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Point-counterpoint: Conventional jaw surgery versus the surgery first approach

Published:December 02, 2022DOI:https://doi.org/10.1053/j.sodo.2022.11.008

      Abstract

      The title of this paper has been chosen with some care, precisely because it is the format described for most modern debates about surgical timing in orthognathic surgery. Clinicians are either in the conventional (Surgery Late) camp or the Surgery First camp. Being fractured into opposing camps, debaters often resort to adversarial, ad hominem posturing, with no concessions based on facts. Such attitudes are prevalent in the marketplace and in many unreliable professions but have no place in medicine and surgery. The purpose of this paper is to discuss a logical approach to deciding appropriate surgical timing and case selection for the orthognathic surgical patient.
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