Comparison of Progressive Cephalometric Changes and Postsurgical Stability of Skeletal Class III Correction With and Without Presurgical Orthodontic Treatment

Ko, Ellen Wen-Ching; Hsu, Sam Sheng-Pin; Hsieh, Hsin-Yi; Wang, Yu-Chih; Huang, Chiung Shing; Chen, Yu Ray

doi:10.1016/j.joms.2010.07.022

Cited by 125 publications

(91 citation statements)

References 17 publications

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“…This method has proven very useful for the patient -who can immediately see the improvement in the facial aesthetics -and it reduces significantly the duration of the orthodontic therapy (9). Ko et al (10,11) compared surgically treated cases of skeletal Class III with pre-surgical orthodontic treatment with those without pre-surgical orthodontic treatment. They stated that the treatment outcome and long-term stability were comparable and did not show significant differences.…”

Section: Discussionmentioning

confidence: 99%

Surgery-First: A New Approach to Orthognathic Surgery

Nuccio

D'emidio

Pelo³

2016

ORL

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SUMMARYThis case study describes the treatment of a 20-year-old white woman with a skeletal Class III and dental Class III malocclusion followed by a retrognathic and contracted maxilla, light mandibular crowding and a median line deviation of 5 mm. The treatment was based on the Surgery-First approach, involving LeFort I maxillary advancement surgery, and it was followed by orthodontic treatment. During the 6-month treatment period, excellent aesthetic results and good functional occlusion were achieved.

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Section: Discussionmentioning

confidence: 99%

Surgery-First: A New Approach to Orthognathic Surgery

Nuccio

D'emidio

Pelo³

2016

ORL

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“…53 Yazarların diğer bir çalışmasında ÖC ve KC yapılan vakalarda alt keser konumlarını karşılaştırmış ve alt keser konumlarındaki relaps miktarının benzer olduğunu ve başlangıç keser pozisyonunun korunduğunu rapor etmişlerdir. 67,68 Mandibuler geriletme uygulanan ÖC ve KC vakalarında sırasıyla % 14,3; % 15.7 oranında relaps tespit edilmiştir. Çalışmalar göstermektedir ki, önce cerrahi tercih edilen vakaların seçiminde dikkatli olmak gerekir.…”

Section: Distraksiyon Osteogenezis Yöntemi Ve Relaps İlişkisiunclassified

Factors Effecting The Relapse in Orthognathic Surgery

Esenlik¹,

Albayrak²

2014

EÜ Dişhek Fak Derg

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ÖZETKombine ortodontik ve cerrahi yaklaşım ciddi dentofasiyal deformitelerin düzeltilmesinde sıklıkla tercih edilen tedavi seçeneğidir. Bu deformitelerin tedavisi için geçmişten günümüze kadar birçok ortognatik cerrahi prosedür geliştirilmiştir. Son otuz yılda pek çok gelişme göstermelerine rağmen günümüzde bu tekniklerin komplikasyonları, karşılaşılan relaps oranları ve bunları azaltmak amacı ile yapılan araştırmalar devam etmektedir. Relapsın etyolojisi multifaktöriyeldir ve kondillerin düzgün pozisyonlandırılması, ilerletme miktarı, tek veya çift çene cerrahisi, yumuşak dokular ve kasların adaptasyonları, mandibuler plan açısı, geriye kalan büyüme potansiyeli ve operasyon öncesi hasta yaşı ve parafonksiyonel alışkanlıklar gibi faktörlere bağlıdır. Ortognatik cerrahi sonrası relaps; dişsel ve iskeletsel olarak meydana gelmektedir. İskeletsel relapsla daha çok karşılaşılmakta ve relaps oranları uygulanan cerrahi prosedürlerin tipine, hareketin yönüne ve hareket miktarına göre değişiklik göstermektedir. Ortognatik cerrahide relapsı en aza indirmek için cerrahi öncesi hastanın özelliklerinin iyi değerlendirilmesi, iyi bir tedavi planı, cerrahi öncesi başarılı bir ortodontik tedavi, uygun ve başarılı cerrahi teknik dikkat edilmesi gereken hususlardır. Anahtar Kelimeler: Ortognatik cerrahi, relaps Abstract A combined orthodontic and surgical approach is often the treatment of choice for the correction of severe dentofacial deformities. Numerous orthognathic surgical procedures have been developed for this treatment for many years. Although many improvement of all the techniques for the last thirty years nowadays investigations to decrease complications and relapse rates still continue. The etiology of relapse is multifactorial, involving the proper positioning of the condyles, the amount of advancement, single or two jaws surgeries, adaptation of the soft tissue and muscles

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“…1 Although these treatment procedures generally produce satisfactory results, including appropriate dental decompensation, proper arch coordination, and accurate prediction of surgical result before orthognathic surgery, several disadvantages have been reported, [2][3][4] including worsening of anterior crossbite and facial profile during Pre-OP-OT and long total treatment time.…”

Section: Introductionmentioning

confidence: 99%

“…5,6 This approach has some advantages, such as short total treatment duration, early improvement of the facial profile, and establishment of proper maxillomandibular relationship before orthodontic treatment. [2][3][4]7 The SFA can be performed successfully in cases with well-aligned or mildly crowded anterior teeth, mild to moderate curve of Spee/vertical problem, little or no transverse discrepancy, and normal to mildly proclined/retroclined incisor inclination. 2,4 Skeletal improvement through orthognathic surgery can be compromised by inadequate preoperative decompensation of the incisors.…”

Section: Introductionmentioning

confidence: 99%

“…2,4 Skeletal improvement through orthognathic surgery can be compromised by inadequate preoperative decompensation of the incisors. 3,8,9 Decompensation of the maxillary incisors in skeletal Class III patients can occur either by extraction of the maxillary premolars and space closure during Pre-OP-OT or by nonextraction and superior impaction of the posterior maxilla during orthognathic surgery. 9 However, the SFA for Class III patients has been performed mainly in cases involving nonextraction and superior impaction of the posterior maxilla.…”

Section: Introductionmentioning

confidence: 99%

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