Surgery‐first in interdisciplinary class II cases

Objectives To present an interdisciplinary case treated with a surgery‐first orthognathic approach, followed by orthodontic and prosthodontic treatment. Clinical Considerations After an accurate pre‐operative virtual planning, a young patient with skeletal class II, retrognathia, and an anterior open bite was treated with bimaxillary orthognathic surgery without pre‐surgical orthodontic decompensation. Orthodontic treatment was carried out post‐operatively. The treatment was completed with a prosthodontic phase to improve the final esthetic outcome of the smile. Conclusions A surgery‐first approach allowed to achieve esthetic and functional results in a reduced treatment duration that remained stable over the course of 1 year. The outcomes were consistent with prior research in terms of advantages brought by following an accurately planned surgery‐first protocol. Nevertheless, longer‐term follow‐up was required to evaluate the treatment stability. Clinical Significance An accurately planned surgery‐first approach significantly helped in shortening the duration of the treatment, while providing a stable, functional, and esthetic solution to the patient's problems.