T he surgical-orthodontic correction of dentofacial deformities has received considerable attention during the last several years. Indeed, with currently available surgical techniques, it is possible to reposition the deformed skeletal framework of the craniofacial complex into virtually any new position, depending upon the exact nature of the existing deformity. The purpose of this article is to discuss the surgical-orthodontic correction of certain adult malocclusions which, for the most part, have been treated in the past via conventional orthodontic techniques. The reasons for considering a combined surgical-orthodontic approach in selected cases which have heretofore been treated solely by orthodontic means are several: expediency, difficulty of correction via orthodontic means, and inherent instability when treated orthodontically. In this regard, the intent of this article is not to present an either-or philosophy but, rather, to discuss our experiences with single-tooth dento-osseous osteotomies. Historically, the corticotomy was introduced to American oral surgeons by Kole in 1959 as a surgical adjunct to orthodontic therapy to ( 1) effect dento-osseous movement of teeth by orthodontic forces, (2) effect rapid movement (that is, weeks instead of years), and (3) improve stability of results.4 The surgical procedure that Kole advocated involved cutting through the conical bone on both the palatal and buccal aspects around the teeth to be moved and instituting conventional orthodontic forces to achieve rapid movement. The use of corticotomies has not, in our experiences, accomplished the stated objectives. Indeed, in some instances this procedure seemed to decrease treatment time only minimally, and in some cases (ankylosed teeth) it did not work at all. Since Kole’s paper in 1959, five additional publications on this topic have appeared in the English-language literature. ‘-’ These have discussed the use of small-segment dentoosseous osteotomies, without orthodontic procedures, to correct selected adult malocclusions. This article will expand on these previous publications and attempt to place the use of small-segment dento-osseous osteotomies into its total prospective. Table I lists the six possible options that one can choose in the use of small-segment