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A STUDY OF THE CHANGE OF MANDIBLE POSITION AND THE STABILITY AFTER ORTHOGNATHIC SURGERY  

Nam, Kwang-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyunghee University)
Lee, Sang-Chull (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyunghee University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.29, no.2, 2003 , pp. 95-101 More about this Journal
Abstract
The purpose of this study was to evaluate the patterns of skeletal changes of proximal and distal segments after one jaw surgery and two jaw surgery with posterior impaction using SSRO on mandible in order to determine the skeletal origin of relapse and compare the stability of surgical methods in anterior open bite. The points and lines from lateral cephalometrics were measured before, after surgery, and at least 6-month follow up period. And then, the positional change of the proximal and distal segment were evaluated respectively. The results obtained were as follows; In cases of two jaw surgery, the results were stabler because they had less relapse factors. In cases of one jaw surgery, the value of APD were increased but it didn't relapse to the original value. Both of proximal and distal segments were responsible for the relapse tendency. But in one jaw surgery, the rotation of proximal segment was more responsible, and in two jaw surgery, the rotation of distal segment was.
Keywords
Mandibular prognathism; Anterior open bite; Postsurgical stability;
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1 Kundert M : Condylar displacement after sagittal splitting of the mandible rami. J Maxillofac Surg 1980;9:278-291
2 부정교합백서발간위원회 : 한국성인 정상교합자의 측모두부규격방사선사진 계측 연구 결과 보고서. 대한치과교정학회. 1997
3 Burstone CJ : Cephalometrics for orthognathic surgery. J Oral Surg 1986;36: 269-277
4 Epker BN, Fish LC : surgical-orthodontic correction of Class III skeletal open-bite. Am J Orthod 1978;73:601-618   DOI   ScienceOn
5 Krekmanov L, Lilja L, Ringqvist M : Sagittal split osteotomy of the mandible without postoperative intermaxillary fixation. A clinical and cephalometric study. Scand J Plast Reconstru Surg Hand Surg 1989;23:115-124   DOI   ScienceOn
6 Gassmann CJ, Van Sickels JE, Thrash WJ : Causes, location and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg 1990;48:450-454   DOI   ScienceOn
7 Hollender J, Riedell A : Radiography of the temporomandibular joint after oblique sliding osteotomy of the mandibular rami. Scand J Dent Res 1974;82:466-469
8 Proffit WR, White RP Jr : Surgical orthodontic treatment. St. Louise, Mosby-Year Book, Inc. 1991
9 조병욱, 이용찬, 고백진, 최창완 : 안모기형 환자의 악교정 수술후 연조직 변화에 대한 연구. 대한구강악안면외과학회지 1991;17:40-43
10 Lake SL, McNeil RW, Little RW, West RA : Surgical mandibular advancement : a cephalometric analysis of treatment response. Am J. Orthod 1981;80:376
11 Ashraf FA : Stability of sagittal split advancement osteotomy : Singleversus double-jaw surgery. Int J Orthod Orthognath Surg 1995;10:181-192
12 Ive J, McNeil RW, West RA : Mandibular advancement. skeletal and dental change during fixation. J Oral Surg 1977;35:881-886   PUBMED
13 Schendel SA, Epker BN : Results after mandibular advancement surgery. J Oral Surg 1981;36:676-684
14 Cook R, Hinrischen G : The mandibular sagittal split osteotomy : a clinical and cephalometric review. Trans Congr Int Assoc Oral Surg 1973;4:252-276
15 류권우, 신완철, 김정기 : 하악 전돌 환자의 하악지 시상.분할 골절 단술후의 골격성 회귀 양상. 대한악안면성형재건외과지 2001;23:21-30
16 김경호, 최광철, 김형곤, 박광호 : 악교정 수술을 위한 한국 성인 정상 교합자의 경조직 기준치. 대한구강악안면외과학회지. 2001;27:221-230
17 Sorocolit CA, Nanda R : Assessment of the stability of mandibular setback procedures with rigid fixation : a clinical and cephalometric study. Scand J Plast Reconstru Surg Hand Surg 1990;48:817-822
18 Worms FW, Spiedel TM, Bevis RR : Pretreatment stability and esthetics of orthognathic surgery. Angle Orthod 1980;50:251-273   PUBMED
19 Trauner R, Obwegeser H : Surgical correction of mandibular prognathism and retrognathism with consideration of genioplasty. part of I : Surgical procedures to correct mandibular prognathism and reshaping of chin. J Oral Surg 1957;10:787-792   DOI   ScienceOn
20 Proffit WR, Philips C, Dann C, Turvey T : Stability after surgicalorthodontic correction of skeletal Class III malocclusion : Int J Adult Orthod Orthognath Surg 1991;6:7-18