하악골 후방이동시 악골고정방법에 따른 악간고정기간 중 치아 및 악골의 위치변화에 대한 연구

A STUDY ON POSITIONAL CHANGES OF THE TEETH AND MANDIBLE ACCORDING TO FIXATION TYPE DURING INTERMAXILLARY FIXATION PERIOD AFTER MANDIBULAR SETBACK

  • 박선배 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 김경욱 (단국대학교 치과대학 구강악안면외과학교실)
  • Park, Sun-Bae (Departmentment of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University) ;
  • Kim, Kyung-Wook (Departmentment of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
  • 발행 : 2003.10.30

초록

Skeletal relapse is known as a complication following orthognathic surgery of mandibular prognathism and occurring during intermaxillary fixation period. Therefore relapse of teeth and skeleton during intermaxillary fixation period is considered as a important problem of orthognathic surgery. In this study, cephalolateral radiographs taken at pre-operation, immediate post-operation and after release of intermaxillary fixation were measured for evaluation of dental and skeletal relapse in 30 cases. The cases were classified as screw fixation group and plate fixation group, then we compared magnitude of dental and skeletal changes of each group. The results were as follows 1. The $\underline{1}$ SN angle increased at immediate post-operation with a mean value of $0.12^{\circ}$ and at intermaxillary fixation period with a mean value of $0.43^{\circ}$ (p>0.05). 2. The $\overline{1}$ MP angle decreased with a mean value of $0.14^{\circ} at immediate post-operation and with a mean value of $1.28^{\circ} during intermaxillary fixation period but there were not significant difference(p>0.05). 3. There were not significant difference in magnitude of dental position changes between screw fixation group and plate fixation group(p>0.05). 4. Gonial angle increased with a mean value of $0.62^{\circ} during intermaxillary fixation period. Each group showed changes of gonial angle during intermaxillary fixation period but there were not significant difference(p>0.05).

키워드

참고문헌

  1. Trauner R, Obwegeser H. : Surgical correction of mandibular prognathism with consideration of genioplasty. Oral Surg Oral Med Oral Pathol. 10:677-689, 1957. https://doi.org/10.1016/S0030-4220(57)80063-2
  2. Kimihiko A, Eiichi K, Masashi S. : Cause of early relapse mandibular setback. Am J Orthod Dentofac Orthop 7:29-36, 1989.
  3. McNeill R W, Hooley J R, Sundberg R I : Skeletal relapse during intermaxillary fixation. J Oral Surg 31:212-227, 1973.
  4. Masashi S, Kimihiko A, Eiichi K : Skeletal fixation versus skeletal relapse. Am J Orthod Dentofac Orthop 11:412-421, 1987.
  5. Wisth PJ, Isaksen TS. : Changes in the vertical position of the anterior teeth after surgical correction of mandibular protrusion. Am J Orthod 77:174-83, 1980. https://doi.org/10.1016/0002-9416(80)90005-6
  6. Astrand P, Eckerdal O, Sund R. : Intraosseous wiring in ramus osteotomy. J Oral Maxillofac Surg 41:789-94, 1983. https://doi.org/10.1016/S0278-2391(83)80045-7
  7. Hovell JH. : Muscle patterning factors in the surgical correction of mandibular prognathism. J Oral Maxillofac Surg 22:122-6, 1964.
  8. Reitzik M. : Skeletal and dental changes after surgical correction of mandibular prognathism. J Oral Surg 38:109-117, 1980. https://doi.org/10.1016/0030-4220(74)90321-1
  9. Goldstein A. : Appraisal of results of surgical correction of class III malocclusion. Angle Orthod 17:59, 1947.
  10. Artun J, Krogstad O, Robert M. : Stability of mandibular incisors following excessive proclination. Angle Orthod Vol.60 No.2:99-106.
  11. Rosenquist B. : Displacement of the mandible during intermaxillary fixation after oblique sliding osteotomy. A stereometric and cephalometric radiographic study. J Max-fac Surg 13:254-262, 1985. https://doi.org/10.1016/S0301-0503(85)80060-6
  12. 김일현, 이충국 : 하악골 후방이동 시 고정기간 중 악골과 치아의 위치변화. 대한구강악안면외과학회지 : Vol.13, No1. 1987.
  13. Martis C S. : Complication after mandibular sagittal split osteotomy. J Oral Maxillofac Surg 42:101-107, 1984. https://doi.org/10.1016/0278-2391(84)90320-3
  14. Poulton D R, Ware W H. : Surgical-orthodontic treatment of severe mandibular retrusion. Am J Orthodon 63:237-255, 1973. https://doi.org/10.1016/0002-9416(73)90350-3
  15. Ive J, McNeill R W, West R A. : Mandibular advancement : skeletal and dental changes during fixation. J Oral Surg 35:881-886, 1977.
  16. Vasir N S, Thompson R T, Davies T M. : Dental and skeletal changes following sagittal split osteotomy for correction of mandibular prognathism. Euro J Orthod 13:134-142, 1991. https://doi.org/10.1093/ejo/13.2.134
  17. Freibofer H P. : Results of osteotomies of the facial skeleton in adolescence. J Max-fac Surg 5:267, 1977. https://doi.org/10.1016/S0301-0503(77)80121-5
  18. Simpson W. : The results of the surgery for mandibular prognathism. Br J Oral Surg 12:166, 1974.
  19. Michiwaki Y, Yoshida H, Ohno Kohsuke. : Factors contributing to skeletal relapse after surgical correction of mandibular prognathism. J Cranio-Max-Fac Surg 18:195-200, 1990. https://doi.org/10.1016/S1010-5182(05)80410-X
  20. A。strand P, Ridell A. : Positional changes of the mandible and the upper and lower anterior teeth after oblique sliding osteotomy of the mandibular rami. Scand J Plast Reconstr Surg 7:120, 1973.
  21. Ingervall B, Ridell A, Thilander B. : Changes in activity of he temporal, masseter and lip muscles after surgical correction of mandibular prognathism. Int J Oral Surg 8:290, 1979.
  22. Jonsson G, Sund G, strand P. : Oblique sliding osteotomy-a 5 year follow-up study. Abstract 43. Joint meeting SFOK/SOF, 1983.
  23. William R P, Raymond P W. : Surgical-orthodontic treatment. 지성출판사 p234-240, 1996.