Surgery first approach in orthognathic surgery - Considerations and clinical case report

• Published in: Annals of maxillofacial surgery 2021-07, Vol.11 (2), p.349-351
• Main Authors: Borges, Thaynan, Sol, Izabella, de Castro Rodrigues, Cristovão, Peres Lima, Felipe, Silva, Claudia, Furtado, Lair
• Format: Article
• Language: English
• Subjects: Case Report - Orthognathic Surgery; Surgery
• ISSN: 2231-0746; 2249-3816
• DOI: 10.4103/ams.ams_8_21

The Rationale: The surgery first approach is a safe and stable procedure for the correction of dentofacial deformities that requires little orthodontic correction, leading to a faster return of functions. Patient Concerns: Patient with facial discrepancies seeks treatment that returns function and aesthetics, requiring a less prolonged treatment with adequate results. Diagnosis: Clinical, facial, and radiological image analysis was used for diagnosis and treatment plan. Treatment: Surgery first approach was performed in a patient with facial pattern II dolichocephalic, vertical maxillary excess, mandibular growth deficiency, aesthetic, and functional complaints, with the completion of the orthodontic treatment in 15 months. Outcomes: Follow-up of 36 months showed no evidence of recurrence of the initial condition and occlusal stability was maintained. The patient had no more functional and aesthetic complaints. Take-away Lessons: Aesthetic and functional improvements were observed more rapidly due to the correction of the skeletal deformity, with improvement in behavior and self-esteem.