Stomatológ 2021, 31(1):37-44 | DOI: 10.69658/sto.2021.008

Surgery First approach from the viewpoint of an oral and maxillofacial surgeon

Simona Dianišková*, Alica Orenčáková
Slovenská zdravotnícka univerzita, Lekárska fakulta, Katedra čeľustnej ortopédie, Bratislava

Orthodontic-surgical treatment of skeletal defects is one of the most complex, but also the most interesting parts of orthodontics. The Surgery First (SF) approach is a relatively new procedure, which differs in its nature from the standard combined orthodontic-surgical therapy. At the beginning of the treatment, the patient undergoes orthognathic surgery to balance skeletal proportions. During operation, the original malocclusion is replaced by a new malocclusion, which can later be modified orthodontically. The absence of a decompensation phase, an immediate change in the facial profile and a significantly shorter time of treatment are the main advantages of SF compared to the standard combined therapy. In this article we want to present a new therapeutic procedure, its advantages, disadvantages, indications, contraindications, and describe the treatment planning and the therapeutic procedure itself from the viewpoint of a maxillofacial orthopaedist.

Keywords: orthognathic surgery, surgery first approach, standard combined therapy, orthodontics, regenerative acceleration phenomenon

Published: June 15, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Dianišková S, Orenčáková A. Surgery First approach from the viewpoint of an oral and maxillofacial surgeon. Stomatológ. 2021;31(1):37-44. doi: 10.69658/sto.2021.008.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. BAEK, S. H., AHN, H. W., KWON, Y. H., CHOI, J. Y.: 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, č. 2, s. 332-338. Go to original source... Go to PubMed...
    2. BELL, W. H., CREEKMORE, T. D.: Surgical-orthodontic correction of mandibular prognathism. In Am J Orthod. 1973; 63: 256-270. Go to original source... Go to PubMed...
    3. BELL, W. H., JACOBS, J. D.: Surgical-orthodontic correction of maxillary retrusion by Le Fort I osteotomy and proplast. In J. Maxillofac. Surg. 1980, 8, č. 2, s. 84-94. Go to original source... Go to PubMed...
    4. EPKER, B. N., FISH, L.: Surgical-orthodontic correction of open-bite deformity. In Am J Orthod 1977; 71: 278-299. Go to original source... Go to PubMed...
    5. FABER, J.: Anticipated Benefit: a new protocol for orthognathic surgery treatment that eliminates the need for conventional orthodontic preparation. Dental Press J. Orthod. 2010, 15, č. 1, s. 144-157. Go to original source...
    6. FROST, H. M.: The biology of fracture healing. An overview for clinicians. Part I. Clin. Orthop. Relat. Res. 1989, č. 248, s. 283-293. Go to original source...
    7. GRUBB, J., EVANS, C.: Orthodontic management of dentofacial skeletal deformities. Clin Plast Surg 2007; 34: 403-415. Go to original source... Go to PubMed...
    8. HANZELKA, T., KUČERA, J., TYCOVÁ, H., FOLTÁN, R.: Surgery First. Principy, výhody a nevýhody. Ortodoncie 2015, 24, č. 2, s. 82-91.
    9. HERNÁNDEZ-ALFARO, F., GUIJARRO-MARTÍNEZ, R., PEIRÓGUIJARRO, M. A.: Surgery first in orthognathic surgery: what have we learned? A comprehensive workflow based on 45 consecutive cases. J Oral Maxillofac Surg 2014; 72: 376-390. Go to original source... Go to PubMed...
    10. HUANG, C. S., LIU, X. Q., CHEN, Y. R.: Facial asymmetry index in normal young adults. In Orthod Craniofac Res 2013; 16: 97-104. Go to original source... Go to PubMed...
    11. CHOI, J. W., LEE, J. Y., YANG, S. J., KOH, K. S.: The reliability of a surgery-first orthognathic approach without presurgical orthodontic treatment for skeletal class III dentofacial deformity. In Ann Plast Surg 2015; 74: 333-341. Go to original source... Go to PubMed...
