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Orthognathic surgery: orthodontic preparation basics

Orthodontics and Dentofacial Orthopedics · Dental (BDS)

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Study notes

Why does pre-surgical orthodontics often make the bite look WORSE before surgery? Decompensation: teeth naturally tilt to camouflage the jaw discrepancy (lower teeth flare in Class III). The orthodontist uprights them onto their own jaw bases, removing the camouflage — so the underbite looks worse, but the teeth now sit correctly on each jaw. Then surgery moves the jaws (with their well-placed teeth) into harmony. Students learn: decompensation reveals the true skeletal problem so surgery can fix it precisely.

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