ORTHOGNATHIC SURGERY USING MODEL REPOSITIONING INSTRUMENT: A CASE REPORT

Model Repositioning Instrument를 이용한 악교정 수술의 치험례

  • Lee, Nam-Ki (Department of Orthodontics, College of Dentistry, Kangnung National University) ;
  • Choi, Dong-Soon (Department of Orthodontics, College of Dentistry, Kangnung National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics, College of Dentistry, Kangnung National University) ;
  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kangnung National University) ;
  • Kim, Ji-Hyuck (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kangnung National University)
  • 이남기 (강릉대학교 치과대학 교정학교실) ;
  • 최동순 (강릉대학교 치과대학 교정학교실) ;
  • 차봉근 (강릉대학교 치과대학 교정학교실) ;
  • 박영욱 (강릉대학교 치과대학 구강악안면외과학교실) ;
  • 김지혁 (강릉대학교 치과대학 구강악안면외과학교실)
  • Published : 2006.05.31

Abstract

Moderate to severe dentofacial deformities usually require combined orthodontic treatment and orthognathic surgery to obtain the most stable result with optimal function and facial esthetics. Accordingly, the orthodontist and oral maxillofacial surgeon must be able to exactly diagnose existing deformities, establish an appropriate treatment plan, and execute the recommended treatment. Especially, to obtain optimal result of the maxillary surgery, model surgery is essential. But, the preoperatively planned position of the maxillary dental arch often cannot be sufficiently achieved during actual surgery, and deviations in the sagittal and vertical dimensions are common. To achieve three dimensional repositioning of the maxilla exactly, several methods have been introduced so far. Recently Model Repositioning Instrument (MRI, SAM, Inc., $M\ddot{u}nchen$, Germany), one of these methods, has been introduced and applied clinically, which is reported as accurate, effective and prompt method for three dimensional repositioning of the maxilla. This article describes an introduction and a clinical application of this MRI.

Keywords

References

  1. Bell WH, Creekmore TD, Alexander RG : Surgical correction of the long face syndrome. Am J Orthod 71 : 40, 1977
  2. Epker BN, Fish LC : Surgical-orthodontic correction of open-bite deformity. Am J Orthod 71 : 278, 1977 https://doi.org/10.1016/0002-9416(77)90188-9
  3. Erickson KM, Bell WH, Goldsmith DH : Analytical model surgery. In Bell WH: Modern practice in orthognathic and reconstructive surgery. Philadelphia, WB Saunders co. 154, 1992
  4. Ellis E III : Accuracy of model surgery: evaluation of an old technique and introduction of a new one. J Oral Maxillofac Surg 48 : 1161, 1990 https://doi.org/10.1016/0278-2391(90)90532-7
  5. Lee SH, Lee SH, Ju HH et al : The accuracy of measurements during model surgery for orthognathic planning. J Kor Oral Maxillofac Surg 27 : 37, 2001
  6. Schwestka-Polly R, Kubein-Meesenburg D, Luhr HG : Application of the model-positioning appliance for threedimensional positioning of the maxilla in cast surgery. Int J Adult Orthodon Orthognath Surg 8 : 25, 1993
  7. Schwestka-Polly R, Kubein-Meesenburg D, Luhr HG : Techniques for achieving three-dimensional positioning of the maxilla applied in conjunction with the Go¨ttingen concept. Int J Adult Orthod Orthognath Surg 13 : 248, 1998
  8. Schwestka-Polly R, Kubein-Meesenburg D, Luhr HG : From the 2-dimensional analysis in the lateral radiograph to the 3-dimensional repositioning in maxillary surgery. Int Poster J Dent Oral Med 2 : Poster 41, 2000
  9. Kim KH, Choy KC, Kim GK et al : Cephalometric norms of the soft tissue of Korean for orthognathic surgery. J Kor Oral Maxillofac Surg 27 : 231, 2001