Open Access
Table V
Overview of decision criteria for surgical sequence in bimaxillary surgery.
| Maxilla-first sequence | Mandible-first sequence | |
|---|---|---|
| Centric relation registration | Easy [18] | Easy and difficult [18] |
| Intermediate splint | No consensus [2,16,19] | |
| Planification type | No consensus [18,20] | |
| Maxillo-mandibular complex rotation | Clockwise rotation [1–3,15] | Counter-clockwise rotation [1–3,15,19] |
| Segmentation of the maxilla | Non segmented maxilla [1] | Segmented maxilla [19,20] |
| Maxillary vertical movement | Impaction [1,13] | Lowering more than 5 millimeters [19,21] Open bite treatment [20] |
| Maxillo-mandibular complex advancement | Small movement [1] | Large movement [18,20] |
| Simultaneous temporomandibular joint surgery | At a different operating time [2,19,21] | Possible in the same surgery [2,19,21] |
| Osteosynthesis | Steel wire or plates and screws [21] | Plates and screws only [22] |
| Temporomandibular disorder | Not studied | |
| Accuracy of the results | No consensus [1–6,11,12,14,16–22] | |
| Results stability | Recurrence independent of surgical sequence [14] | |
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