Surgery-First Orthodontic Approach for the patients

Kook,  Minsuk

doi:2017.55.4.296

J Korean Dent Assoc > Volume 55(4); 2017 > Article

The Journal of The Korean Dental Association 2017;55(4):296-302.
DOI: https://doi.org/10.22974/jkda.2017.55.4.003 Published online April 30, 2017.

환자를 위한 선수술 교정 접근 방법

국민석

전남대학교 치의학전문대학원 구강악안면외과학교실

Surgery-First Orthodontic Approach for the patients

Minsuk Kook

Dept. of Oral and Maxillofacial Surgery Chonnam National University School of Dentistry

Abstract

The traditional orthognathic surgery treatment consists of three steps: preoperative orthodontic treatment, orthognathic surgery, and postoperative orthodontic treatment, and the average treatment period is usually two years. Also, patients with Class III malocclusion should spend more time getting their facial features worse during the decompensation process. However, most of the patients who want orthognathic surgery visit the chief complaints of appearance improvement, and resolve this address as soon as possible. The concept of °AESurgery - First 'does not cause a facial imbalance caused by decompensation for the pre - operative correction period, and the patient can obtain an improved facial profile immediately after the operation. In addition, the correction period is shortened by Regional Acceleratory Phenomenon (RAP) after surgery. However, it is not applicable to all patients. Patients with severe crowding, severe curve of spee or reverse curve of spee, severe transverse discrepancy of the maxilla and mandibular arch, and severe incisal angles are less likely to apply the technique. Although it is not yet possible to apply this technique to all patients, it has many advantages over the conventional method. Especially, the patients' preference is increasing due to the rapid appearance improvement and the shortening of the total treatment period.

Key Words: orthognathic surgery;