Benington, P., Anwar, M., Mohan, A., Gillgrass, T. and Ayoub, A. (2023) Outcome measures of the surgery first approach for orthognathic correction of dentofacial deformities. British Journal of Oral and Maxillofacial Surgery, (doi: 10.1016/j.bjoms.2023.10.023) (In Press)
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Abstract
Background: In the surgery-first approach (SFA) the orthognathic surgery is performed without the need for presurgical orthodontic treatment. Aim: This study was aimed at assessing the treatment durations and occlusal outcomes for a consecutive cohort of patients, with a range of dentofacial deformities, who have completed orthognathic treatment using the SFA. Methodology: The duration of orthognathic treatment was measured. The overall change in occlusion, and the quality of the final occlusion, were evaluated using the patients’ study casts. A single independent, calibrated, operator carried out the occlusal scores, using the validated Peer Assessment Rating (PAR) index. This was repeated to test intra-operator reliability. Results: A total of 51 patients completed surgery-first treatment during the study period. The mean age at surgery was 23.3 years. The pre-treatment skeletal jaw relationship was Class III in 39 cases, and Class II in 12 cases. The mean overall treatment duration was 11.7 months (SD = 5.7). The intra-examiner reliability of assessing the occlusion was high. The PAR scores confirmed a significant improvement in the quality of occlusion at the completion of treatment, which compares favourably with previous studies on the conventional orthodontics-first approach. Conclusion: The SFA can be effective at correcting both Class 2 and Class 3 malocclusion types with reduced treatment times.
Item Type: | Articles |
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Status: | In Press |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Ayoub, Professor Ashraf and Benington, Mr Philip and Gillgrass, Dr Toby |
Authors: | Benington, P., Anwar, M., Mohan, A., Gillgrass, T., and Ayoub, A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School |
Journal Name: | British Journal of Oral and Maxillofacial Surgery |
Publisher: | Elsevier |
ISSN: | 0266-4356 |
ISSN (Online): | 1532-1940 |
Published Online: | 13 November 2023 |
Copyright Holders: | Copyright © 2023 The Authors |
First Published: | First published in British Journal of Oral and Maxillofacial Surgery 2023 |
Publisher Policy: | Reproduced under a Creative Commons License |
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