Comparison of changes in the transverse dental axis between patients with skeletal Class III malocclusion and facial asymmetry treated by orthognathic surgery with and without presurgical orthodontic treatment
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: To evaluate transverse skeletal and dental changes, including those in the buccolingual dental axis, between patients with skeletal Class III malocclusion and facial asymmetry after bilateral intraoral vertical ramus osteotomy with and without presurgical orthodontic treatment. Methods: This retrospective study included 29 patients with skeletal Class III malocclusion and facial asymmetry including menton deviation > 4 mm from the midsagittal plane. To evaluate changes in transverse skeletal and dental variables (i.e., buccolingual inclination of the upper and lower canines and first molars), the data for 16 patients who underwent conventional orthognathic surgery (CS) were compared with those for 13 patients who underwent preorthodontic orthognathic surgery (POGS), using three-dimensional computed tomography at initial examination, 1 month before surgery, and at 7 days and 1 year after surgery. Results: The 1-year postsurgical examination revealed no significant changes in the postoperative transverse dental axis in the CS group. In the POGS group, the upper first molar inclined lingually on both sides (deviated side, −1.8o ± 2.8o, p = 0.044; nondeviated side, −3.7o ± 3.3o, p = 0.001) and the lower canine inclined lingually on the nondeviated side (4.0o ± 5.4o, p = 0.022) during postsurgical orthodontic treatment. There were no significant differences in the skeletal and dental variables between the two groups at 1 year after surgery. Conclusions: POGS may be a clinically acceptable alternative to CS as a treatment to achieve stable transverse axes of the dentition in both arches in patients with skeletal Class III malocclusion and facial asymmetry. [Korean J Orthod 2017;47(4):256-267]
Abstract
Objective: To evaluate transverse skeletal and dental changes, including those in the buccolingual dental axis, between patients with skeletal Class III malocclusion and facial asymmetry after bilateral intraoral vertical ramus osteotomy with and without presurgical orthodontic treatment. Methods: This retrospective study included 29 patients with skeletal Class III malocclusion and facial asymmetry including menton deviation > 4 mm from the midsagittal plane. To evaluate changes in transverse skeletal and dental variables (i.e., buccolingual inclination of the upper and lower canines and first molars), the data for 16 patients who underwent conventional orthognathic surgery (CS) were compared with those for 13 patients who underwent preorthodontic orthognathic surgery (POGS), using three-dimensional computed tomography at initial examination, 1 month before surgery, and at 7 days and 1 year after surgery. Results: The 1-year postsurgical examination revealed no significant changes in the postoperative transverse dental axis in the CS group. In the POGS group, the upper first molar inclined lingually on both sides (deviated side, −1.8o ± 2.8o, p = 0.044; nondeviated side, −3.7o ± 3.3o, p = 0.001) and the lower canine inclined lingually on the nondeviated side (4.0o ± 5.4o, p = 0.022) during postsurgical orthodontic treatment. There were no significant differences in the skeletal and dental variables between the two groups at 1 year after surgery. Conclusions: POGS may be a clinically acceptable alternative to CS as a treatment to achieve stable transverse axes of the dentition in both arches in patients with skeletal Class III malocclusion and facial asymmetry. [Korean J Orthod 2017;47(4):256-267]
참고문헌 (26)
- Jacobs JD, "Principles of orthodontic mechanics in orthognathic surgery cases", Am J Orthod, 84, pp.399~407 (1983)
- Tompach PC, "Orthodontic considerations in orthognathic surgery", Int J Adult Orthodon Orthognath Surg, 10, pp.97~107 (1995)
