SOFT TISSUE CHANGES AFTER DOUBLE JAW ROTATION SURGERY IN SKELETAL CLASS III MALOCCLUSION

골격성 III 급 부정 교합자에서 양악 회전 수술 후 연조직 변화에 대한 연구

  • Jeong, Mi-Hyang (Dept. of Orthodontics, College of Dentistry, Seoul National University) ;
  • Choi, Jeong-Ho (Smile Future Orthodontic Clinic) ;
  • Kim, Byuong-Ho (Smile Future Orthodontic Clinic) ;
  • Kim, Seong-Gon (Dept. of Oral and Maxillofacial Surgery, School of Medicine, Hallym University) ;
  • Nahm, Dong-Seok (Dept. of Orthodontics, College of Dentistry, Seoul National University)
  • 정미향 (서울대학교 치과대학 교정학교실) ;
  • 최정호 (웃는 내일치과) ;
  • 김병호 (웃는 내일치과) ;
  • 김성곤 (한림대학교 의과대학 구강외과학교실) ;
  • 남동석 (서울대학교 치과대학 교정학교실)
  • Published : 2006.12.31

Abstract

The aim of this study was to evaluate the amount and interrelationship of the soft and hard tissue changes after simultaneous maxillary clockwise rotation and mandibular setback surgery in skeletal class III malocclusion. The sample comprised of 16 adult patients who had anteroposterior skeletal discrepancy. These patients had received presurgical orthodontic treatment and surgical treatment which consisted of Le fort I Osteotomy and bilateral saggital split ramus osteotomy. The presurgical (T1) and postsurgical (T2) lateral cephalograms were evaluated. The computerized statistical analysis was carried out with SPSS/PC program. The results demonstrated a decrease in the vertical dimension in the soft and hard tissue. The nasolabial angle was increased and the mentolabial angle was decreased. The results showed also many statistically significant correlations(p<0.05). The lower lip closely followed the skeletal movement of the B- point in the horizontal plane. The double jaw rotation surgery can afford a good solution to solve the problems of class III malocclusion cases.

Keywords

References

  1. McNeil RW, Proffit WR, White RP: Cephalometric prediction for orthodontic surgery. Angle Orthod 1972;42:154-64
  2. 전국 치과대학 교정학 교수협의회. 치과교정학. 서울: 지성출판사: 1998;508-524
  3. Subtelny JD: A longitudinal study of soft tissue facial structure and their profile characteristics defined in relation to underlying skeletal structures. Am J Orthod Dentofacial Othop 1959;45:481-507 https://doi.org/10.1016/0002-9416(59)90014-4
  4. Burstone CJ, James RB, Legan H, Murphy GA, Norton LA: Cephalometircs for orthognathic surgery. J Oral Surg 1978;36:269-277
  5. Hershey HG, Smith LH: Soft tissue profile change associated with surgical correction of the prognathic mandible. Am J Orthod Dentofacial Othop 1974;65:483-502 https://doi.org/10.1016/0002-9416(74)90031-1
  6. Enacar A, Taner T, Toroglu S: Analysis of soft tissue profile changes associated with mandibular setback and double jaw surgeries. Int J Adult Orthodon Orthognath Surg 1999;14:27-35
  7. Gaggl A, Schultes G, Karcher H: Changes in soft tissue profile after sagettal split ramus osteotomy and retropositioning of the mandible. J Oral Maxillofac Surg 1999;57:542-546 https://doi.org/10.1016/S0278-2391(99)90072-1
  8. Kajikawa Y: Changes in soft tissue profile after surgical correction of skeletal class III malocclusion. J oral Surg 1979;37:167-174
  9. Lines PA, Steinhauser EW: Soft tissue profile changes in relationship to movement of hard structures in orthognathic surgery; a preliminary report. J Oral Surg 1974;32:891-896 https://doi.org/10.1016/0030-4220(71)90175-7
  10. Scheiderman GB, Legan HL, Bell WH: Soft tissue changes with combined mandibulat setback and advancement genioplasty. J Oral Surg 1981;39:505-509
  11. Hohl TH, Epker BN: Macrogenia: a study of treatment results with surgical recommendation. Oral Surg Oral Med Oral Pathol 1976;41:545-567 https://doi.org/10.1016/0030-4220(76)90307-8
  12. Riedel RA: Esthetics and its relation to orthodontic therapy. Angle Orthod 1950;20:168-78
  13. 성정옥, 경희문, 권오원, 성재현: 외과적 악교정수술을 위한 두부 방사선 계측 기준치. 대치교정지 1989;19:169-185
  14. 최유경, 서정훈: 하악전돌증환자의 악교정수술 후 경조직과 연조직 변화에 관한 두부방사선계측학적 연구. 대치교정지 1993;23:707-724
  15. Jacobson R, Sarver DM: The predictability of maxillary repositioning in LeFort I orthognathic surgery. Am J Orthod Dentofacial Orthop 2002;122:142-154 https://doi.org/10.1067/mod.2002.125576
  16. Brooks BW, Buschang PH, Bates JD, Adams TB, English JD: Predicting upper lip response to 4-piece maxillary LeFort I Osteotomy. Am J Orthod Dentofacial Orthop 2001;120:124-133 https://doi.org/10.1067/mod.2001.115614
  17. Jensen AC, Sinclair PM, Wolford LM: Soft tissue chanes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 1992;101:266-275 https://doi.org/10.1016/0889-5406(92)70096-S
  18. Bjor N, Eliason S, Wictorian L: Changes in the facial profile after surgical treatment of mandibular protrusion. A Cephalometric study, 1 and 11 years after treatment of mandibular prognathism. Scand J Plast Reconstr Surg 1971;5:41-46 https://doi.org/10.3109/02844317109042935
  19. Fromm B: The soft tissue facial profile before and after surgical correction of mandibular protrusion. Acta Odontol Scand 1970;28:157-177 https://doi.org/10.3109/00016357009032025
  20. 조은정, 양원식: 골격성 3급 부정교합자의 양악수술 후 연조직 변화의 평가. 대치교정지 1996;26:1-16