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Pre-orthodontic Orthognathic Surgery (POGS) Using TADs: Evidences and Applications

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Temporary Skeletal Anchorage Devices

Abstract

Conventional protocol for orthodontic treatment followed by orthognathic surgery for skeletal discrepancies is not readily justified, since both procedures cause significant reduction of the overall masticatory function. In order to facilitate the procedure, a pre-orthodontic orthognathic surgery (POGS) has been suggested and practiced. One of the essential factors may be the predictability of postsurgical tooth movement. The miniscrew-type TADs enable not only individual tooth movement but also the movement of segment and total arch. Underlying biomechanical advantages of segmental movement also supports the new protocol. In case of narrow maxillary arch, a miniscrew-assisted rapid palatal expander can be effective for the preliminary transverse correction prior to surgery, which also contributes to the establishment of stable occlusion in short period of time. Therefore, the TADs are regarded indispensible for the POGS procedure.

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Authors and Affiliations

  1. Department of Orthodontics, Yonsei University, Yonsei-ro 50, Seodaemon-gu, Seoul, 120-752, South Korea

    Kee-Joon Lee DDS, PhD

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  1. Kee-Joon Lee DDS, PhD
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Correspondence to Kee-Joon Lee DDS, PhD .

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Editors and Affiliations

  1. Department of Orthodontics, Center for Advanced Dental Education, Saint Louis University, Saint Louis, Missouri, USA

    Ki Beom Kim

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Lee, KJ. (2014). Pre-orthodontic Orthognathic Surgery (POGS) Using TADs: Evidences and Applications. In: Kim, K. (eds) Temporary Skeletal Anchorage Devices. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55052-2_11

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  • DOI: https://doi.org/10.1007/978-3-642-55052-2_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55051-5

  • Online ISBN: 978-3-642-55052-2

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