Surgery First and Surgery Early Treatment Approach in Orthognathic Surgery

Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):71-82. doi: 10.1016/j.coms.2022.06.010. Epub 2022 Nov 3.


We have observed a revival of the original Surgery First approach in orthognathic surgery. Fully digital planning and simulation of the surgery has improved the predictability of Surgery First procedures. The orthodontist plays a crucial role in the successful management of Surgery First and Surgery Early cases. Surgery First and Surgery Early procedures have made the correction of a dentofacial deformity and dysgnathia a clear and transparent procedure. The decision of the treatment protocol is based on a thorough consideration and discussion between the surgeon, the orthodontist, and the patient for a successful outcome.

Keywords: Digital planning; Orthognathic surgery; Surgery early approach; Surgery first approach; Treatment protocol.

Publication types

  • Review

MeSH terms

  • Dentofacial Deformities* / surgery
  • Humans
  • Orthognathic Surgery*
  • Orthognathic Surgical Procedures* / methods