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Traditional orthognathic surgical planning includes fixed orthodontic appliances for orthodontic decompensation, followed by surgical intervention, and a period of post-surgical orthodontic coordination. This patient with a class III malocclusion was treated with fixed appliances for 24 months prior to surgery (Le Fort I osteotomy and mandibular sagittal split osteotomies), followed by 6 months of post-surgical orthodontic care after surgery (total treatment time: 30 months).
