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At least 145 records · Page 8Linked to original sources
PubMed1980

Cephalometric diagnosis and surgical-orthodontic correction of apertognathia.

Nineteen postadolescent white woman with uncorrected Class I molar and/or canine occlusion were compared cephalometrically to thirteen postadolescent white women with skeletal apertognathia that was later corrected by a combination of surgical procedures, the common denominator being maxillary posterior superior repositioning. The cephalometric tracings were compared statistically by evaluating the study group preoperatively, immediately postoperatively, and at a long-term follow-up appointment. The results indicate that there is a statistical difference in certain important measurements between normal persons and preoperative apertognathic patients with the deformity identified in the dentoalveolar complex of the maxilla. Posterior maxillary superior repositioning tends to correct this skeletal deformity, with postoperative measurements approaching the normal values. The correction proved to be stable over a mean follow-up period of 19 months (range, 7 to 30 months).

Adolescent↗
PubMed1989

Surgical orthodontic correction of mandibular deficiency by sagittal osteotomy: clinical and cephalometric analysis of 1-year data.

A homogeneous sample of 76 mandibular retrognathic patients (mean age, 28 years) were examined for postoperative alterations after surgical treatment by bilateral sagittal split osteotomy and mandibular advancement with wire fixation. Skeletal and dental measures were obtained from preoperative, immediate postoperative, fixation-release, and 1-year cephalograms. Spearman correlation was used as a preliminary analysis to assess the relationship between postsurgical change and age, genioplasty, amount of mandibular advancement, and preoperative mandibular plane angle. Genioplasty and amount of mandibular advancement were included as independent factors in the subsequent repeated-measures analysis of variance, since these were the only two factors that showed a consistent trend of correlations with postoperative change. Genioplasty was a significant factor in the X and Y coordinate changes in pogonion, while the amount of mandibular advancement was a significant factor in the X coordinate movements of all mandibular landmarks except gonion and condylion. The mean amount of horizontal advancement was 5.2 mm, and anterior face height increased 5.1 mm. During fixation, B point moved posteriorly (x = -1.6 mm, p less than 0.01) and inferiorly (y = 1.0 mm, p less than 0.01). After fixation release, these trends were reversed, resulting in a nonsignificant net horizontal change (x = -0.5 mm, p = 0.10) and a significant net superior movement (y = -1.3 mm, p = 0.01) by 1 year. Pogonion, menton, and mandibular incisor tip showed similar patterns.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1989

Integumental profile changes after surgical orthodontic correction of bimaxillary dentoalveolar protrusion in black patients.

An investigation was undertaken to evaluate the soft-tissue changes of the lips as a result of dentoalveolar setback procedures performed to reduce bimaxillary dentoalveolar protrusion in black patients. Lateral head films of 14 adult patients taken preoperatively and postoperatively were compared to evaluate soft- and hard-tissue changes. A stepwise regression analysis with hard-tissue changes, initial interlabial gap, lip thickness, and lip area as predictor variables was performed to assess their influence on the change in an associated soft-tissue point. Upper lip thickness and horizontal change in PR accounted for 60% of the horizontal variance in the upper lip at SLS, and horizontal change in PR accounted for 80% of the horizontal variance in LS. Lower lip area accounted only for 28% of the horizontal variance in the lower lip at LI. Vertical changes of the upper lip were small and could not be predicted. Vertical changes of the lower lip were small but predictable: IL and lip thickness accounted for 75% of the vertical variance in the lower lip at ILS, and ID accounted for 58% of the vertical variance in LI.

Adult↗
PubMed1986

Satisfaction of patients following surgical-orthodontic correction of skeletal Class III malocclusions.

To assess whether patients were satisfied with the results of treatment, questionnaires were sent to 65 patients who had undergone either the extraoral curved oblique osteotomy or the sagittal split osteotomy for correction of skeletal Class III malocclusions. Seventy-eight per cent of the patients answered that they were satisfied with the results in regard to their chief problems and 75% had improved masticatory function. A favorable change in appearance was recognized by 33 patients, whereas 30 patients noticed no major changes. Factors affecting satisfaction with the results are discussed.

Adolescent↗
PubMed1990

Case report MM. Surgical-orthodontic correction of bilateral buccal crossbite (Brodie syndrome)

A surgical approach to treatment was required for this 35-year-old patient to correct a malocclusion characterized by a bilateral buccal crossbite. Surgical procedures included a LeFort 1 osteotomy to reduce maxillary width and correct the vertical asymmetry. The mandible was lengthened with a bilateral sagittal split osteotomy. Treatment options for the nongrowing patient are limited in the correction of severe skeletal disharmonies.

