Orthognathic surgery: Is surgery first approach a viable option in orthognathic surgery?

Abstract

Orthognathic surgery, also known as corrective jaw surgery, is a complex procedure used to correct significant skeletal discrepancies in the jaws and face. Historically, orthognathic surgery has been reserved for cases where other treatment modalities have failed. However, in recent years, there has been growing interest in exploring the viability of adopting an orthognathic surgery‑first approach. Proponents of surgery first approach argue that immediate surgical intervention can provide substantial advantages. By addressing the underlying skeletal irregularities early on, orthognathic surgery may offer more predictable and long‑lasting results. Moreover, it can improve aesthetic outcomes, enhance facial harmony, and alleviate functional issues such as malocclusion, speech difficulties, and temporomandibular joint disorders. Additionally, early orthognathic surgery may prevent or mitigate the need for subsequent orthodontic or orthopedic interventions, potentially reducing overall treatment time and cost. This view point aims to identify the potential benefits and considerations surrounding the use of orthognathic surgery as a first‑line treatment option.