Anticipated Benefit of “Surgery First” Approach- A Clinical Case Report
Vijayashri Sakthi1, S. Kishore Kumar2, W. S. Manjula3

1Senior lecturer, Tagore Dental college and Hospital, Chennai, India 2Department of Orthodontics, Sree Balaji Dental College and Hospital, Bharath University, Pallikaranai, Chennai-600100 3Sree Balaji Dental College and Hospital, Bharath University, Pallikaranai, Chennai-600100

Abstract: In recent years, a trend toward implementing treatment plans that achieve immediate facial change has arisen. In “Surgery First” treatment plans, the presurgical orthodontic treatment phase is eliminated or greatly reduced, the jaws are surgically repositioned into the desired locations, and orthodontic tooth movement follows.   This clinical case typically exemplifies the effect of Anterior segmental maxillary osteotomy and  Mandibular anterior subapical osteotomy on improving the skeletal, dental, soft tissue and over all aesthetics of the patient.

Keywords: Anterior Maxillary Segmental Osteotomy; Surgery first; Gummy Smile

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