For double jaw surgery, is the "Surgery First" approach of Korean surgeons worse than the standard pre-ortho/surgery/post-ortho procedure in US?

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blueeagle4411

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Almost any US surgeon will recommend braces for 12-18 months or so before double jaw to get teeth aligned
Korean surgeons will move do the surgery and then do orthodontics later

Is the "Surgery First" approach worse that the standard procedure? If so, why?
 
I don’t know. Don’t forget most Korean jaw surgery is for jaw width and length reduction
 
It's mostly European surgeons who do it, in fact I think it was a Spanish maxfac surgeon who introduced it in Europe, can't remember his name Federico Hernández - Alfaro, he's popular in the OMFS research community.
 
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Almost any US surgeon will recommend braces for 12-18 months or so before double jaw to get teeth aligned
Korean surgeons will move do the surgery and then do orthodontics later

Is the "Surgery First" approach worse that the standard procedure? If so, why?

A “Surgery first” approach is a better choice in some cases and it gives advantages in many others but, as a rule of thumb, it is more difficult. Its indication relies essentially on the orthodontist, not on the surgeon. But it requires a good candidate and a surgeon that is able to cooperate closely with the orthodontist and to “return” to him a patient with the planned and agreed occlusion... let’s say with more precision than with the standard approach.

Hope this helps,

Sergio
 
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Korea is the most blackpilled country, its the land of the blackpill, we should all move to there.
 
Korea is the most blackpilled country, its the land of the blackpill, we should all move to there.
it's the land of truth
A “Surgery first” approach is a better choice in some cases and it gives advantages in many others but, as a rule of thumb, it is more difficult. Its indication relies essentially on the orthodontist, not on the surgeon. But it requires a good candidate and a surgeon that is able to cooperate closely with the orthodontist and to “return” to him a patient with the planned and agreed occlusion... let’s say with more precision than with the standard approach.

Hope this helps,

Sergio
It is very hard to perform surgery if you don't have a corrected bite. Just look at videos when the surgery is performed. They wire shut your teeth and then align it between your jaws. Without bite they would not be able no forecast a perfect jaw position. Every mm is important.
 
it's the land of truth

It is very hard to perform surgery if you don't have a corrected bite. Just look at videos when the surgery is performed. They wire shut your teeth and then align it between your jaws. Without bite they would not be able no forecast a perfect jaw position. Every mm is important.

Surgery is not more difficult, we use surgical guides (wafers) and we can even custom titanium guides and plates.

It is the orthodontic treatment that becomes more difficult, it is different: faster movements, more frequent visits... a need for a coordination prior to surgery or even attend the operating theatrw to place some wires. And less treatment time and less visits means also, in some billing schemes, less income (although it would be as easy as changing the billing system).... so, in the mind of an orthodontist, why change the workflow and become it more difficult?

Anyway, in my experience only around 10-20 % of cases are optimal for a surgery first approach.

Although with custom titanium and multiple segmentations we could increase those figures, as we can ease orthodontics a lot and even do a surgery first approach with only Invisalign afterwards. Almost a "Surgery only" approach
 
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