Neurosensory disturbance after sagittal split and intraoral vertical ramus osteotomy: as reported in questionnaires and patients’ records

Al-Bishri, Awwad; Barghash, Ziad; Rosenquist, Jan; Sunzel, Bo

doi:10.1016/j.ijom.2004.06.009

Cited by 91 publications

(52 citation statements)

References 15 publications

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“…Furthermore, although surgical orthodontic treatment such as maxillomandibular osteotomy is usually indicated in severe skeletal openbite cases, patients do not readily accept surgical orthodontics due to the surgical invasion and accompanying risks. 20 Therefore, there have recently been reports on the treatment of skeletal anterior tooth openbite cases in which implant anchorage was used, without performing surgical orthodontics. Umemori et al 5 treated a case of Class I openbite, in which molar intrusion was achieved using miniplates as stationary anchorage.…”

Section: Discussionmentioning

confidence: 99%

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Skeletal Class lll Severe Openbite Treatment Using Implant Anchorage

Sakai

Kuroda

Murshid

et al. 2008

The Angle Orthodontist

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Abstract:A female patient with a skeletal Class III severe anterior openbite was treated using miniplates as the anchorage. The patient was 15 years and 10 months of age when she reported to our university hospital with a chief complaint of anterior openbite and reversed occlusion. The patient had an anterior openbite with an overjet of Ϫ3.0 mm and overbite of Ϫ5.0 mm and a Class III molar relationship. The cephalometric analysis showed a skeletal Class III relationship (ANB 0Њ). After the extraction of the bilateral mandibular third molars, miniplates were placed in the mandibular external oblique line. The mandibular dentition was retracted using elastic chain and miniplates. After treatment, an Angle Class I molar relationship was achieved and overjet and overbite had become 2.0 mm and 1.5 mm. A good facial appearance and occlusal relationship were obtained. The total active orthodontic treatment period was 23 months. Wrap-around type retainers were placed on both jaws and a lingual bonded retainer was also attached in the mandibular incisors. After 1 year of retention, the occlusion was stable, and a good facial profile was also retained. The mandibular deviation to the left was improved and the strain in the circumoral musculature during lip closure disappeared. An appropriate interincisal relationship was achieved by the uprighting of mandibular dentition without changing the vertical intermaxillary relationship. A panoramic radiograph showed no marked root resorption. Our results suggest that implant anchorage is useful for correction of skeletal Class III severe anterior openbite cases.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, some patients do not request surgical orthodontics, considering the surgical risk, hospitalization, and expenses. 20,22 For those patients, orthodontic treatment using implant anchorage can be a successful a camouflage treatment.…”

Section: Discussionmentioning

confidence: 99%

Skeletal Class lll Severe Openbite Treatment Using Implant Anchorage

Sakai

Kuroda

Murshid

et al. 2008

The Angle Orthodontist

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“…The percentage of NSD after SSRO ranges from 20%-85% with complete resection in 2%-3.5% of the cases [23][24][25][26][27][28]. Comparatively, IVRO is less likely to cause nerve postsurgical neurosensitivity with a reported incidence range of 8%-36% [29][30][31][32].…”

Section: Nsdmentioning

confidence: 99%

A Comparative Review of Mandibular Orthognathic Surgeries with a Focus on Intraoral Vertico-sagittal Ramus Osteotomy

He¹,

Iwanaga²,

Adeeb³

et al. 2017

Cureus

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Severe dentofacial deformities require both orthodontics and surgical management to repair. Modern mandibular orthognathic surgery commonly uses sagittal split ramus osteotomy (SSRO) and intraoral vertical ramus osteotomy (IVRO) methods to treat patients. However, complications like neurosensory disturbances and temporomandibular joint disorders are common following both procedures. In 1992, Choung introduced the intraoral vertico-sagittal ramus osteotomy (IVSRO) which led to a decrease in postoperative complications. The 'straight' IVSRO or Choung’s type II osteotomy has a 'condylotomy' effect that reduces iatrogenic temporomandibular joint symptoms and treats preoperative temporomandibular joint symptoms. This osteotomy type is especially applicable for prognathism with excessive flaring of the ramus and with temporomandibular joint dysfunction. The 'L-shaped' IVSRO or Choung’s type I osteotomy is indicated for patients with condylar hyperplasia and high condylar process fractures.

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“…The NSD caused by damage to the IAN is reportedly 9-84.6% [39,40]. Even with careful surgery, injury to the IAN appears unpredictable.…”

Section: Neurosensory Disturbancementioning

confidence: 99%

Complications in Orthognathic Surgery

Capone¹,

Sykes²

2012

Complications in Facial Plastic Surgery

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Orthognathic surgery is a common approach for treatment of maxillofacial deformities. Sagittal split ramus osteotomy (SSRO) is one of the most common techniques used to treat various mandibular deformities. A LeFort I osteotomy is suggested in deformities of the maxilla and can be used along with SSRO or intra-oral vertical ramus osteotomy (IVRO).The aim of orthognathic surgery is to improve function and facial appearance; this benefits the patient psychologically and socially. Common complications which may occur in orthognathic surgery include vascular disease, temporomandibular joints (TMJ) problems, nerve damage, infection, bone necrosis, periodontal disease, vision impairment, hearing problems, hair loss, and neuropsychiatric problems. Rarely complications could be fatal. Because of the wide range of complications the surgeon should keep prevention protocols in mind and be prepared to treat them should they occur. In this chapter, common complications of various osteotomies in the mandible and maxilla are discussed.

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Neurosensory disturbance after sagittal split and intraoral vertical ramus osteotomy: as reported in questionnaires and patients’ records

Cited by 91 publications

References 15 publications

Skeletal Class lll Severe Openbite Treatment Using Implant Anchorage

Skeletal Class lll Severe Openbite Treatment Using Implant Anchorage

A Comparative Review of Mandibular Orthognathic Surgeries with a Focus on Intraoral Vertico-sagittal Ramus Osteotomy

Complications in Orthognathic Surgery

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