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Abstract

A case of mandibular prognathism with facial asymmetry was presented. Surgery-first orthognathic approach was performed that no pre-surgical orthodontic treatment was done before surgery. Within this treatment modality, patient had major profile improvement in the beginning of the treatment and total treatment time was shortened. The etiology of mandibular deviation, treatment principles of facial asymmetry, and the advantages of surgery-first orthognathic approach were discussed.

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