Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Post-operative Stability of Counter Clockwise Rotation of the Mandibular Plane in Skeletal CIII with Anterior Openbite Patients

전치부 개교합을 가진 골격성 3급 부정교합 환자에서 하악의 반시계 방향 회전 시 술 후 안정성

  • Ryu, Jeong-Min (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Ryu, Kyung-Sun (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kim, Yeo-Gab (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Ohe, Joo-Young (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Park, Seong-Won (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry)
  • 유정민 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 유경선 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이백수 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 권용대 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 최병준 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김여갑 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오주영 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 박성원 (경희대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2012.05.22
  • Accepted : 2012.07.24
  • Published : 2012.07.31
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Abstract

Purpose: This study evaluated the postoperative stability of counter clockwise rotation of the mandibular plane in anterior openbite patients, who have had one jaw surgery performed. Methods: This study includes patients with skeletal class III malocclusion accompanied by anterior openbite among the patients who have had BSSRO performed, resulting in counter clockwise rotation of the mandibule. We excluded the patients with genioplasty and segmental surgery, and included 23 patients who underwent BSSRO. Results: We found no statistical significance between the amount of counter clockwise rotation in the mandible in the Pearson correlation test. Also, there was no significant difference between Group 1 (< $3^{\circ}$) and Group 2 (> $3^{\circ}$). Conclusion: This study evaluated the amount of horizontal relapse, and the degree of relapse. Stable results were obtained. Although there was no statistical significance between the degree of openbite and the amount of horizontal relapse, the group with a greater amount of openbite had a greater amount of relapse.

