Tridimensional virtual planning protocol for double-jaw orthognathic surgery with mandible first surgical sequence

  • Eduardo Varela Parente
  • Fernando AntoniniEmail author
  • Gustavo Zanardi
  • Rogério Miranda Pagnoncelli
Author's reply


Three-dimensional virtual treatment planning has greatly enhanced the efficiency and accuracy of dentofacial deformity correction through orthognathic surgery [1]. Moreover, the advent of rigid internal fixation has allowed a change in this classical sequence. Performing mandibular surgery first presents several advantages and surgeons must consider some indications in order to achieve better results, and the ability of the surgeon to reproduce the treatment plan in the operating room is essential [2]. Most of orthognathic surgery treatment plan has been performed by traditional sequence, but the surgery itself was performed using an inverted sequence. However, repositioning the lower jaw first during three-dimensional virtual planning, as well as in actual surgery, can be really advantageous. The purpose of this paper is to suggest a protocol for double-jaw orthognathic surgery repositioning the mandible first in both three-dimensional virtual planning and surgery itself.



None. All the contributors of the manuscript are listed as the manuscript authors.

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Competing interests

The authors declare that they have no competing interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Eduardo Varela Parente
    • 1
  • Fernando Antonini
    • 2
    • 3
    Email author
  • Gustavo Zanardi
    • 4
  • Rogério Miranda Pagnoncelli
    • 5
  1. 1.Private PracticeFlorianópolisBrazil
  2. 2.UNESC School of DentistryCriciúmaBrazil
  3. 3.PhD Student, OMFS DepartmentPUCRS School of DentistryPorto AlegreBrazil
  4. 4.Private PracticeBalneário CamboriúBrazil
  5. 5.Assistant Professor, PUCRS School of DentistryPorto AlegreBrazil

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