Luther F, Morris DO, Hart C. Orthodontic preparation for orthognathic surgery: how long does it take and why? A retrospective study. Br J Oral Maxillofac Surg. 2003;41:401-6.
Hong KJ, Lee JG. 2 phase treatment without preoperative orthodontics in skeletal class III malocclusion. J Korean Assoc Oral Maxillofac Surg. 1999;25:48-53.
Baek SH, Ahn HW, Kwon YH, Choi JY. Surgery-first approach in skeletal Class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment. J Craniofac Surg. 2010;21:332-8.
Villegas C, Uribe F, Sugawara J, Nanda R. Expedited correction of significant dentofacial asymmetry using a “surgery first” approach. J Clin Orthod. 2010;44:97-103.
Hernandez-Alfaro F, Guijarro-Martinez R, Molina-Coral A, Badia-Escriche C. “Surgery-first” in bimaxillary orthognathic surgery. J Oral Maxillofac Surg. 2011;69:e201-7.
Diaz PM, Garcia RG, Gias LN. Time used for orthodontic surgical treatment of dentofacial deformities in white patients. J Oral Maxillofac Surg. 2010;68:88-92
Bailey LT, Proffit WR. Combined surgical and orthodontic treatment. In: Fields HW, ed. Contemporary Orthodontics. Philadelphia, PA: Mosby. 1999:674-709.
Nagasaka H, Sugawara J, Kawamura H, Nanda R. “Surgery first” skeletal Class III correction using the skeletal anchorage system. J Clin Orthod. 2009;43:97-105.
Sugawara J, Aymach Z, Nagasaka H, Kawamura H, Nanda R. “Surgery first” orthognathics to correct a skeletal Class II malocclusion with an impinging bite. J Clin Orthod. 2010;44:429-38.
Liou EJ, Chen PH, Wang YC, Yu CC, Huang CS, Chen YR. Surgery first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg. 2011;69:771-80.
Frost HM. The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J. 1983;31:3-9.
Yaffe A, Fine N, Binderman I. Regional accelerated phenomenon in the mandible following mucoperiosteal flap surgery. J Periodontol. 1994;65:79-83.
Iino S, Sakoda S, Ito G, Nishimori T, Ikeda T, Miyawaki S. Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. Am J Orthod Dentofacial Orthop. 2007;131:448.e1-8.
Lee W, Karapetyan G, Moats R, Yamashita DD, Moon HB, Ferguson DJ et al. Corticotomy-/osteotomy-assisted tooth movement microCTs differ. J Dent Res. 2008;87:861-7.
Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res. 1989;248:283-93.
Yu HB, Mao LX, Wang XD. The surgery-first approach in orthognathic surgery: a retrospective study of 50 cases. Int J Oral Maxillofac Surg. 2015;44:1463-7.
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