La maloclusión clase III es un problema de salud pública importante. El tratamiento de la maloclusión clase III esquelética grave en pacientes que no están en crecimiento, requiere una cirugía ortognática planificada de forma apropiada y bien ejecutada, por un equipo de al menos un ortodoncista y un cirujano maxilofacial. Para estos casos, existen dos enfoques para la cirugía.

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Bibliografía del caso clínico
1. Gensior AM. The tongue and Class III. Am J Orthod 57(3):256-261, 1970.
2. Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: a systematic review. Dental Press J Orthod. 23(6):40.e1-40.e10.
3. Ishii H, Morita S, Takeuchi Y, Nakamura S. Treatment effect of combined maxillary protraction and chin cap appliance in severe skeletal Class III cases. Am J Orthod Dentofacial Orthop 92(4):304-312, 1987.
4. Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: a hierarchy of stability. Int J Adult Orthodon Orthognath Surg 11(3):191-204, 1996.
5. Yang L, Xiao YD, Liang YJ, Wang X, Li JY, Liao GQ. Does the surgery-first approach produce better outcomes in orthognathic surgery? A systematic review and meta-analysis. J Oral Maxillofac Surg 75(11):2422-2429, 2017.
6. Nagasaka H, Sugawara J, Kawamura H, Nanda R. "Surgery first" skeletal Class III correction using the skeletal anchorage system. J Clin Orthod 43(2):97-105, 2009.
7. Uribe FA, Farrell B. Surgery-first approach in the orthognathic patient. Oral Maxillofac Surg Clin North Am 32(1):89-103, 2020.
8. Mahmood HT, Ahmed M, Fida M, Kamal AT, Fatima F. Concepts, protocol, variations, and current trends in surgery first orthognathic approach: a literature review. Dental Press J Orthod 23(3):36.e1-36.e6, 2018.
9. Abu Alhaija ES, Richardson A. Growth prediction in class III patients using cluster and discriminant function analysis. Eur J Orthod 25(6):599-608, 2003.
10. Kerr WJ, Miller S, Dawber JE. Class III malocclusion: surgery or orthodontics? Br J Orthod 19(1):21-24, 1992.
11. Chng CK, Gandedkar NH, Liou EJW. Surgery-first orthognathic approach treatment protocol: orthodontic considerations. In: Surgery-first orthodontic management. Springer, Cham; 2019. Pp. 37-50.
12. Jeong WS, Choi JW, Kim DY, Lee JY, Kwon SM. Can a surgery-first orthognathic approach reduce the total treatment time? Int J Oral Maxillofac Surg 46(4):473-482, 2017.
13. Huang CS, Chen YR. Orthodontic principles and guidelines for the surgery-first approach to orthognathic surgery. Int J Oral Maxillofac Surg 44(12):1457-1462, 2015.
14. Pelo S, Gasparini G, Garagiola U, Cordaro M, Di Nardo F, Staderini E, et al. Surgery-first orthognathic approach vs traditional orthognathic approach: oral health-related quality of life assessed with 2 questionnaires. Am J Orthod Dentofacial Orthop 152(2):250-254, 2017.
15. Kim JY, Jung HD, Kim SY, Park HS, Jung YS. Postoperative stability for surgery-first approach using intraoral vertical ramus osteotomy: 12-month follow-up. Br J Oral Maxillofac Surg 52(6):539-544, 2014.
16. Liou EJ, Chen PH, Wang YC, Yu CC, Huang CS, Chen YR. Surgery-first accelerated orthognathic surgery: postoperative rapid orthodontic tooth movement. J Oral Maxillofac Surg 69(3):781-785, 2011.
17. Weaver N, Glover K, Major P, Varnhagen C, Grace M. Age limitation on provision of orthopedic therapy and orthognathic surgery. Am J Orthod Dentofacial Orthop 113(2):156-164, 1998.
18. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med 3:21, 2007.
19. Busby BR, Bailey LJ, Proffit WR, Phillips C, White RP Jr. Long-term stability of surgical class III treatment: a study of 5?year postsurgical results. Int J Adult Orthodon Orthognath Surg 17(3):159-170, 2002.

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