Orthodontics and orthognathic surgery: new protocol “Surgery first”

Classically the orthognatic surgery patients had to realise a previous orthodontic that in some cases suposed more than 12m of orthodontic to prepare the surgery. Once realised the intervention without take off the bracketts for it, the orthodontic continues until the end of the treatment. Recently, in Birbe’s Clinic and maxilofacial Barcelona we’ve started to apply with great satisfaction the new protocol “surgery first”.

What is it about?

First of all, we do a study to see what oclusion we achieve, if we start the treatment with the surgery and without previous orthodontic. If we see that it’s possible, we do the intervention WITHOUT orthodontics, and at the 10th day we start with the orthodontic treatents that uses to have a period of duration between 6 and 12 months.

What do we achieve?

  1. We shorten the duration of the orthodontic as there is no orthodontics before the intervention.
  2. The orthodontics that’s done after the intervention is much more quicker as the bone’s metabolism has been accelerated and the teeth move quicker.
  3. We increase the satisfaction of our patients as we can achieve our objectives much more quickly.

If you are a candidate to orthognatic surgery, don’t doubt thinking about this option. It’s worth it.

Article written by the Birbe Editorial Committee

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