Resorbable versus titanium plates for orthognathic surgery

Agnihotry, Anirudha; Fedorowicz, Zbys; Nasser, Mona; Gill, K. S.

doi:10.1002/14651858.cd006204.pub3

Cited by 27 publications

(19 citation statements)

References 19 publications

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“…This controversy also applies to other clinically assessed endpoints such as skeletal stability [ 14 , 19 , 20 ] and pain [ 2 , 14 ]. In 2017, a systematic review focussed on the safety and efficacy of biodegradable vs. titanium systems [ 21 ] and included two randomised controlled trials (RCTs) but could not perform a meta‐analysis. The authors concluded that there was insufficient evidence as to which osteosynthesis system is superior [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…In 2017, a systematic review focussed on the safety and efficacy of biodegradable vs. titanium systems [ 21 ] and included two randomised controlled trials (RCTs) but could not perform a meta‐analysis. The authors concluded that there was insufficient evidence as to which osteosynthesis system is superior [ 21 , 22 ]. However, certain RCTs that were available at the time of writing were, for unknown reasons, not included in the review.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy and morbidity of biodegradable versus titanium osteosyntheses in orthognathic surgery: A systematic review with meta‐analysis and trial sequential analysis

Gareb

Bakelen

Dijkstra

et al. 2021

European J Oral Sciences

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and morbidity of biodegradable versus titanium osteosyntheses in orthognathic surgery: A systematic review with meta‐analysis and trial sequential analysis

Gareb

Bakelen

Dijkstra

et al. 2021

European J Oral Sciences

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“…20 In addition, when the titanium plate for fracture treatment or orthodontic treatment is removed at a later date, it was observed that bones were formed on the titanium plate. 21 Since the plate used for surgery has a small contact area with the bone surface, it seems that blood flow was not impaired and therefore, bone resorption was unlikely to occur. Although the treatment was performed to reduce midface retraction, it was confirmed that the nasal apex was simultaneously shifted forward upon comparison of the cephalometric radiographs.…”

Section: Discussionmentioning

confidence: 99%

Novel Approach for Midface Depression

Yamamoto

Fukushima²

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Although Le Fort type II, prosthesis detainment, and orthodontic treatment are considered for the management of midface retraction, they may be limited by their high cost, infection risk, and excessive amount of tooth movement. Therefore, the Point A-Koji method was devised as a novel treatment in patients with midface retraction. Methods: This is a case report of a 26-year-old woman who presented with a feeling of depressed midface and protrusion of the mouth. Preoperatively, the position of the lip and line connecting the nasal apex and mental muscles (E-line) were normal, but the subnasale was located posteriorly. The patient had a narrow nasolabial angle of 74 degrees and the subnasale-Pog' to the upper lip of 6.5 mm. After insertion of a metallic-plate implant under the periosteum, the plate was screwed and fixed to the bone. The Point A-Koji method was used for treatment in this patient. This is characterized by the A-point anterior migration technique in which the periosteum of hard tissue A-point circumferential attachment was shifted anteriorly, thereby preventing the return of soft tissue. Results:The following changes with respect to preoperative findings were noted 5 months postsurgery: facial convexity from 3.3 degrees to 7.6 degrees; nasolabial angle from 74 degrees to 90.2 degrees; true horizontal line from 50 degrees to 73 degrees; and subnasale-Pog' to the upper lip from 6.5 mm to 4.7 mm. This resulted in an improved midface retraction. Conclusion:The Point A-Koji method may be an ideal method to improve the midface retraction in patients.

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“…Though most previous work report non-inferiority of resorbable fixation in orthognathic relapse, including the 3 papers included in this synthesis, the pooled data suggest there may be some additional benefit to using bioresorbable plates. 49,51,52,94,95 However, the 3 studies included in meta-analysis here used various forms of resorbable fixation (plates, screws, mesh), therefore further investigation is warranted before drawing conclusions.…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive Review of Orthognathic Surgery: Fixation, Relapse, and Complications

Puthumana

Magrath

Lake

et al. 2022

FACE

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Background: This study aims to investigate all papers on orthognathic fixation to better understand changes in operative techniques and fixation materials and to better compare relapse and complication rates. Methods: A PubMed search was conducted of “orthognathic” AND “fixation” in the title or abstract between 1989 and 2020. Results: Three reviewers independently screened 439 papers and extracted data from 166 included papers. Of these studies, 118 investigated sagittal split ramus osteotomies (SSRO), 96 LeFort osteotomies, 25 genioplasties, and 21 intraoral vertical ramus osteotomies (IVRO). The most used fixation materials in the maxilla were titanium miniplates with monocortical screws (n = 65), followed by resorbable miniplates (n = 10); in the mandible, the most common were titanium miniplates (n = 67) and titanium bicortical screws (n = 49). Wide variability was demonstrated in relapse rates by operation, fixation type, and relapse time-point studied. Meta-analysis revealed a significantly higher infection rate in SSRO versus LeFort ( P = .003) and, surprisingly, a trend toward higher relapse rate in titanium versus resorbable fixation at 6 months in SSRO setback ( P = .08). Conclusion: This study reports all the available data on relapse rates across techniques, with non-inferiority of bicortical screws versus miniplates.

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Resorbable versus titanium plates for orthognathic surgery

Abstract: Resorbable versus titanium plates for orthognathic surgery.

Cited by 27 publications

References 19 publications

Efficacy and morbidity of biodegradable versus titanium osteosyntheses in orthognathic surgery: A systematic review with meta‐analysis and trial sequential analysis

Efficacy and morbidity of biodegradable versus titanium osteosyntheses in orthognathic surgery: A systematic review with meta‐analysis and trial sequential analysis

Novel Approach for Midface Depression

A Comprehensive Review of Orthognathic Surgery: Fixation, Relapse, and Complications

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