Review of International Journal of Dental Research and Reviews
SURGERY FIRST ORTHOGNATHIC APPROACH: AN ALTERNATIVE TO CONVENTIONAL ORTHOGNATHIC APPROACH
Shiv Shankar Agarwal1, Sanjeev Datana2, NK Sahoo3, SK Bhandari4
1Dr. Shiv Shankar Agarwal, Assistant Professor, Department of Orthodontics & Dentofacial Orthopedics, Armed forces medical college, Pune, India; 2Dr. Sanjeev Datana, Associate Professor, Department of Orthodontics & Dentofacial Orthopedics, Armed forces medical college, Pune, India; 3Dr. NK Sahoo, Professor, Department of Oral & Maxillofcial Surgery, Armed forces medical college, Pune, India;4Dr. SK Bhandari, Professor, Department of Oral & Maxillofcial Surgery, Armed forces medical college, Pune, India
The Conventional Orthognathic Approach (COA) for correction of skeletal malocclusion in adult patients consist of a variable length of pre-surgical orthodontic preparation accomplishing a majority of orthodontic tooth movements to reveal the true skeletal discrepancy and obtain a precise and stable occlusion post-surgically. This is followed by orthognathic surgery. Minor tooth movements like settling of occlusion are carried out during post-surgical orthodontics. This lead to development of a new approach for ortho-surgical correction; Surgery First Orthognathic Approach popularly known as SFOA in which aesthetics is restored first (by immediate surgery and eliminating the phase of pre-surgical orthodontics) followed by occlusal corrections by routine orthodontic treatment utilising Regional Acceleratory Phenomenon (RAP). This review paper highlights various aspects of SFOA to augment our existing understanding in this aspect of ortho-surgical correction.
Keywords: SURGERY FIRST ORTHOGNATHIC APPROACH, CONVENTIONAL ORTHOGNATHIC APPROACH
How to cite this article:
Shiv Shankar Agarwal, Sanjeev Datana, NK Sahoo, SK Bhandari. SURGERY FIRST ORTHOGNATHIC APPROACH: AN ALTERNATE TO CONVENTIONAL ORTHOGNATHIC APPROACH. International Journal of Dental Research and Reviews, 2020, 3:29. DOI: 10.28933/ijdrr-2019-01-0605
1. Kishore MSV, Ankush B, Rachala MR, Dharmender SR. Surgery first orthognathic approach: a review article. Int J Sci Tech 2016; 6(1):25-34.
2. Liou EJ, Chen PH, Wang YC, Yu CC, Huang CS, Chen YR. Surgery-first accelerated orthognathic surgery: postoperative rapid orthodontic tooth movement. J Oral and Maxillofac Surg 2011;69(3):781-5.
3. Nagasaka H, Sugawara J, Kawamura H, Nanda R. “Surgery First” skeletal Class III correction using the skeletal anchorage system. J Clin Ortho 2009; 43(2):97-105.
4. Sharma VK, Yadav K, Tandon P. An overview of surgery-first approach: recent advances in orthognathic surgery. J Orthodont Sci 2015;4:9-12.
5. Shah YA, Deshmukh SV, Patil AS. Surgery-first Approach. World J Dent 2017;8(4):343-50.
6. Leelasinjaroen P, Godfrey K, Manosudprasit M, Wangsrimon-gkol T, Surakunprapha P, Pisek P. Surgery first orthognathic approach for skeletal Class III malocclusion corrections—a literature review. J Med Assoc Thai 2012;95:172-80.
7. Gandedkar NH, Chng CK, Tan W. Surgery-first orthognathic approach case series: Salient features and guidelines. J Orthodont Sci 2016;5:35-42.
8. Aziz SR, Simon P. Hullihen and the origin of orthognathic surgery. J Oral Maxillofac Surg 2004; 62:1303-7.
9. Skaggs JE. Surgical correction of prognathism. Am J Orthod 1959; 45:265-71.
10. Behrman SJ, Behrman DA. Oral surgeons considerations in surgical orthodontic treatment. Dent Clin North Am 1988: 32: 481-507.
11. Brachvogel P, Berten JL, Hausamen JE. Surgery before orthodontic treatment: a concept for timing the combined therapy of skeletal dysgnathias. Dtsc Zahn Mund Kieferheilkd Zentralbl 1991;79:557-63.
12. 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(6):401-6.
13. O’Brien K, Wright J, Conboy F, Appelbe P, Bearn D, Caldwell S, et al. Prospective multicenter study of the effectiveness of Orthodontic/ Orthognathic care in United Kingdom. Am J Orthod Dentofac Orthop 2009; 135(6):709-14.
14. Peiro-Guijarro MA, Guijarro-Martinez R Raquel, Hernandez-Alfaro F. Surgery first in orthognathic surgery: A systematic review of the literature. Am J Orthod Dentofac Orthop 2016;149:448-62.
15. Huang CS, Hsu SS, Chen Y. Systematic review of the surgery first approach in orthognathic surgery. Biomed J 2014;37 (4):184-90.
16. Jeong WS, Choi JW, Kim DY, Lee JY, Kwon SM. Can a surgery-first orthognathic approach reduce the total treatment time? Int J Oral Maxillofac Surg. 2017;46(4):473-82.
17. Villegas C, Uribe F, Sugawara J, Nanda R. Expedited correction of significant dentofacial asymmetry using a “surgery first” approach. J Cli Orthod 2010;44(2); 97-103.
18. Pereira MD, Ferreira LM, Nicodemo D. Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Med Oral Patol Oral Cir Bucal. 2014 ;13:48-51.
19. 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 .
20. Bengtsson M, Wall G, Greiff L, Rasmusson L. Treatment outcome in orthognathic surgery-A prospective randomized blinded case-controlled comparison of planning accuracy in computer-assisted two- and three-dimensional planning techniques (part II). J Craniomaxillofac Surg. 2017;45(9):1419-24.
21. Hernandez-Alfaro H, Guijarro-Martinez. On a definition of the appropriate timing for surgical intervention in Orthognathic surgery. J Oral Maxillofac Surg 2014;43(7):846-54.
22. Wei H, Liu Z, Zang J, Wang X .Surgery-first/early-orthognathic approach may yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(2):107-16.