{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:58:02Z","timestamp":1787169482674,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>The Rationale:<\/jats:title>\n                    <jats:p>The surgery-first approach (SFA) has revolutionized orthognathic surgery in recent years and in trend because it addresses the dentofacial abnormalities first, making the patient compliant and outcome more predictable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concerns:<\/jats:title>\n                    <jats:p>A 22-year-old female was concerned about her forwardly placed teeth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis:<\/jats:title>\n                    <jats:p>She had a compromised periodontium with a skeletal Class II malocclusion and dental malocclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment:<\/jats:title>\n                    <jats:p>A SFA plan was executed with the extraction of all first premolars followed by postsurgical orthodontic treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>Optimal functional and dentofacial esthetics were achieved by 11 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons:<\/jats:title>\n                    <jats:p>Research has attributed several advantages of SFA over the conventional triphasic approach, which has proven to be beneficial in periodontally compromised individuals as it intends to relieve any traumatic occlusion primarily by stabilizing tissue integrity. It is most favorable in patients seeking a quick transformation with the least possible duration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_436_20","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T08:34:28Z","timestamp":1643704468000},"page":"344-348","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgery-First Approach"],"prefix":"10.4103","volume":"11","author":[{"given":"Moina Khaja","family":"Adeni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Sanjana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayeemullah","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devaki","family":"Vijayalakshmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratna","family":"Parameswaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anantanarayanan","family":"Parameswaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-28-20240828","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/j.joms.2003.08.044","article-title":"The origin of orthognathic surgery","volume":"62","author":"Hullihen","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"key":"R2-28-20240828","first-page":"C29","article-title":"Relationship of anterior alveolar dimensions with mandibular divergence in Class I malocclusion \u2013 A cephalometric study","volume":"10","author":"Ponraj","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R3-28-20240828","doi-asserted-by":"crossref","first-page":"144","DOI":"10.4103\/0972-124X.70838","article-title":"Trauma from occlusion \u2013 An orthodontist's perspective","volume":"14","author":"Saravanan","year":"2010","journal-title":"J Indian Soc Periodontol"},{"key":"R4-28-20240828","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/0889-5406(87)90370-2","article-title":"Stability following superior repositioning of the maxilla by LeFort I osteotomy","volume":"92","author":"Proffit","year":"1987","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R5-28-20240828","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.joms.2010.10.035","article-title":"Surgery-first accelerated orthognathic surgery: Postoperative rapid orthodontic tooth movement","volume":"69","author":"Liou","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"key":"R6-28-20240828","doi-asserted-by":"crossref","first-page":"343","DOI":"10.5005\/jp-journals-10015-1462","article-title":"Surgery-first Approach","volume":"8","author":"Shah","year":"2017","journal-title":"World J Dent"},{"key":"R7-28-20240828","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1016\/j.ijom.2015.05.024","article-title":"The surgery-first approach in orthognathic surgery: A retrospective study of 50 cases","volume":"44","author":"Yu","year":"2015","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R8-28-20240828","doi-asserted-by":"crossref","first-page":"78","DOI":"10.4103\/ijor.ijor_34_16","article-title":"Orthodontic management of a periodontally compromised patient","volume":"8","author":"Rachala","year":"2017","journal-title":"Int J Orthod Rehabil"},{"key":"R9-28-20240828","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jormas.2020.08.008","article-title":"Surgery-first orthognathic approach vs conventional orthognathic approach: A systematic review of systematic reviews","volume":"122","author":"Barone","year":"2021","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"R10-28-20240828","first-page":"4","article-title":"Risks in surgery-first orthognathic approach: Complications of segmental osteotomies of the jaws. A systematic review","volume":"21","author":"Pelo","year":"2017","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"R11-28-20240828","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1053\/j.sodo.2016.10.002","article-title":"A perspective in accelerated orthodontics with aligner treatment","volume":"23","author":"Ojima","year":"2017","journal-title":"Semin Orthod"},{"key":"R12-28-20240828","first-page":"157","article-title":"Invisalign with photobiomodulation: Optimizing tooth movement and treatment efficacy with a novel self-assessment algorithm","volume":"51","author":"Dickerson","year":"2017","journal-title":"J Clin Orthod"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_436_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:08:41Z","timestamp":1787166521000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_436_20"}},"subtitle":["A Boon for Periodontally Compromised Patients - A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_436_20","relation":{},"ISSN":["2231-0746"],"issn-type":[{"value":"2231-0746","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}