Abstract

Recent digital technological advancements in orthodontics have streamlined the surgery-first orthognathic approach (SFOA). Currently, it is established that simulation of complex surgical movements can be done digitally. However, there is lack of clarity on clinical protocols employed in Clear Aligner Treatment (CAT) for the management of Surgery-First Orthognathic Approach (SFOA). The primary objective of this article is to provide an, in-depth, answer to this question. This is a first-of-its-kind article that effectively utilizes clinical scenarios and case reports to meticulously describe the requirements of presurgical orthodontics, protocols during surgery, and post-surgery commencement of aligner-orthodontics in three dimensions (transverse,vertical and sagittal), along with clinical tips, dos, and don'ts.

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