
Lars Rasmusson
Dept Oral and maxillofacial surgery The Sahlgrenska
Title: Beyond Surgery first – Just surgery
Biography
Biography: Lars Rasmusson
Abstract
From a rather strict protocol in bimaxillary jaw corrections with a stepwise treatment including pre-surgical orthodontic treatment and surgery always starting in the maxilla, things are now being challenged. It started with “Mandible first” and moved on to “Surgery first” in selected cases. We have at our unit operated a number of cases without any orthodontic treatment at all. We call this “Just Surgery” . During 2021 we will continue to collect data on stability and over all treatment outcome. Preliminary data show promising results regarding postoperative stability of the bone segments but the selection of cases is demanding and many cases are contraindicated for the protocol, such as patients with crowding and/or uneven dental arches. This presentation will focus on the possibilities and limitations with orthognathic surgery without additional orthodontic treatment