Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in ‘surgery-first’ and ‘surgery-early’ orthognathic treatment

Hernández–Alfaro, Federico; Nieto, Michael; Ruíz-Magaz, Vanessa; Valls-Ontañón, Adaia; Méndez-Manjón, Irene; Guijarro‐Martínez, Raquel

doi:10.1016/j.ijom.2016.09.026

Cited by 13 publications

(8 citation statements)

References 12 publications

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“…Bone marrow aspirate was supplemented with BMP-7 and seeded on a bovine xenograft blocks. The results showed adequate bone formation and recovery of esthetics and function [142].…”

Section: Mandibular Bone Reconstructionmentioning

confidence: 87%

Craniofacial tissue reconstruction with mesenchymal stem cells derived from dental tissue and bone marrow

Yang¹,

Ling²,

Wei³

et al. 2016

Nanomaterials and Regenerative Medicine

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“…Bone marrow aspirate was supplemented with BMP-7 and seeded on a bovine xenograft blocks. The results showed adequate bone formation and recovery of esthetics and function [142].…”

Section: Mandibular Bone Reconstructionmentioning

confidence: 87%

Craniofacial tissue reconstruction with mesenchymal stem cells derived from dental tissue and bone marrow

Yang¹,

Ling²,

Wei³

et al. 2016

Nanomaterials and Regenerative Medicine

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“…The total treatment time and extent of orthodontic movements and the biological risks were significantly reduced, not only because of axial dentoalveolar relocation but also due to improved orthodontic efficiency. This also facilitated a favorable soft tissue tone after skeletal base correction and transient demineralization of the operated bone due to the regional acceleratory phenomenon (RAP) [6]. The potential risk of inadequate blood supply is minimized by performing a minimally invasive buccal approach, thereby maintaining the blood supply through the intact periosteal and muscle attachments on the lingual aspect and basal border [7].…”

Section: Discussionmentioning

confidence: 99%

Surgical Camouflage as a Solution for Complete Decompensating Failures: An Interesting Experience With Class III Case Scenarios

Parameswaran¹,

Ganapathi²,

Rajkumar³

et al. 2022

Cureus

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Dental compensations are an integral part of skeletal malocclusions. Failure to achieve optimal decompensation may lead to compromised surgical movements, thereby resulting in sub-optimal occlusion and soft tissue profile. Hence the mandibular subapical osteotomy was chosen as a minimalistic surgical alternative to the traditional combination of Le Fort 1 and bilateral sagittal split osteotomy. The choice was made by prioritizing soft tissue considerations, which offered the probability of a better posttreatment outcome. This paper highlights two such challenging case scenarios where the surgical plan was modified in accordance with the soft tissue as the primary objective.

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“…In one of these studies, in which patients with class III malocclusion were treated with inferior subapical osteotomy, periodontal status was reported to be stable in the regions adjacent to the osteotomy site. 16 Likewise, Ari-Demirkaya et al 17 did not report a significant difference between the plaque and gingival index scores they performed before orthognathic surgery (double jaw surgery: Le Fort I and bilateral sagittal split ramus osteotomies) and after an average of 7.4 months. They also reported no significant difference in alveolar bone height and sulcus depth except for only one surface of a tooth.…”

Section: Financial Disclosurementioning

confidence: 95%

The Effects of Orthognathic Surgery on Periodontal Status

ESEN

Esen

Soğancı

et al. 2022

Selcuk Dental Journal

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complaints of pain, swelling, and limited mouth opening. However, in order to ensure intact bone healing in osteotomy areas and to create immobility between the jaws, interocclusal splints are administered to patients. All these conditions can lead to the impaired oral hygiene of the patients, increased bacterial dental plaque, and/or change of microbial content, resulting in periodontal disease. In addition to these possible side effects of orthognathic surgery, the periodontium of teeth close to osteotomies performed during surgery tend to be affected by damage and scar tissue. [3][4][5] Correction of malocclusions with orthognathic surgery may reduce the risk of periodontal disease. Malocclusion increases the risk of periodontal disease ÖZ Ortognatik Cerrahinin Periodontal Durum Üzerine EtkileriAmaç: Bu çalışmanın amacı ortognatik cerrahinin periodonsiyum üzerine etkilerini ameliyattan sonraki 3. ve 6. aylarda araştırmaktır.Gereç ve Yöntemler: Toplam 10 ortognatik cerrahi hastasında (7 kadın, 3 erkek, ortalama yaş 23,2 ± 4,83), plak indeksi (Pİ), gingival indeks (Gİ), sondalama derinliği (SD), sondalamada kanama (SK), klinik ataşman seviyesi (KAS) ve mobilite (M) gibi tüm ağız klinik periodontal ölçümler cerrahi işlemden önce (T0) üçüncü büyük azı dişler hariç tüm dişlerde gerçekleştirildi. Bu hastaların 6'sına çift çene ortognatik cerrahi, 2 hastaya sagital split ramus osteotomisi ve 2 hastaya Le Fort I osteotomisi uygulandı. Ameliyat sonrası 3. (T1) ve 6. (T2) aylarda aynı tüm ağız klinik periodontal ölçümler tekrarlandı.Bulgular: Ölçülen bölgelerin hiçbirinde (maksiller dişler, mandibular dişler veya tüm ağız) herhangi bir parametrede (Pİ, Gİ, SD, SK, KAS ve M) T0 ile T1 ve T2 değerleri arasında istatistiksel olarak anlamlı bir fark yoktu.Sonuç: Bu çalışmanın sınırları dahilinde ortognatik cerrahi tedavilerin periodontal durum üzerine anlamlı bir etkisinin olmadığı görülmüştür. Bununla birlikte, nihai sonuçlara varılmadan önce daha fazla çalışmaya ihtiyaç vardır.

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Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in ‘surgery-first’ and ‘surgery-early’ orthognathic treatment

Cited by 13 publications

References 12 publications

Craniofacial tissue reconstruction with mesenchymal stem cells derived from dental tissue and bone marrow

Craniofacial tissue reconstruction with mesenchymal stem cells derived from dental tissue and bone marrow

Surgical Camouflage as a Solution for Complete Decompensating Failures: An Interesting Experience With Class III Case Scenarios

The Effects of Orthognathic Surgery on Periodontal Status

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