The Orthodontist's Guide to Surgery First Orthognathic Approach

The Surgery-First Orthognathic Approach (SFOA) marks a paradigm shift in the management of dentofacial deformities. Although its origin can be traced to pioneering efforts of the 1960s, early applications were constrained by clinical and logistical limitations, preventing widespread acceptance. In recent decades, however, SFOA has re-emerged as a structured, evidence-based protocol, transitioning from empirical methods to scientifically supported practice. The integration of three-dimensional imaging, digital surgical planning, and computer-aided design/manufacturing (CAD/CAM) technologies has enhanced precision, efficiency, and predictability of outcomes. This textbook presents a comprehensive overview of the historical evolution, theoretical foundations, clinical protocols, and contemporary innovations in SFOA, serving as a definitive reference for orthodontists, maxillofacial surgeons, and researchers in modern orthognathic practice.