Anticipated benefit: a new protocol for orthognathic surgery

Introduction: Conventional orthodontic-surgical treatment for the correction of dentofacial deformities takes up a lengthy period of time preparing the patient orthodontically, which sometimes causes a temporary deterioration in the patient’s appearance. This fact has set the stage for the development of a new treatment technique aimed at addressing these issues. According to this method, the orthodontic appliance is fixed and orthognathic surgery is performed before the orthodontic preparation.

Objectives: To discuss the protocol named Anticipated Benefit, and illustrate it with clinical cases. It does not change the surgical technique significantly but the orthodontic treatment, which becomes more complex as it incorporates skeletal anchorage in most of the cases and requires a commitment by the orthodontist to achieve the goals established at the beginning of treatment.

Methods: The planning stages are presented and then illustrated by treating a patient with a Class III deformity. A comparison with the traditional method will be done, and needs and complications discussed.

Conclusion: Although both the traditional and the Anticipated Benefit techniques provide excellent functional and aesthetic results, the new protocol achieves significant improvements just after the start of treatment. The new method has proved to be very convenient, particularly for the patient. It provides some key advantages such as faster improvement of aesthetics and function, without the temporary deterioration of aesthetics aspects in conventional treatment. However, a larger experience from both the orthodontist and the surgeons are needed, and rigid fixation is a must have.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Anticipated benefit: a new protocol for orthognathic surgery
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