Stomatology ›› 2022, Vol. 42 ›› Issue (5): 471-475.doi: 10.13591/j.cnki.kqyx.2022.05.017

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Advancement of research on the surgery-first approach for correction of dento-maxillofacial deformity

FAN Rong, CHANG Xin   

  1. Department of Orthodontics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116000,China
  • Revised:2021-10-01 Published:2022-05-24

Abstract: Surgery-first approach (SFA) refers to patients bypassing the preoperative orthodontic process before orthognathic surgery, or performing only a short and simple preoperative orthodontic, and then directly performing orthognathic surgery, in order to avoid temporary face deterioration of orthodontics, shorten the course of treatment and improve patient satisfaction. Compared with conventional orthognathic surgery, SFA has more stringent selection of indications and contraindications. Surgical design and operation are more difficult, while related research on clinical effects and long-term stability after treatment is less. SFA, as an alternative to conventional orthognathic surgery, is one of the hot research topics in recent years. This review will focus on the concept, its advantages and disadvantages, indications and contraindications, surgical design and so on.

Key words: surgery-first approach, orthognathic surgery, dento-maxillofacial deformity

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