Benefício antecipado em cirurgia ortognática: um relato de caso clínico

Abstract

The surgery first (BA) is a procedure that has been widely disseminated and widespread among patients and surgeons. It is an innovative method that confronts some paradigms of conventional orthognathic surgery. Preoperative orthodontic treatment, besides increasing the time of anuria, may aggravate skeletal deformities due to dental decompensation and worsening of masticatory functions, which commonly interfere in the social life of patients. The use of orthodontic treatment should be performed after the use of a surgical treatment of the maxilla to activate the desired occlusion. Aesthetic and functional improvements are observed more rapidly due to the correction of the dystroleletic deformity and the metabolic acceleration phenomenon of the post-surgery organism, which favors orthodontic treatment. This article aims to describe an event of orthognathic surgery performed under the anticipated benefit regime of a 20 year old patient, Angle Class I, facial pattern II dolicocephalic long face. After bimaxillary orthognathic surgery, the occlusion was completed with postoperative orthodontics.