Influence of orthognathic surgery on periodontal tissues

Weinspach, Knut; Staufenbiel, Ingmar; Günay, Hüsamettin; Geurtsen, Werner; Schwestka-Polly, Rainer; Demling, A.

doi:10.1007/s00056-011-0033-4

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…It can be speculated that that the periodontal status of the teeth in the symphyseal region would have been unchanged even if the described procedure had not been applied. We are of the opinion that it is unlikely and that our treatment concept has prevented gingival recession particularly when the data from the literature are taken into consideration.…”

Section: Discussionmentioning

confidence: 96%

The combined augmentation/vestibuloplasty procedure preventing gingival recession in orthodontically/surgically treated prognathic patient: a 14 year follow‐up

Stajčić¹,

Stajčić²,

Aditya³

et al. 2015

Oral Surgery

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Section: Discussionmentioning

confidence: 96%

The combined augmentation/vestibuloplasty procedure preventing gingival recession in orthodontically/surgically treated prognathic patient: a 14 year follow‐up

Stajčić¹,

Stajčić²,

Aditya³

et al. 2015

Oral Surgery

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“…5 Le Fort I and sagittal osteotomies are used to correct most skeletal problems in orthognathic surgery. 22 These procedures are quite invasive and can cause a number of postoperative complications, including vertical loss of alveolar bone. Le Fort I osteotomy can have an impact on the vascular supply of the upper teeth.…”

Section: Discussionmentioning

confidence: 99%

“…23 This injury to the medullary nutritional system may cause transient ischemia and insipid osteonecrosis, which may be related to dehiscence formation. Gingival recession was reported 22 in 0.8% of patients after Le Fort I, due to a postoperative complication involving partial necrosis of the maxillary segment. In addition, alveolar bone loss may also be related to damage caused by overheating of the alveolar bone with the use of reciprocating saws, drills, and chisels.…”

Section: Discussionmentioning

confidence: 99%

Impact of orthognathic surgery on the prevalence of dehiscence in Class II and Class III surgical-orthodontic patients:

Santos¹,

Iwaki²,

Valladares‐Neto³

et al. 2021

The Angle Orthodontist

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Objectives The objectives were to evaluate and compare the presence of bone dehiscence before and after orthognathic surgery. Materials and Methods In this retrospective study, 90 cone-beam computed tomography (CBCT) scans from 45 patients were evaluated. Class II (n = 23) and Class III (n = 22) orthodontic patients who were being prepared for orthognathic surgery were measured. CBCT scans were obtained about 30 days prior to (T0) and 6 months after (T1) double jaw orthognathic surgery. The distance between the cemento-enamel junction (CEJ) and the alveolar bone crest was assessed at the buccal and lingual surfaces of all teeth, on both sides and arches, except for the second premolars and the second and third molars. A total of 1332 sites were measured for Class II (644) and Class III (688) patients. The software used was OsiriX (version 3.3 32-bit). Data were compared with Wilcoxon and McNemar tests at the 5% level. Results Bone dehiscence before surgery was present in 26% and 15% of the Class II and III groups, respectively. The presence of dehiscence increased to 31% in the Class II and 20% in the Class III patients after surgery (P < .05). Conclusions The prevalence of dehiscence increased slightly in Class II and Class III surgical-orthodontic patients after orthognathic surgery. Temporary vascular supply reduction and oral hygiene difficulties may explain these results; however, more studies are needed.

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“…During orthognathic surgeries, there is convincing evidence that suggests, there is significant incidence of periodontal injury in the region of segmental osteotomy (14) . It has been reported that orthognathic surgeries have a marked effect in the development of gingival recessions (15) .…”

Section: Periodontics-oral Surgerymentioning

confidence: 99%

The Expanding Scope of Periodontics – A Review Article

Jain¹,

Valluri²,

Chintalapani³

et al. 2019

IJCRR

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Periodontology is widely recognized as the dental speciality pertaining to the ailments of the tissues surrounding and supporting the tooth. In the past decade a significant amount of research in periodontology was directed towards applications of advanced fields of studies like genomics, proteomics, nano-technology, bio-photonics, etc. The aim of the present review article is to outline the scope of periodontology, by briefing current practices and emphasizing the more recent and advanced developments.

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Influence of orthognathic surgery on periodontal tissues

Abstract: Orthognathic surgery has a statistically significant effect on the development of gingival recessions. However, this effect may not necessarily clinically impair the esthetic appearance.

Cited by 9 publications

References 24 publications

The combined augmentation/vestibuloplasty procedure preventing gingival recession in orthodontically/surgically treated prognathic patient: a 14 year follow‐up

The combined augmentation/vestibuloplasty procedure preventing gingival recession in orthodontically/surgically treated prognathic patient: a 14 year follow‐up

Impact of orthognathic surgery on the prevalence of dehiscence in Class II and Class III surgical-orthodontic patients:

The Expanding Scope of Periodontics – A Review Article

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