Research Article| Volume 28, ISSUE 4, P247-257, December 2022

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Insights into concepts, protocols, and evidence of surgery-first orthognathic approach-The journey so far

Published:December 02, 2022DOI:


      The aim of this narrative review was to comprehensively describe the surgery-first orthognathic approach (SFOA) or the surgery-first approach (SFA) in terms of the concept, procedure selection and evidence available to date. Comparisons with the conventional orthognathic surgery approach (COSA) are also made. In the light of newer advances in technology, including but not limited, to augmented reality - virtual treatment objective setup, 3D imaging, and computer-aided design and manufacturing (CAD/CAM), the “one patient two problems concept” needs to be thoroughly understood to further enhance both patients’ quality of life and practitioners’ clinical skills. Undoubtedly, gathering higher levels of evidence from future randomized control trials (RCTs) and developing standard core outcomes (COS) on SFOA are the need of the hour.
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