Progressive changes in patients with skeletal Class III malocclusion treated by 2-jaw surgery with minimal and conventional presurgical orthodontics: A comparative study.

Abstract

INTRODUCTION:

In this study, we aimed to compare treatment efficacy and postsurgical stability between minimal presurgical orthodontics and conventional presurgical orthodontics for patients with skeletal Class III malocclusion.

METHODS:

Forty patients received minimal presurgical orthodontics (n = 20) or conventional presurgical orthodontics (n = 20). Lateral cephalograms were obtained before treatment, before orthognathic surgery, and at 1 week, 3 months, 6 months, and 12 months after surgery.

RESULTS:

Changes of overjet and mandibular incisal angle before surgery were greater in the conventional presurgical orthodontics group than in the minimal presurgical orthodontics group. Postsurgical horizontal changes in Points A and B, overjet, and mandibular incisal angle showed significant differences among the time points. Most of the horizontal and vertical relapses in the maxilla and the mandible occurred within the first 6 months in both groups.

CONCLUSIONS:

Minimal presurgical orthodontics and conventional presurgical orthodontics showed similar extents and directions of skeletal changes in patients with Class III malocclusion. However, orthodontists and surgeons should preoperatively consider the postsurgical counterclockwise rotation of the mandible when using minimal presurgical orthodontics. Close and frequent observations are recommended in the early postsurgical stages.

• Authors: Yang Zhou, Zili Li, Xiaoxia Wang, Bingshuang Zou, Yanheng Zhou
• Journal: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics (Am J Orthod Dentofacial Orthop) Vol. 149 Issue 2 Pg. 244-52 (Feb 2016) ISSN: 1097-6752 [Electronic] United States
• PMID: 26827981 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Adult
• Cephalometry (methods)
• Cohort Studies
• Female
• Follow-Up Studies
• Genioplasty (methods)
• Humans
• Incisor (pathology)
• Male
• Malocclusion, Angle Class III (pathology, surgery)
• Mandible (pathology, surgery)
• Maxilla (pathology, surgery)
• Orthodontic Brackets
• Orthognathic Surgical Procedures (methods)
• Osteotomy, Le Fort (methods)
• Osteotomy, Sagittal Split Ramus (methods)
• Overbite (surgery)
• Preoperative Care
• Recurrence
• Retrospective Studies
• Rotation
• Treatment Outcome
• Young Adult