Orthognathic Surgery in a Patient With Clear Aligners and Veneers: Options for Interim Fixation and Early Elastic Physiotherapy—Case Report

Abstract

When clear aligners and veneers are used preoperatively, placement of orthodontic brackets is not possible. The MatrixWAVE maxillomandibular fixation (MMF) screws are readily available in many operating rooms and can be used as an alternative interim fixation device. Screws from this system can be left in place for postoperative elastic physiotherapy. In this case report, MMF screws were left in place for muscle memory training and an aid to prevent relapse. The screws were well tolerated by the patient. Removal at 14 weeks resulted in small wounds, which healed quickly.