title: Application of 4-Meta Adhesive Resin to the Occlusal Surface During Surgery Facilitates Postoperative Occlusal Management.
abstract: OBJECTIVE
  Orthognathic surgery is generally used to correct facial deformities and establish functional occlusion. Preoperative orthodontic treatment is important for stabilizing and establishing the postoperative occlusion. However, sufficient preoperative surgical orthodontic treatment might be sometimes difficult in patients with an abnormally shaped maxilla or mandible or severe jaw deformity.
  
  
  METHODS
  We performed this technique over 10 patients with jaw deformities after insufficient presurgical orthodontic treatment. Adhesive resins are attached to the maxillary palatal cusps to during surgery for disclusion of the premolars and molars.
  
  
  RESULTS
  The resins which are interfered during the postoperative orthodontic treatment can be removed gradually with a bur. Postoperative orthodontic treatment can be subsequently facilitated with a stable occlusion.
  
  
  CONCLUSIONS
  This technique should be applied for surgery-first orthognathic surgery and avoidance of multi-piece Le Fort I osteotomy, and can facilitate postoperative orthodontic treatment following gradually removal of cusp interferences.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, 3-2-10 Kounandai, Kounanku, Kanagawa Yokohama, 234-0054 Japan.
authors.forename: Aoki
authors.initials: A
authors.lastname: Noriaki
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, 3-2-10 Kounandai, Kounanku, Kanagawa Yokohama, 234-0054 Japan.
authors.forename: Baba
authors.initials: B
authors.lastname: Junichi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Iwai
authors.initials: I
authors.lastname: Toshinori
authors.affiliation: Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Tohnai
authors.initials: T
authors.lastname: Iwai
keywords: Bite raising block; Inadequate preoperative ortodontics; Multiple segmental osteotomy; Surgery-first