Abstract
Orthognathic surgery and orthodontic treatment are required for patients with dentofacial deformities to obtain an ideal facial esthetic with good functioning. Recently, characterized by the surgery-first approach, an integrated orthodontic–surgical treatment has been introduced as an emerging solution to dentofacial deformity treatment. The surgery-first approach is regarded to have less treatment time and quicker enhancement of a facial profile than the conventional orthodontic–surgical treatment. Moreover, the recent advances in computing and imaging have allowed the adoption of 3-dimensional (3D) virtual planning protocols in orthognathic surgery as well as digital orthodontic treatment, which enables a paradigm shift when realizing virtual planning properly. These techniques then allow the surgeon and orthodontist to collaborate, plan, and simulate the dentofacial deformity treatment before performing the whole procedure. Along this line, in this research article, we present an integrated treatment method for the realization of an effective deformity treatment. Specifically, we implemented the integrated 3D technique by combining it with the surgery-first orthognathic approach (SFOA) as a novel treatment method for the patients. The outcomes from the combined treatments of the patients with dentofacial deformity, in practice, have demonstrated that our proposed 3D technique in orthognathics and orthodontics using clear aligner therapy (e.g., Invisalign) can enhance the satisfactory level of the patient since the start of treatment then improve their quality of life. As a result, the combined techniques realize the novel integrated treatment method using 3D technology with the use of 3D imaging and modeling as a promising development trend of dentistry, which fits into the context of Dentistry 4.0 as a key enabler to the concept of sustainable dentistry development.
Highlights
IntroductionFor patients with severe skeletal jaw discrepancies, the combination of orthognathic surgery (OGS) with orthodontics is the treatment of choice that can both harmonize facial esthetics and restore functional occlusion [1]
1 shows the cephalometric measurements esthetic results
As described in the present study, this novel combined approach includes the use of digital software for efficient planning and assists in both surgical and orthodontic treatment, which is promising and more accurate compared to the conventional approach
Summary
For patients with severe skeletal jaw discrepancies, the combination of orthognathic surgery (OGS) with orthodontics is the treatment of choice that can both harmonize facial esthetics and restore functional occlusion [1]. Thanks to the immediate enhancement of the facial profile and the faster treatment time compared to the conventional approach, the recent surgery first (SF) approach is gaining popularity in orthognathic surgery [3]. As its name suggests, no pre-surgical orthodontics is required and the surgical procedure is performed first to obtain the desired occlusion in SF so that the patients tend to cooperate more in the post-surgical phase [4]. It has been reported that the regional acceleratory phenomenon (RAP) effect and improvement of the perioral muscle balance of the SF approach will make the orthodontic treatment faster [5]
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