Surgery-First Orthodontic Management A Clinical Guide to a New Treatment Approach

This book is a comprehensive guide to the surgery-first orthognathic approach (SFOA), which overcomes the problem of the very prolonged treatment period associated with conventional orthognathic surgery by avoiding the presurgical phase. The shorter duration of the treatment is due to a phenomenon triggered by the surgery, termed the regional acceleratory phenomenon, whereby higher osteoclastic activity and metabolic changes at the dentoalveolar level accelerate postoperative orthodontic tooth movement. In this book, readers will find in-depth discussion of integration of the basic biological principles of SFOA with sound biomechanical doctrines. The authors’ own treatment protocol for surgical and orthodontic management is fully explained. Diagnosis and treatment plans are presented for various skeletal maxillofacial deformities, and key considerations in pre- and postsurgical patient care are highlighted. Detailed attention is given to complication management and to the impact ofrecent advances such as 3D image integration, virtual surgical planning, and rapid prototyping of surgical wafers. This richly illustrated book will be an ideal resource and quick reference guide for orthodontists at all levels of experience.

Introduction to Surgery-first orthognathic approach.- Diagnosis and treatment planning of Surgery-first orthognathic approach.- Biological principles and responses to Surgery-first orthognathic approach.- Biomechanical principles of surgery-first orthognathic approach.- Orthodontic management.- Surgical management.- Management of skeletal Class I malocclusion with surgery-first orthognathic approach.- Management of skeletal Class II malocclusion with surgery-first orthognathic approach.- Management of skeletal Class III malocclusion with surgery-first orthognathic approach.- Management of skeletal asymmetry with surgery-first orthognathic approach.- Pre-and post-surgery patient care checklist.- Potential Complications and management.- Outcome assessment of surgery-first orthognathic approach.- Future of surgery-first orthognathic approach.

Chai Kiat CHNG is Head and Senior Consultant (Orthodontics), Cleft and Craniofacial Dentistry Unit, KK Women’s & Children’s Hospital, Singapore, where he treats a wide array of orthodontic cases. He obtained his Bachelor’s Degree in Dentistry in 2000 and his Master’s Degree in Orthodontics in 2007 from the National University of Singapore. During this time he obtained his membership in Orthodontics, conferred by the Royal College of Surgeons, Edinburgh (M Orth RCSEd).  He then went on to pursue a Fellowship in Clinical Orthodontics at Chang Gung Memorial Hospital in Taiwan. Dr. Chng has a keen interest in clinical research and has been an investigator for various research topics in the field of orthodontics, including biomaterials, biology of tooth movement, and 3D imaging.  He is currently the Chief Dental Officer of Singapore and the Registrar of the Singapore Dental Council.  

Narayan H. Gandedkar is Senior Dental Officer and Clinical Researcher at the Dental Service/Cleft and Craniofacial Centre, Department of Plastic, Reconstructive, and Aesthetic Surgery, KK Women’s & Children’s Hospital, Singapore. He holds a BDS and MDS (Gold) Medal) from Rajiv Gandhi University of Health Sciences, Bangalore, India, and in 2010 completed a Fellowship in Craniofacial Orthodontics (FCFO) at Chang Gung Memorial Hospital and University, Taipei, Taiwan. Prior to taking up his current position, he was Assistant Professor in the Department of Orthodontics and Dentofacial Orthopedics at the SDM College of Dental Sciences and Hospital, Dharwad, India (2008–11). Dr. Gandedkar has been the recipient of several research awards. He has acted as a scientific reviewer for many journals and is a lead or co-author of 30 peer-reviewed articles. He is a Fellow of the World Federation of Orthodontists, Honorary Secretary ( 2017-19) of the Cleft Lip and Palate Association of Singapore, and a working committee memberof JCI standards: Human Subjects Research Programs (HRP) of KK Women’s and Children’s Hospital, Singapore. 

Eric J.W. Liou is formal Chairman of the Faculty of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan. He is an Associate Professor in the Department of Orthodontic and Craniofacial Dentistry, Chang Gung Memorial Hospital & Graduate Institute of Craniofacial Medicine, Chang Gung University and a craniofacial orthodontist at the Craniofacial Center, Chang Gung Memorial Hospital. Dr. Liou holds a DDS from Taipei Medical University and an MS from the University of Illinois at Chicago, where he participated in the craniofacial orthodontic fellowship program from 1995 to 1997. He is current Vice President of the Asian Pacific Orthodontic Society, Immediate Past President of the Taiwan Association of Orthodontists and also Immediate Past President of the World Implant Orthodontic Association. Dr. Liou has a range of clinical interests, including surgery-first accelerated orthognathic surgery, while the focus of his research lies in bridging the oral science of bone physiology and clinical orthodontics. He has authored almost 75 articles in peer-reviewed journals.