Surgery First: Indications and Contraindications from the Surgeon’s and Orthodontist’s Perspectives

Surgery first has revived as a surgical approach in orthognathic surgery to reduce treatment duration and eliminate the accentuation of the dentofacial deformity that occurs with presurgical orthodontics. Skeletal anchorage, along with the use of surgical rigid internal fixation and 3-D virtual planning, has made this approach more feasible. Research studies have shown a reduction in treatment duration of 30 - 70%.

Learning Objectives:

• Describe the inefficiencies in the Conventional Orthognathic Surgery Sequence
• Discuss the integration and coordination need in the use orthodontic and surgical techniques to obtain a successful outcome using a Surgery First treatment plan
• Describe the use of CAD-CAM Technology in Surgery First