Case Report on Surgery-First Approach.

Abstract

The Rationale:The surgery-first approach provides immediate improvement in facial aesthetics in orthognathic cases with a shorter total treatment period.Patient Concerns:A 21-year-old male came with the chief complaint of protrusive lower front teeth and a large lower jaw. His main concern was aesthetics.Diagnosis:This was a case of skeletal Class III malocclusion with reverse overjet of 4 mm, overbite of 6 mm with a concave profile, and a protrusive chin.Treatment:The patient was treated by bilateral sagittal split setback osteotomy of the mandible with surgery first approach via nonextraction therapy.Outcome:After an active treatment of 15 months, improved facial profile, facial proportions, and a significant reduction of mandibular prognathism were much appreciated. The treatment results were stable after a 1-year follow-up of the treatment.Take-away Lesson:This case report highlights the utilization of nature's dental decompensation to achieve a desirable result, thereby attaining “more with less.”