Miniscrews versus surgical archwires for intermaxillary fixation in adults after orthognathic surgery
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: We compared the skeletal and dental changes that resulted from the use of two methods of intermaxillary fixation (IMF)—miniscrews and surgical archwire—in 74 adult patients who had Class III malocclusion and were treated with the same orthognathic surgical procedure at a hospital in Korea. Methods: All the patients underwent Le Fort I osteotomy and bilateral sagittal split ramus osteotomy with rigid fixation. They were divided into two groups according to the type of IMF used—group 1 underwent surgical archwire fixation and group 2 underwent orthodontic miniscrew fixation. In a series of cephalograms for each patient, we compared vertical and horizontal tooth-position measurements: (a) immediately after surgery (T0), (b) 3 months after surgery (T1), and (c) 6 months after surgery (T2). Cephalometric changes within each group were examined using one-way analysis of variance (ANOVA) while the independent samples t-test procedure was used to compare the two groups. Results: After surgery, the maxillary incisors tended to be proclined in both groups although there were no significant differences. Incisor overbite increased significantly in both groups from T0 to T1, and the miniscrew group (group 2) showed slightly greater overbite than the archwire group (group 1). Conclusions: This study suggest that the use of orthodontic miniscrews and orthodontic surgical archwire for IMF in adult patients results in similar skeletal and dental changes. [Korean J Orthod 2015;45(1):3-12]
Abstract
Objective: We compared the skeletal and dental changes that resulted from the use of two methods of intermaxillary fixation (IMF)—miniscrews and surgical archwire—in 74 adult patients who had Class III malocclusion and were treated with the same orthognathic surgical procedure at a hospital in Korea. Methods: All the patients underwent Le Fort I osteotomy and bilateral sagittal split ramus osteotomy with rigid fixation. They were divided into two groups according to the type of IMF used—group 1 underwent surgical archwire fixation and group 2 underwent orthodontic miniscrew fixation. In a series of cephalograms for each patient, we compared vertical and horizontal tooth-position measurements: (a) immediately after surgery (T0), (b) 3 months after surgery (T1), and (c) 6 months after surgery (T2). Cephalometric changes within each group were examined using one-way analysis of variance (ANOVA) while the independent samples t-test procedure was used to compare the two groups. Results: After surgery, the maxillary incisors tended to be proclined in both groups although there were no significant differences. Incisor overbite increased significantly in both groups from T0 to T1, and the miniscrew group (group 2) showed slightly greater overbite than the archwire group (group 1). Conclusions: This study suggest that the use of orthodontic miniscrews and orthodontic surgical archwire for IMF in adult patients results in similar skeletal and dental changes. [Korean J Orthod 2015;45(1):3-12]
참고문헌 (24)
- Jones DC., "The intermaxillary screw: a dedicated bicortical bone screw for temporary intermaxillary fixation", Br J Oral Maxillofac Surg, 37, pp.115~116 (1999)
- Wisth PJ, "Changes in the vertical position of the anterior teeth after surgical correction of mandibular protrusion", Am J Orthod, 77, pp.174~183 (1980)
- Thota LG, "Cortical bone screws for maxillomandibular fixation in orthognathic surgery", Br J Orthod, 26, pp.325~ (1999)
- Arthur G, "A simplified technique of maxillomandibular fixation", J Oral Maxillofac Surg, 47, pp.1234~ (1989)
- Gibbons AJ, "A self-drilling intermaxillary fixation screw", Br J Oral Maxillofac Surg, 41, pp.48~49 (2003)
- Sahoo NK, "IMF Screw: An ideal intermaxillary fixation device during open reduction of mandibular fracture", J Maxillofac Oral Surg, 9, pp.170~172 (2010)
- Lee JS, "Micro-implant anchorage for lingual treatment of a skeletal Class II malocclusion", J Clin Orthod, 35, pp.643~647 (2001)
- Park HS, "Microimplant anchorage for treatment of skeletal Class I bialveolar protrusion", J Clin Orthod, 35, pp.417~422 (2001)
- Park YC, "Intrusion of posterior teeth using mini-screw implants", Am J Orthod Dentofacial Orthop, 123, pp.690~694 (2003)
- Ueki K, "The use of an intermaxillary fixation screw for mandibular setback surgery", J Oral Maxillofac Surg, 65, pp.1562~1568 (2007)
- Baek SH, "Evaluation of treatment modality for skeletal Class III malocclusion with labioversed upper incisors and", or protrusive maxilla:surgical movement and stability of rotational maxillary setback procedure, 2009, pp.20, 2049~2054
- Hovell JH, "Muscle patterning factors in the surgical correction of mandibular prognathism", J Oral Surg Anesth Hosp Dent Serv, 22, pp.122~126 (1964)
- Troy BA, "Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage", Am J Orthod Dentofacial Orthop, 135, pp.146~ (2009)
- Lim LY, "Stability of mandibular incisor decompensation in orthognathic patients", Int J Adult Orthodon Orthognath Surg, 13, pp.189~199 (1998)
- Kim DK, "Change in maxillary incisor inclination during surgical-orthodontic treatment of skeletal Class III malocclusion: comparison of extraction and nonextraction of the maxillary first premolars", Am J Orthod Dentofacial Orthop, 143, pp.324~335 (2013)
- Baek SH, "Surgeryfirst approach in skeletal Class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment", J Craniofac Surg, 21, pp.332~338 (2010)
- Nagasaka H, "“Surgery first" skeletal Class III correction using the Skeletal Anchorage System", J Clin Orthod, 43, pp.97~105 (2009)
- Hashemi HM, "Complications using intermaxillary fixation screws", J Oral Maxillofac Surg, 69, pp.1411~1414 (2011)
- Coburn DG, "Complications with intermaxillary fixation screws in the management of fractured mandibles", Br J Oral Maxillofac Surg, 40, pp.241~243 (2002)
- Roccia F, "An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws", J Craniomaxillofac Surg, 33, pp.251~254 (2005)
- Holmes S, "Caution in use of bicortical intermaxillary fixation screws", Br J Oral Maxillofac Surg, 38, pp.574~ (2000)
- Jin Hwan Choi, "Three-dimensional evaluation of maxillary anterior alveolar bone for optimal placement of miniscrew implants", 대한치과교정학회지, 44(2), pp.54~61 (2014), 대한치과교정학회
- 김정훈, "Evaluation of mandibular cortical bone thickness for placement of temporary anchorage devices (TADs)", 대한치과교정학회지, 42(3), pp.110~117 (2012), 대한치과교정학회[DOI]
- 김정식, "Comparison of success rates of orthodontic mini-screws by the insertion method", 대한치과교정학회지, 42(5), pp.242~248 (2012), 대한치과교정학회