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Since the time of Hugo Obwegeser, who is considered the father of Orthognathic surgery, we have come a long way in terms of managing patients who require Ortho-orthognathic surgery. It is common refrain amongst orthodontist when they do a consult for a patient for combined Ortho-orthognathic management that the patient will look worse first before he or she looks better. There is also a long process of treatment spanning on average 2.5 to 3 years when conventional ortho-orthognathic methods are employed. With surgery first approach becoming the treatment of choice with many orthodontist and surgeons around the world, it is good to take stock of where we are in managing such cases with both the methods. In this lecture, I would like to present my perspective on Surgery First approach with reference to conventional orthodontic-orthognathic approach.
Learning Objectives:
Recognize suitable cases for Surgery-First Orthodontics.
Manage simple Surgery-First Orthodontics cases.
Compare the pros and cons of Surgery-First Orthodontics vs Conventional Orthodontics-Orthognathic management.