Keywords

References

  1. Gassmann CJ, Van Sickels JE, Thrash WJ. Causes, location, and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg 1990;48:450-4. https://doi.org/10.1016/0278-2391(90)90229-U
  2. Epker BN, Fish LC. The surgical-orthodontic correction of Class III skeletal open-bite. Am J Orthod 1978;73:601-18. https://doi.org/10.1016/0002-9416(78)90222-1
  3. Reitzik M, Barer PG, Wainwright WM, Lim B. The surgical treatment of skeletal anterior open-bite deformities with rigid internal fixation in the mandible. Am J Orthod Dentofacial Orthop 1990;97:52-7. https://doi.org/10.1016/S0889-5406(05)81709-3
  4. Reyneke JP, Bryant RS, Suuronen R, Becker PJ. Postoperative skeletal stability following clockwise and counter-clockwise rotation of the maxillomandibular complex compared to conventional orthognathic treatment. Br J Oral Maxillofac Surg 2007;45:56-64. https://doi.org/10.1016/j.bjoms.2005.12.015
  5. Stansbury CD, Evans CA, Miloro M, BeGole EA, Morris DE. Stability of open bite correction with sagittal split osteotomy and closing rotation of the mandible. J Oral Maxillofac Surg 2010;68:149-59. https://doi.org/10.1016/j.joms.2009.07.105
  6. Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: a hierarchy of stability. Int J Adult Orthodon Orthognath Surg 1996;11:191-204.
  7. Denison TF, Kokich VG, Shapiro PA. Stability of maxillary surgery in openbite versus nonopenbite malocclusions. Angle Orthod 1989;59:5-10.
  8. Fischer K, von Konow L, Brattström V. Open bite: stability after bimaxillary surgery--2-year treatment outcomes in 58 patients. Eur J Orthod 2000;22:711-8. https://doi.org/10.1093/ejo/22.6.711
  9. Huang GJ. Long-term stability of anterior open-bite therapy: a review. Semin Orthod 2002;8:162-72. https://doi.org/10.1053/sodo.2002.125436
  10. Bisase B, Johnson P, Stacey M. Closure of the anterior open bite using mandibular sagittal split osteotomy. Br J Oral Maxillofac Surg 2010;48:352-5. https://doi.org/10.1016/j.bjoms.2009.08.018
  11. Iannetti G, Fadda MT, Marianetti TM, Terenzi V, Cassoni A. Long-term skeletal stability after surgical correction in Class III open-bite patients: a retrospective study on 40 patients treated with mono- or bimaxillary surgery. J Craniofac Surg 2007;18:350-4. https://doi.org/10.1097/01.scs.0000248658.38158.d2
  12. Proffit WR, Phillips C, Dann C 4th, Turvey TA. Stability after surgical-orthodontic correction of skeletal Class III malocclusion. I. Mandibular setback. Int J Adult Orthodon Orthognath Surg 1991;6:7-18.
  13. Reyneke JP, Ferretti C. Anterior open bite correction by Le Fort I or bilateral sagittal split osteotomy. Oral Maxillofac Surg Clin North Am 2007;19:321-38. https://doi.org/10.1016/j.coms.2007.04.004
  14. Joss CU, Vassalli IM. Stability after bilateral sagittal split osteotomy advancement surgery with rigid internal fixation: a systematic review. J Oral Maxillofac Surg 2009;67:301-13. https://doi.org/10.1016/j.joms.2008.06.060
  15. Joss CU, Thüer UW. Stability of hard tissue profile after mandibular setback in sagittal split osteotomies: a longitudinal and long-term follow-up study. Eur J Orthod 2008;30:352-8. https://doi.org/10.1093/ejo/cjn008
  16. Van Sickels JE, Larsen AJ, Thrash WJ. Relapse after rigid fixation of mandibular advancement. J Oral Maxillofac Surg 1986;44:698-702. https://doi.org/10.1016/0278-2391(86)90037-6
  17. Jakobsone G, Stenvik A, Sandvik L, Espeland L. Three-year follow-up of bimaxillary surgery to correct skeletal Class III malocclusion: stability and risk factors for relapse. Am J Orthod Dentofacial Orthop 2011;139:80-9. https://doi.org/10.1016/j.ajodo.2009.03.050
  18. Mobarak KA, Espeland L, Krogstad O, Lyberg T. Mandibular advancement surgery in high-angle and low-angle class II patients: different long-term skeletal responses. Am J Orthod Dentofacial Orthop 2001;119:368-81. https://doi.org/10.1067/mod.2001.110983
  19. Rodríguez RR, González M. Skeletal stability after mandibular setback surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:31-3. https://doi.org/10.1016/S1079-2104(96)80143-0
  20. Yellich GM, McNamara JA Jr, Ungerleider JC. Muscular and mandibular adaptation after lengthening, detachment, andreattachment of the masseter muscle. J Oral Surg 1981;39:656-65.
  21. Vijayaraghavan K, Richardson A, Whitlock RI. Post-operative relapse following sagittal split osteotomy. Br J Oral Surg 1974;12:63-9. https://doi.org/10.1016/0007-117X(74)90062-6
  22. Kim CH, Lee JH, Cho JY, Lee JH, Kim KW. Skeletal stability after simultaneous mandibular angle resection and sagittal split ramus osteotomy for correction of mandible prognathism. J Oral Maxillofac Surg 2007;65:192-7. https://doi.org/10.1016/j.joms.2005.12.064
  23. Franco JE, Van Sickels JE, Thrash WJ. Factors contributing to relapse in rigidly fixed mandibular setbacks. J Oral Maxillofac Surg 1989;47:451-6. https://doi.org/10.1016/0278-2391(89)90276-0
  24. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med 2007;3:21. https://doi.org/10.1186/1746-160X-3-21
  25. Schendel SA, Epker BN. Results after mandibular advancement surgery: an analysis of 87 cases. J Oral Surg 1980;38:265-82.
  26. Ellis E 3rd, Carlson DS. Stability two years after mandibular advancement with and without suprahyoid myotomy: an experimental study. J Oral Maxillofac Surg 1983;41:426-37. https://doi.org/10.1016/0278-2391(83)90127-1
  27. Moldez MA, Sugawara J, Umemori M, Mitani H, Kawamura H. Long-term dentofacial stability after bimaxillary surgery in skeletal Class III open bite patients. Int J Adult Orthodon Orthognath Surg 2000;15:309-19.
  28. Chemello PD, Wolford LM, Buschang PH. Occlusal plane alteration in orthognathic surgery-Part II: long-term stability of results. Am J Orthod Dentofacial Orthop 1994;106:434-40. https://doi.org/10.1016/S0889-5406(94)70066-4
  29. Rosen HM. Occlusal plane rotation: aesthetic enhancement in mandibular micrognathia. Plast Reconstr Surg 1993;91:1231-40. https://doi.org/10.1097/00006534-199306000-00007
  30. Mobarak KA, Krogstad O, Espeland L, Lyberg T. Long-term stability of mandibular setback surgery: a follow-up of 80 bilateral sagittal split osteotomy patients. Int J Adult Orthodon Orthognath Surg 2000;15:83-95.
  31. Espeland L, Dowling PA, Mobarak KA, Stenvik A. Three-year stability of open-bite correction by 1-piece maxillary osteotomy. Am J Orthod Dentofacial Orthop 2008;134:60-6. https://doi.org/10.1016/j.ajodo.2006.05.049