- Sabri R, "Orthodontic objectives in orthognathic surgery: state of the art today", World J Orthod, 7, pp.177~191 (2006)
- Nagasaka H, "“Surgery first” skeletal Class III correction using the Skeletal Anchorage System", J Clin Orthod, 43, pp.97~105 (2009)
- Villegas C, "Expedited correction of significant dentofacial asymmetry using a “surgery first” approach", J Clin Orthod, 44, pp.97~103 (2010)
- Choi SH, "Stability of pre-orthodontic orthognathic surgery using intraoral vertical ramus osteotomy versus conventional treatment", J Oral Maxillofac Surg, 74, pp.610~619 (2016)
- Hye-Rim Ann, "Evaluation of stability after pre-orthodontic orthognathic surgery using cone-beam computed tomography: A comparison with conventional treatment", 대한치과교정학회지, 46(5), pp.301~309 (2016), 대한치과교정학회
- Min BK, "Comparison of treatment duration between conventional three-stage method and surgery-first approach in patients with skeletal Class III malocclusion", J Craniofac Surg, 25, pp.1752~1756 (2014)
- Park JK, "Patient's satisfaction in skeletal class III cases treated with two-jaw surgery using orthognathic quality of life questionnaire: conventional three-stage method versus surgery-first approach", J Craniofac Surg, 26, pp.2086~2093 (2015)
- Frost HM, "The biology of fracture healing. An overview for clinicians. Part I", Clin Orthop Relat Res, (248), pp.283~293 (1989)
- Liou EJ, "Surgery-first accelerated orthognathic surgery:postoperative rapid orthodontic tooth movement", J Oral Maxillofac Surg, 69, pp.781~785 (2011)
- Ko EW, "Skeletal and dental variables related to the stability of orthognathic surgery in skeletal Class III malocclusion with a surgery-first approach", J Oral Maxillofac Surg, 71, pp.e215~e223 (2013)
- Park KH, "Skeletal stability of surgery-first bimaxillary orthognathic surgery for skeletal class III malocclusion, using standardized criteria", Int J Oral Maxillofac Surg, 45, pp.35~40 (2016)
- Chang-Hoon Rhee, "Correlation between skeletal and dental changes after mandibular setback surgery-first orthodontic treatment: Cone-beam computed tomography-generated half-cephalograms", 대한치과교정학회지, 45(2), pp.59~65 (2015), 대한치과교정학회
- Wang YC, "Comparison of transverse dimensional changes in surgical skeletal Class III patients with and without presurgical orthodontics", J Oral Maxillofac Surg, 68, pp.1807~1812 (2010)
- Kim YK, "Influence of the changes in arch width on postsurgical relapse after mandibular setback surgery with minimal orthodontics", J Oral Maxillofac Surg, 72, pp.1820~1831 (2014)
- Lee KM, "Comparison of transverse analysis between posteroanterior cephalogram and cone-beam computed tomography", Angle Orthod, 84, pp.715~719 (2014)
- Hyeong-Seok Ryu, "Cone-beam computed tomography based evaluation of rotational patterns of dentofacial structures in skeletal Class III deformity with mandibular asymmetry", 대한치과교정학회지, 45(4), pp.153~163 (2015), 대한치과교정학회
- Lee RT, "The benefits of post-surgical orthodontic treatment", Br J Orthod, 21, pp.265~274 (1994)
- Vanarsdall RL Jr, "Transverse dimension and longterm stability", Semin Orthod, 5, pp.171~180 (1999)
- Choi SH, "Major factors contributing to anterior and posterior relapse after intraoral vertical ramus osteotomy", J Craniomaxillofac Surg, 44, pp.413~420 (2016)
- Jung HD, "Postoperative stability following bilateral intraoral vertical ramus osteotomy based on amount of setback", Br J Oral Maxillofac Surg, 51, pp.822~826 (2013)
- Park SH, "A proposal for a new analysis of craniofacial morphology by 3-dimensional computed tomography", Am J Orthod Dentofacial Orthop, 129(600), pp.e23~34 (2006)
- Hwang HS, "Classification of facial asymmetry by cluster analysis", Am J Orthod Dentofacial Orthop, 132, pp.279.e1~279.e6 (2007)
- Baek C, "Morphologic evaluation and classification of facial asymmetry using 3-dimensional computed tomography", J Oral Maxillofac Surg, 70, pp.1161~1169 (2012)
- Tyan S, "Three-dimensional analysis of molar compensation in patients with facial asymmetry and mandibular prognathism", Angle Orthod, 86, pp.421~430 (2016)