Alteration of the mandibular plane during sagittal split advancement: short- and long-term stability.

Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2007 Vol.104(2) p. 160-9

Frey DR, Hatch JP, Van Sickels JE, Dolce C, Rugh JD

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Abstract

[OBJECTIVES] We investigated predictors of long- and short-term stability of surgical mandibular advancements with bilateral sagittal split osteotomy (BSSO).

[STUDY DESIGN] Class II patients (n = 127) received mandibular advancement through BSSO with either rigid internal fixation or wire osteosynthesis. We used multiple linear regression analysis to assess the association of predictor variables with post-treatment horizontal and vertical B-point movement through 2 years.

[RESULTS] Counterclockwise rotation of the mandibular plane angulation (MPA) was associated with greater horizontal and vertical relapse at all time periods except 8 weeks. Wire osteosynthesis, larger advancements, younger age, and genioplasty were significantly associated with relapse.

[CONCLUSIONS] Surgically closing the MPA is associated with late horizontal and vertical relapse, whereas fixation type is related to early B-point movement. Large advancements with forward and upward repositioning of the mandible, genioplasty, and young age also play a role in relapse after BSSO.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 genioplasty 턱끝성형술 dict 2
해부 mandibular scispacy 1
해부 mandible 하악골 dict 1
합병증 mandibular plane scispacy 1
약물 MPA → mandibular plane angulation scispacy 1
약물 [OBJECTIVES] We scispacy 1
약물 [RESULTS] scispacy 1
약물 [CONCLUSIONS] scispacy 1
기타 bilateral sagittal split osteotomy scispacy 1
기타 patients scispacy 1
기타 mandibular scispacy 1

MeSH Terms

Adult; Age Factors; Bone Screws; Bone Wires; Cephalometry; Chin; Female; Follow-Up Studies; Humans; Jaw Fixation Techniques; Linear Models; Male; Malocclusion, Angle Class II; Mandible; Mandibular Advancement; Multivariate Analysis; Prospective Studies; Recurrence

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