“Surgery First” and Low Level Laser Therapy to Reduce Treatment Time in Ortho-Surgical Procedures

Angela Dominguez and Vanessa T

Abstract

Aim: To show how the integration of two highly efficient developed techniques used to reduced orthodontic treatment time in a case that required orthognathic surgery to correct a class III Dento-Maxillo-Facial anomaly. Methods: A 21 years old class-III male patient, with prognathism, macrognathism and mandibular levognathism treated with the following treatment plan: surgical- orthodontic treatment with no extractions, using fixed standard prescription brackets with slot 0.022 × 0.028 inches, Surgery first for mandibular set-back and para-nasal grafts. Low Level Laser extra oral irradiation after surgery and intra oral up to the end of the orthodontic active phase. Retention with Esssix superior and inferior splints. Results: The class-III anomaly was treated in ten months using the “Surgery First” approach and low intensity laser therapy to potentiate the effect in the overall treatment. Conclusion: A class-III Dento-Maxillo-facial anomaly was corrected in a patient during a full treatment time of 10 months, combining the “Surgery First” approached with low level laser therapy to potentiate the effect that both techniques provide to accelerate the rate of tooth movement.