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.
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We agree and would like to highlight these logistical issues.To read this article in full you will need to make a payment
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References
- British Orthodontic Society (BOS) National Orthognathic Audit 2017–2018.J Orthod. 2019; 46: 287-296
- Treatment time and occlusal outcome of orthognathic therapy in the East of England region.J Orthod. 2012; 39: 206-211
- Digital model planning and computerised fabrication of orthognathic surgery wafers.J Orthod. 2014; 41: 38-45
- The accuracy of maxillary positioning using digital model planning and 3D printed wafers in bimaxillary orthognathic surgery.J Orthod. 2017; 44: 256-267
Article Info
Publication History
Published online: April 29, 2022
Accepted:
March 30,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Does a surgery first approach to orthognathic treatment of class III skeletal relations result in a shorter duration of treatment? A systematic reviewBritish Journal of Oral and Maxillofacial SurgeryVol. 59Issue 10
- PreviewThe objective of this study was to review the evidence relating to treatment duration and the surgery first approach (SFA) in managing class III skeletal discrepancies to determine whether there is sufficient evidence to show that it results in a shorter duration of treatment compared to a conventional orthodontics first approach (OFA). Analytical and observational studies that compared both approaches and recorded treatment duration as an outcome were included. MEDLINE, EMBASE, CENTRAL and Dental Oral Sciences Source databases were searched along with a review of reference lists.
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