Dentofacial Deformity: Treated with Combined Orthodontic and Orthognathic Surgery Treatment

Althagafi, Malak Yousef; Korayem, Mohammed

doi:10.36348/sjodr.2020.v05i05.004

Cited by 2 publications

(5 citation statements)

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“…The use of miniplates to stabilize bones has gained popularity due to their efficacy in achieving stability and promoting rapid recovery, but these methods present several challenges, which include growth inhibition, palpable presence of plates and screws, difficulties with imaging and radiation therapy, temperature sensitivity, dispersion of titanium particles in lymph nodes, bone stress due to rigidity of the system, and the potential risk of genetic mutations. Consequently, approximately one-third of these systems are removed, leading to increased costs and additional burdens [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…These disparities explain how individual patient factors shape the decision-making process regarding plate removal. Furthermore, these distinctions highlight the crucial requirement for thorough patient evaluations and tailored approaches in these surgical interventions [ 1 , 6 , 21 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Complications specific to these procedures include injury to the inferior alveolar nerve, mandibular fracture, or relapse of the mandibular position. Furthermore, genioplasty procedures may result in aesthetic asymmetry or chin ptosis if not performed with precision [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Following these procedures, bone segments are immobilized using fixation plates and screws to establish osteosynthesis, with titanium miniplates and screws being the preferred choice [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors Contributing to Symptomatic Miniplate Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis

Jaber,

Abouseif,

Hassan

et al. 2024

JCM

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Background/Objectives: The use of miniplates for stabilizing bones post orthognathic surgery has surged in popularity due to their efficacy in ensuring stability and hastening recovery. However, controversy exists regarding what should be done with these miniplates after surgery. Some surgeons advocate for their removal, while others suggest leaving them in place. This study sought to assess the frequency, causes, and potential risk factors linked with miniplate removal in orthognathic procedures. Methods: A thorough meta-analysis was conducted by scrutinizing studies from various databases including PubMed, Google Scholar, Embase, and Scopus, focusing on publications spanning from 1989 to 2023. Results: Ten studies meeting the inclusion criteria, encompassing 1603 patients, were chosen for inclusion in the meta-analysis. The male-to-female ratio varied from 0.7:1 to 4:1. Overall, 5595 miniplates were inserted, with 294 (5.3%) being subsequently removed. Primary reasons for miniplate removal included infection (161 cases, 2.9%), exposure of miniplates (34 cases, 0.6%), and palpable plates (23 cases, 0.4%). Other indications comprised pain, patient preference, and temperature sensitivity. Less frequent causes for miniplate removal included sinusitis, secondary surgery, and dental pathology. The mean duration of miniplate removal was 5.5 months, with the majority (56.1%) being removed from the mandible rather than the maxilla. In conclusion, this meta-analysis underscores the importance of miniplate removal when hardware causes complications and physical discomfort. The primary reasons for removing miniplates were infection and plate exposure, with the mandible being the most common removal site. Conclusions: These findings emphasize the need for continued monitoring to assess the fate of miniplates in orthognathic surgery and provide valuable information for future clinical decision-making.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk Factors Contributing to Symptomatic Miniplate Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis

Jaber,

Abouseif,

Hassan

et al. 2024

JCM

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“…Further, Althagafi and Korayem [10] aimed to analyze recently developed treatment processes, including orthodontic and orthognathic treatment, and illustrate the anticipated benefits of understanding the issues related to class II and class III dentofacial deformities. To illustrate the phases, certain case studies have been taken into consideration to outline class III malformations.…”

Section: Implications For Clinical Findingsmentioning

confidence: 99%

Surgery-First Approach for Dentofacial Deformity: A Systematic Review

Prakash¹,

Verma²,

Jha³

et al. 2023

Cureus

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This review is based on the surgery-first approach for dentofacial deformity. This review has critically highlighted various promising aspects and factors associated with dentofacial deformity and can be viewed as valuable research work. In addition, this review highlights a systematic manner of surgery that can reduce the possible duration of treatment. The main findings of the review have established that the appropriate approaches to surgery can be beneficial for patients of any age group. The surgery-first approach is mainly utilized for tissue transfer as well as oral cancer as the first-line treatment. This critical review has successfully evaluated the limitations and advantageous traits of the specific surgery approach that has been outlined in this context. It has established the surgery approach as an effective measurement to reduce the time taken for treatment without compromising the patient's health. In the final phase of this review, the accuracy and appropriateness of this surgery-first approach have been effectively demonstrated.

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Dentofacial Deformity: Treated with Combined Orthodontic and Orthognathic Surgery Treatment

Cited by 2 publications

References 0 publications

Risk Factors Contributing to Symptomatic Miniplate Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis

Risk Factors Contributing to Symptomatic Miniplate Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis

Surgery-First Approach for Dentofacial Deformity: A Systematic Review

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