{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:52:38Z","timestamp":1791924758324,"version":"4.3.4"},"reference-count":9,"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 provides immediate improvement in facial aesthetics in orthognathic cases with a shorter total treatment period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concerns:<\/jats:title>\n                    <jats:p>A 21-year-old male came with the chief complaint of protrusive lower front teeth and a large lower jaw. His main concern was aesthetics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis:<\/jats:title>\n                    <jats:p>This was a case of skeletal Class III malocclusion with reverse overjet of 4 mm, overbite of 6 mm with a concave profile, and a protrusive chin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment:<\/jats:title>\n                    <jats:p>The patient was treated by bilateral sagittal split setback osteotomy of the mandible with surgery first approach via nonextraction therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome:<\/jats:title>\n                    <jats:p>After an active treatment of 15 months, improved facial profile, facial proportions, and a significant reduction of mandibular prognathism were much appreciated. The treatment results were stable after a 1-year follow-up of the treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lesson:<\/jats:title>\n                    <jats:p>This case report highlights the utilization of nature's dental decompensation to achieve a desirable result, thereby attaining \u201cmore with less.\u201d<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_65_20","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T05:58:09Z","timestamp":1640843889000},"page":"352-355","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Case Report on Surgery-First Approach"],"prefix":"10.4103","volume":"11","author":[{"given":"Preeti","family":"Bhattacharya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Kumar","family":"Chandana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Bhandari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivani","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruv K","family":"Tiwari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushila","family":"Sah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-30-20240828","doi-asserted-by":"crossref","first-page":"283","DOI":"10.29252\/wjps.7.3.283","article-title":"Dentoskeletal stability in conventional orthognathic surgery, presurgical orthodontic treatment and surgery-first approach in Class-III patients","volume":"7","author":"Seifi","year":"2018","journal-title":"World J Plast Surg"},{"key":"R4-30-20240828","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4103\/2278-0203.149609","article-title":"An overview of surgery-first approach: Recent advances in orthognathic surgery","volume":"4","author":"Sharma","year":"2015","journal-title":"J Orthod Sci"},{"key":"R5-30-20240828","first-page":"209","article-title":"Surgery first approach in orthognathic surgery","volume":"36","author":"Ngoc Tran","year":"2016","journal-title":"M Dent J"},{"key":"R6-30-20240828","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.joms.2013.08.013","article-title":"Surgery first in orthognathic surgery: What have we learned? A comprehensive workflow based on 45 consecutive cases","volume":"72","author":"Hern\u00e1ndez-Alfaro","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"key":"R7-30-20240828","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40902-019-0194-4","article-title":"Current status of the surgery-first approach (part I): Concepts and orthodontic protocols","volume":"41","author":"Choi","year":"2019","journal-title":"Maxillofac Plast Reconstr Surg"},{"key":"R8-30-20240828","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1016\/j.joms.2009.04.095","article-title":"Accelerated osteogenic orthodontics technique: A 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation","volume":"67","author":"Wilcko","year":"2009","journal-title":"J Oral Maxillofac Surg"},{"key":"R9-30-20240828","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0011-8532(22)00324-X","article-title":"Oral surgeons\u2019 considerations in surgical orthodontic treatment","volume":"32","author":"Behrman","year":"1988","journal-title":"Dent Clin North Am"},{"key":"R10-30-20240828","doi-asserted-by":"crossref","first-page":"57","DOI":"10.4103\/ams.ams_272_18","article-title":"Rationale, relevance, and efficacy of \u201csurgery first, orthodontics later\u201d approach in the management of cases of severe malocclusion with skeletal discrepancy","volume":"9","author":"Jeyaraj","year":"2019","journal-title":"Ann Maxillofac Surg"},{"key":"R11-30-20240828","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.joms.2013.09.033","article-title":"Stability of mandibular setback surgery with and without presurgical orthodontics","volume":"72","author":"Kim","year":"2014","journal-title":"J Oral Maxillofac Surg"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_65_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:26Z","timestamp":1787755826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_65_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_65_20","relation":{},"ISSN":["2231-0746"],"issn-type":[{"value":"2231-0746","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}