Abstract
Surgery First is an orthodontic technique, not a surgical technique, in which the
orthodontic appliances are placed on immediately before surgery. The orthodontic dental
decompensation is performed after surgery, being the orthognathic surgery itself fundamentally
the same.
Surgery First has several advantages for patients. For instance, the total treatment
time drops significantly, and patients have better oral health-related quality of
life scores during treatment.
Several patients require skeletal anchorage miniplates for the post surgery orthodontic
treatment. In the maxilla, the anchorage miniplates compete for space in the positioning
site of the rigid internal fixation miniplates in the posterior region and requires
a change in the design of the Le Fort 1 osteotomy. This work presents a protocol for
the use of skeletal anchorage miniplates during surgical orthodontic treatments within
the Surgery First approach that our team has been implementing for 17 years.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Seminars in OrthodonticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Surgery first” skeletal class III correction using the Skeletal anchorage system.J Clin Orthod. 2009; 43: 97-105
- Anticipated benefit: a new protocol for orthognathic surgery treatment that eliminates the need for conventional orthodontic preparation.Dental Press J Orthod. 2010; 15https://doi.org/10.1590/S2176-94512010000100016
- Surgery-first orthognathic surgery with computer assisted three-dimensional planning.Semin Orthod. 2018; 24: 430-442https://doi.org/10.1053/j.sodo.2018.10.007
- Oral health-related quality of life changes in patients with severe Class III malocclusion treated with the 2-jaw surgery-first approach.Am J Orthod Dentofac Orthop. 2017; https://doi.org/10.1016/j.ajodo.2016.10.034
- The changes of oral health-related quality of life and satisfaction after surgery-first orthognathic approach: a longitudinal prospective study.Head Face Med. 2016; 12: 2https://doi.org/10.1186/s13005-015-0098-1
- Redefining our protocol of the orthognathic surgery-first approach after 10 years of experience.Br J Oral Maxillofac Surg. 2022; 60https://doi.org/10.1016/J.BJOMS.2022.04.006
- Nonextraction treatment with temporary skeletal anchorage devices to correct a class II division 2 malocclusion with excessive gingival display.Am J Orthod Dentofacial Orthop. 2014; 145: 85-94https://doi.org/10.1016/J.AJODO.2012.06.022
Choi S.K., Kwon K.H. Treatment of anterior open bite by posterior maxillary segmental osteotomy and miniplates: a case report. Maxillofac Plast Reconstr Surg. 2020;42(1):1-7. https://doi.org/10.1186/S40902-020-00265-4/FIGURES/8
- Assessment of bone density changes following two-jaw surgery using multidetector computed tomography: a pilot study.Korean J Orthod. 2020; 50: 157-169https://doi.org/10.4041/KJOD.2020.50.3.157
- The effects of mandibular osteotomy on maxillary orthodontic tooth movement and bone remodelling in a rat model.Eur J Orthod. 2021; 43: 467-472https://doi.org/10.1093/EJO/CJAA053
- Surgery-first approach in orthognathic surgery: psychological and biological aspects - a prospective cohort study.J Craniomaxillofac Surg. 2017; 45: 1293-1301https://doi.org/10.1016/J.JCMS.2017.05.031
Kraut RA. Simultaneous maxillary and mandibular orthognathic surgery stabilized by rigid internal fixation. Oral Surg Oral Med Oral Pathol. 1990;69(4):427-430. https://doi.org/10.1016/0030-4220(90)90373-Z
- Rigid fixation: where do we go from here?.Int J Adult Orthodon Orthognath Surg. 1993; 8 (Accessed November 21, 2022): 67
- Orthognathic surgery: the correction of dentofacial deformities.J Oral Maxillofac Surg. 1993; 51: 28-41https://doi.org/10.1016/0278-2391(93)90007-Z
- Personalized 3D-printed titanium cutting guide and prefabricated osteosynthesis plate for mandibular step osteotomy to treat severe mandibular prognathism.J Craniofac Surg. 2022; 33: 2247-2251https://doi.org/10.1097/SCS.0000000000008735
Nanda R. Biomechanics in clinical orthodontics. 1996:332.
- Expedited correction of significant dentofacial asymmetry using a “surgery first” approach.J Clin Orthod. 2010; 44 (quiz 105): 97-103https://doi.org/10.1016/j.ajodo.2016.12.022
- Skeletal anchorage system for open-bite correction.Am J Orthod Dentofacial Orthop. 1999; https://doi.org/10.1016/S0889-5406(99)70345-8
- The benefits of using anchorage miniplates. Are they compatible with everyday orthodontic practice?.Int Orthod. 2011; 9: 353-387https://doi.org/10.1016/j.ortho.2011.09.015
- Titanium miniplate as anchorage to close a premolar space by means of mesial movement of the maxillary molars.Am J Orthod Dentofac Orthop. 2009; 136: 587-595https://doi.org/10.1016/j.ajodo.2007.08.036
- Hemimandibular hyperplasia treatment with condylectomy and orthodontic camouflage treatment using miniplate.Am J Orthod Dentofacial Orthop. 2021; 159 (e5.): 852-865https://doi.org/10.1016/J.AJODO.2020.10.026
- Computer-aided design and computer-aided manufacturing cutting guides and customized titanium plates are useful in upper maxilla waferless repositioning.J Oral Maxillofac Surg. 2015; 73: 701-707https://doi.org/10.1016/J.JOMS.2014.10.028
- Computer-aided design and manufacturing cutting and drilling guides with prebent titanium plates improve surgical accuracy of skeletal class III malocclusion.Plast Reconstr Surg. 2020; 145: 963e-974ehttps://doi.org/10.1097/PRS.0000000000006794
- Infection predictive factors with orthodontic anchorage miniplates.Semin Orthod. 2018; 24https://doi.org/10.1053/j.sodo.2018.01.004
Article info
Publication history
Published online: December 08, 2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