Adult↗
PubMed1992

Surgical-orthodontic correction of mandibular deficiency: five-year follow-up.

Changes in dental and skeletal relationships at 5 years postsurgery were evaluated in a group of 35 patients whose mandibular deficiency had been corrected by the same surgeon, using sagittal split osteotomy of the mandibular ramus. From 1 to 5 years postsurgery, there was a small (0.9-mm) but statistically significant mean decrease in mandibular length (condylion to point B). In six patients, the decrease in mandibular length was 2 to 4 mm, and in two it was more than 4 mm, but only one of these individuals had more than a 2-mm increase in overjet. There was no mean change in overjet, but three patients had a 2 to 4-mm increase. Of these, one had 3.2 mm shortening of the mandible, one had 1.4 mm shortening of the mandible, and one had no change in mandibular length but repositioning of the incisors. Most patients had a deep overbite initially, and there was a tendency for the bite to deepen between the first and fifth years postoperatively, more as a result of extrusion of incisors than of mandibular rotation. Remodeling of the gonial angle area, with vertical and/or horizontal repositioning of gonion, was noted in more than half the subjects. It appears that morphologic changes related to continued skeletal remodeling, often compensated for by small changes in mandibular posture or tooth positions, continue after 1 year postsurgery for many patients.

Adolescent↗
PubMed1991

Stability after surgical-orthodontic correction of skeletal Class III malocclusion. 2. Maxillary advancement.

Nearly half the patients with skeletal Class III malocclusion have maxillary deficiency as the major component of their problem, and modern surgical techniques allow maxillary osteotomy to correct the deformity. Changes at surgery and postsurgically were studied in 49 patients who underwent isolated surgical maxillary advancement. Thirty-one had wire osteosynthesis and maxillomandibular fixation, and 18 had rigid fixation with bone plates. In nearly half the patients, the maxilla was moved down as well as forward, indicating that the patient had both vertical and anteroposterior deficiency. In the anteroposterior plane, 80% of the patients had excellent stability at 1 year, while 20% had 2 to 4 mm of posterior movement of anterior maxillary landmarks. There was no difference in anteroposterior stability between wire/maxillomandibular fixation and rigid internal fixation groups. When the maxilla was moved down as well as forward, there was a strong tendency for relapse upward in both fixation groups. As a result, the chin frequently became more prominent from immediate postsurgery to 1-year followup, as upward movement of the maxilla allowed the mandible to rotate upward and forward.

Adult↗
PubMed1991

Stability after surgical-orthodontic corrective of skeletal Class III malocclusion. 3. Combined maxillary and mandibular procedures.

Stability after combined Le Fort I and bilateral sagittal split osteotomies was reviewed in 51 patients with skeletal Class III malocclusion. Because vertical changes in the position of the maxilla affect both the vertical and anteroposterior positions of the mandible, the sample was subdivided by the direction of vertical movement of the maxilla at surgery. Excellent postsurgical stability was observed in the long-face Class III patients in whom upward and forward movement of the maxilla was combined with ramus osteotomy to prevent excessive forward rotation of the mandible. When the maxilla was moved forward and the mandible set back with minimal vertical change, moderate relapse tendencies were observed in both jaws, but most of the correction was maintained at 1 year. When the maxilla was moved down and forward while the mandible was set back, moderate vertical relapse of the maxilla and anteroposterior relapse of the mandible followed. Stability of the downward movement of the maxilla was, on average, better than that resulting from maxillary surgery alone.

Adult↗
PubMed1989

Surgical-orthodontic correction of transverse maxillary deficiency.

A conservative osteotomy of the zygomaticomaxillary buttress in combination with a rapid palatal expansion appliance is a dependable technique for the treatment of horizontal maxillary deficiency in adults. This procedure has been used successfully in 56 patients in our series, but 17 patients (30 percent) required a midpalatal osteotomy. In two patients, overexpansion was not achieved because of necrosis of the mucosa. In three other patients, expansion had to proceed at a slower pace because of mucosal ulceration. There have been no other complications. The procedure is indicated mainly in those patients with a horizontal deficiency who do not require subsequent surgery, but for some patients it may be the preliminary procedure. Twelve patients (21 per cent) had subsequent orthognathic surgery. Follow-up has been from 1 to 12 years and there has been no relapse. In our opinion, the zygomaticomaxillary buttress is the primary area of resistance to lateral movement of the maxilla by rapid maxillary expansion appliances.

Adult↗