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Re: Does a surgery first approach to orthognathic treatment of class III skeletal relations result in a shorter duration of treatment? A systematic review

      We read with interest the recent systematic review by Monaghan et al. regarding whether a surgery first approach to the orthognathic treatment of patients with a Class III skeletal relationship results in a shorter treatment duration. Although all of the surgery first studies included in this review showed relatively short treatment times, the authors concluded that there is no quality evidence that surgery first does result in shorter durations of treatment, due to bias in these studies. However, the authors also stated that their review concentrated on the ‘physiological’ aspects of the surgery first approach, and it may be that some ‘logistical differences’ inherent in this approach, are more important to treatment duration. They quote that the conventional approach, where surgery follows orthodontic decompensation, results in an average delay in the NHS of 5 months and often much longer.
      • Ireland A.J.
      • Atack N.E.
      • Cunningham S.J.
      • et al.
      British Orthodontic Society (BOS) National Orthognathic Audit 2017–2018.
      We agree and would like to highlight these logistical issues.
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      References

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        • Atack N.E.
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        • et al.
        British Orthodontic Society (BOS) National Orthognathic Audit 2017–2018.
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