Treatment efficiency and stability of skeletal Class <scp>III</scp> malocclusion with a surgery‐first approach

Lian, Y. K.; Hsieh, A.M.-C.; Tsai, Ming-Ke; Jiang, Hongbing; Yen, Ching‐Yu; Hsia, Yi-Jan; Lee, Sheng-Yang

doi:10.1111/ocr.12221

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…Among the 5 identified outcome domains, 2 are over-represented and 3 are under-represented [ Figure 2]. [47] Retrospective n, 37, females 24.0±4.9 years [51] Retrospective study 5 patients (19)(20)(21)(22)(23)(24)(25)(26) Furthermore, this scoping review did not identify any RCT within the SFOA research, indicating that more pertinent research encompassing RCTs are required to arrive at formulating COS. However, the fact that many prospective studies are being carried out is itself promising in nature, and in the future, this will allow researchers and readers to make best use of the available reported trails to formulate the research question.…”

Section: Discussionmentioning

confidence: 99%

Surgery-first orthognathic approach: A “scoping review” for mapping outcomes and plausible recommendations to develop core outcome sets

Gandedkar

Dávila

Chng

et al. 2019

APOS

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Aims and Objectives The aim of this scoping review was to identify the type of outcomes measured in surgery- first orthognathic approach (SFOA). The objectives were to classify the outcomes into predetermined domains and explore the degree of representation of each domain. Furthermore, to identify which domains are over- or under-represented and determine whether the findings of this scoping review could be employed to provide a template for core outcome sets (COS). Five outcomes were identified, and all the research pertinent to SFOA were assigned to these outcomes. Materials and Methods Electronic databases and additional records were searched from January 2009 to March 2019 to source the data, and 525 records were identified. Results The initial database and additional search resulted in 525 records, of which 54 potentially relevant articles were retrieved in full. 35 studies met the selection criteria following screening and were included in the scoping review with the results of the search depicted in the preferred reporting items for systematic reviews and meta-analyses. Domains such as morphological features or changes in maxillofacial skeleton and occlusion (n = 25, 71.42%) and psychosocial well-being including quality of life outcome (n = 8, 22.85%) were well represented while functional status (n = 1, 2.85%), health resource utilization (n = 0), and adverse effects (n = 1, 2.85 %) were under-represented. Conclusions Limited research on SFOA precludes development of COS. However, future SFOA clinical trials should consider underrepresented outcome domains to address the SFOA treatment modality comprehensively.

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Section: Discussionmentioning

confidence: 99%

Surgery-first orthognathic approach: A “scoping review” for mapping outcomes and plausible recommendations to develop core outcome sets

Gandedkar

Dávila

Chng

et al. 2019

APOS

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“…Various problems have been reported for this approach. The long duration of orthodontic treatment especially in the presurgical phase may discourage the patients and negatively affect their compliance [18]. Dowling et al reported that the length of conventional surgical-orthodontic treatment is about 22 months and includes 16 months of presurgical-orthodontic treatment and six months of postsurgical-orthodontic treatment [19].…”

Section: Case Reports In Dentistrymentioning

confidence: 99%

“…However, these time periods may vary depending on the operator's skills [20]. Some other disadvantages have also been reported for this approach including the gingival recession, root resorption, and worsened facial esthetics, which may occur during the presurgical-orthodontic phase [18,21]. To prevent them, researchers have suggested a two-step orthognathic surgical approach that does not require preoperative orthodontics [18,[22][23][24].…”

Section: Case Reports In Dentistrymentioning

confidence: 99%

“…Some other disadvantages have also been reported for this approach including the gingival recession, root resorption, and worsened facial esthetics, which may occur during the presurgical-orthodontic phase [18,21]. To prevent them, researchers have suggested a two-step orthognathic surgical approach that does not require preoperative orthodontics [18,[22][23][24]. This new approach has a significantly shorter treatment period [22], which in addition to immediate improvement of facial esthetics [25,26] often results in higher patient satisfaction and their improved cooperation.…”

Section: Case Reports In Dentistrymentioning

confidence: 99%

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Treatment of an Adult Skeletal Class III Patient with Surgically Assisted Rapid Palatal Expansion and Facemask

Behnia

Mohammad‐Rahimi

Behnaz

2019

Case Reports in Dentistry

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This case report presents the treatment of a 21-year-old male patient with class III skeletal malocclusion, an open bite, and vertical growth pattern. He was managed with surgically assisted rapid palatal expansion (SARPE) along with an orthopedic facemask. The duration of treatment was 16 months. Significant improvement and favourable outcome were observed concerning both facial appearance and paraclinical parameters after completion of treatment.

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“…Without presurgical orthodontics, the patients may have likely to develop unstable occlusion after surgery leading to relapse. However, some of the comparative studies between conventional and surgery first approach showed no statistical differences in relapse and almost equal for those achieved using the more traditional orthodontics-first approach [17,19,51,53,[59][60][61][62][63]. Advancement of fixation system enabled more stabilized results due to more stable fixation of bony segments.…”

Section: Relapse In Sfamentioning

confidence: 99%

Surgery First Approach

Gülşen¹

2019

Current Approaches in Orthodontics

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The surgery first approach (SFA) was presented by some researchers in earlier years, but SFA in a combined treatment, with the surgery first and the orthodontic treatment second, as introduced by Brachvogel et al. and by Nagasaka et al., has gained attention in the past 10 years. The advantages of SFA were reported in the literature, and the research into this method continues. One of the advantages of the SFA is the shorter total treatment time, and another is that patients begin treatment with a much improved face esthetically. The protocol of presurgical orthodontics is well known in dentofacial anomalies, but in SFA, especially in complex cases, the meticulous treatment is very important. In this chapter, SFA will be discussed.

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Treatment efficiency and stability of skeletal Class III malocclusion with a surgery‐first approach

Abstract: Using SFA for skeletal Class III malocclusions saves approximately 6 months of treatment time over 3-step treatment; the stability of the segmentation group was comparable to that of the non-segmentation group, a result that is possibly associated with the fixation of 2 miniplates.

Cited by 7 publications

References 17 publications

Surgery-first orthognathic approach: A “scoping review” for mapping outcomes and plausible recommendations to develop core outcome sets

Surgery-first orthognathic approach: A “scoping review” for mapping outcomes and plausible recommendations to develop core outcome sets

Treatment of an Adult Skeletal Class III Patient with Surgically Assisted Rapid Palatal Expansion and Facemask

Surgery First Approach

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