Presurgical orthodontic treatment has long been known as a prerequisite in the traditional orthognathic approach. However, achieving ideal decompensation is very difficult even in the presurgical orthodontic period. For minimization of this problem, the surgery-first orthognathic concept has been introduced. The authors hypothesized that this treatment modality will be feasible for skeletal class III dentofacial deformity patients. In this study, the authors tried to compare the traditional and surgery-first approaches regarding long-term outcomes in terms of stability, based on large-scale data. The patients included in this study had skeletal class III dentofacial deformities, and all underwent, and completed, orthognathic surgery between December 2007 and December 2015. The inclusion criteria were based on presurgical simulation on the dental model, and the authors predicted the potential of the surgery-first approach by this preoperative simulation model. Patients with cleft-related syndromes, those who underwent orthognathic surgeries due to facial asymmetry or class II deformity were excluded from the study. In total, 104 class III patients were enrolled in the surgery-first group and 51 class III patients in the traditional orthodontic-first group. Satisfactory results were achieved in all 155 patients with dentofacial deformity in this study. Overall, the analysis revealed that anteroposterior skeletal long-term stability in the surgery-first approach was not different, statistically or otherwise, from that in the orthodontic-first approach. Anteroposterior skeletal stability was maintained well in the surgery-first approach. In conclusion, surgery-first approach without presurgical orthodontic treatment can achieve similar results of long-term anteroposterior stability in correcting dentofacial deformities as the orthodontic treatment-first approach. (C) 2017 by Mutaz B. Habal, MD.
http://ift.tt/2xcTT3F
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- Two Scientific Awards for papers published in Slee...
- Constructing Experience: Event Models from Percept...
- Phosphate-arsenate relations to affect arsenic con...
- Analytical insight into degradation processes of a...
- Resistance of aerobic microorganisms and soil enzy...
- Contaminant characteristics and environmental risk...
- Stability of BiFeO 3 nanoparticles via microwave-a...
- Transcatheter aortic valve-in-valve implantation o...
- Unusual Superolateral Dislocation of Bilateral Man...
- Prenatal stress induced gender-specific alteration...
- Effects of an acute therapeutic or rewarding dose ...
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- A randomized trial of clitoral vacuum suction vers...
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- Does fear extinction in the laboratory predict out...
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- Response to “Re: A Systematic Review and Meta-anal...
- Central sympathetic nervous system reinforcement i...
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- Listening Effort Measured in Adults with Normal He...
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- The dissipation and risk assessment of 2,4-D sodiu...
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