    12. KO, E. W., LIN, S. C., CHEN, Y. R., HUANG, C. S.: Skeletal and dental variables related to the stability of orthognathic surgery in skeletal class III malocclusion with a surgery-first approach. J Oral Maxillofac Surg 2013; 71: 215-223. Go to original source... Go to PubMed...
    13. KOOLE, R., EGYEDI, P.: The case for postoperative orthodontics. In orthognathic surgery. J. Craniomaxillofac. Surg. 1990, 18, č. 7, s. 293-296. Go to original source... Go to PubMed...
    14. LEE, N. K., KIM, Y. K., YUN, P. Y., KIM, J. W.: Evaluation of post-surgical relapse after mandibular setback surgery with minimal orthodontic preparation. J Craniomaxillofac Surg 2013; 41: 47-51. Go to original source... Go to PubMed...
    15. LEELASINJAROEN, P., GODFREY, K., MANOSUDPRASIT, M. et al.: Surgery first orthognathic approach for skeletal class III malocclusion corrections - a literature review. J Med Assoc Thailand. 2012; 11: 172-180.
    16. LIOU, E. J., CHEN, P. H., WANG, Y. C., YU, C. C., HUANG, C. S., CHEN, Y. R.: Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. In J Oral Maxillofac Surg 2011; 69: 771-780. Go to original source... Go to PubMed...
    17. LIOU, E. J., CHEN, P. H., WANG, Y. C., YU, C. C., HUANG, C. S., CHEN, Y. R.: Surgery-first accelerated orthognathic surgery: postoperative rapid orthodontic tooth movement. J. Oral Maxillofac. Surg. 2011, 69, č. 3, s. 781-785. Go to original source... Go to PubMed...
    18. LUTHER, F., MORRIS, D. O., KARNEZI, K.: Orthodontic treatment following orthognathic surgery: how long does it take and why? A retrospective study. J. Oral Maxillofac. Surg. 2007, 65, č. 10, s. 1969-1976. Go to original source... Go to PubMed...
    19. MICHELET, F. X., DEYMES, J., DESSUS, B.: Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery. J. Maxillofac. Surg. 1973, 1, č. 2, s. 79-84. Go to original source... Go to PubMed...
    20. PEIRÓ GUIJARRO, M. A., GUIJARRO MARTÍNEZ, R., HERNÁNDEZ ALFARO, F.: Surgery first in orthognathic surgery: a systematic review of the literature. Am J Orthod Dentofacial Orthop. 2016; 149: 448-462. Go to original source... Go to PubMed...
    21. PETR, J., FOLTÁN, R.: Ortodonticko-chirurgická léčba pacientů s otevřeným skusem z pohledu ortodontisty. Ortodoncie, 2010, 19, č. 3, s. 15-26.
    22. POULTON, D. R., TAYLOR, R. C., WARE, W. H.: Cephalometric X-ray evaluation of the vertical osteotomy correction of mandibular prognathism. In Oral Surg Oral Med Oral Pathol 1963; 16: 807-820. Go to original source... Go to PubMed...
    23. PROFFIT, W. R., FIELDS, H. W., SARVER, D. M.: Contemporary orthodontics. 4th ed. St. Louis, MO: Mosby Elsevier; 2007: 710-713.
    24. SHARMA, V. K., YADAV, K., TANDON, P.: An overview of surgery-first approach: recent advances in orthognathic surgery. J Orthod Sci. 2015; 4: 9-12. Go to original source... Go to PubMed...
    25. SUGAWARA, J., AYMACH, Z., NAGASAKA, D. H., KAWAMURA, H.; NANDA, R.: "Surgery first" orthognathics to correct a skeletal class II malocclusion with an impinging bite. In J. Clin. Orthod. 2010, 44, č. 7, s. 429-438.
    26. WEI, H., LIU, Z., ZANG, J., XUDONG, W.: Surgery-first/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis. J Oral Maxillofac Surg 2018. Go to original source... Go to PubMed...
    27. WORMS, F. W., ISAACSON, R. J., SPEIDEL, T. M.: Surgical orthodontic treatment planning: profile analysis and mandibular surgery. In Angle Orthod 1976; 46: 1-25.
    28. YANG, L., XIAO, Y. D., LIANG, Y. J. et al.: Does the surgery-first approach produce better outcomes in orthognathic surgery? A systematic review and meta-analysis. J Oral Maxillofac Surg. 2017; 75: 2422-2429. Go to original source... Go to PubMed...
    29. YUAN, H., ZHU, X., LU, J., DAI, J., FANG, B., SHEN, S. G.: Ac-celerated orthodontic tooth movement following Le Fort I osteotomy in a rodent model. J. Oral Maxillofac. Surg. 2014, 72, č. 4, s. 764-772. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content