SURGERY FIRST ORTHOGNATHIC VERSUS CONVENTIONAL ORTHOGNATHIC APPROACH. A SYSTAMETIC REVIEW

      Аннотация: This review's findings should be interpreted with caution. SFA may be a viable alternative to COA and may result in a shorter postoperative orthodontic treatment time. However, the authors discovered a high degree of heterogeneity in SRs, with the majority of them having low evidence levels. As an overall consideration of the quality of life assessment, we can state that the surgery-first orthognathic approach has proven to provide an immediate improvement in the quality of living and to avoid the worsening caused by presurgical treatment and the discomfort of long presurgical orthodontic treatment, although results should be better corroborated by further studies with a larger group of patients. Until now, any skeletal and/or occlusal condition that could jeopardize the clinical outcome was considered a contraindication to surgery first. However, computer vision, virtual orthodontic setups, three-dimensional analysis, and computer-assisted design – computer-assisted production of intraoperative splints may help the surgeon and orthodontist forecast the extent of cytoskeletal correction more correctly.

Ключевые слова: orthognathic surgery, Surgery first approach, Conventional Approach