JCO Journal of Clinical Orthodontics
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CASE REPORT Nonextraction "Surgery First" Treatment of a Skeletal Class III Patient with Severe Maxillary Crowding

VOLUME 47 : NUMBER 05 : PAGES (297-304) 2013

ZAHER AYMACH, DDS, PHD

JUNJI SUGAWARA, DDS, PHD

SATOSHI GOTO, DDS, PHD

HIROSHI NAGASAKA, DDS, PHD

RAVINDRA NANDA, BDS, MDS, PHD

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Recently introduced "surgery first" treatment protocols achieve immediate facial improvement for orthognathic patients by eliminating the presurgical orthodontic treatment phase. Because prediction of the desired final occlusion is a difficult task, however, "surgery first" candidates have generally been patients with minimal crowding and compatible dental arches. Since the establishment of a stable occlusion is essential to ensure skeletal stability, some orthodonti...

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