The quantitative correlation between condylar resorption and skeletal relapse following mandibular advancement in skeletal class II malocclusion patients

Copyright © 2020 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved..

OBJECTIVE: The purpose of this study was to analyze the quantitative correlation between condylar resorption and skeletal relapse after mandibular advancement surgery.

MATERIALS AND METHODS: Skeletal Class II malocclusion patients who underwent bilateral sagittal split ramus osteotomy (BSSRO) were included. Three-dimensional reconstruction was based on one-week and one-year post-operative CT scans. The condylar morphological alterations were assessed by anterior-posterior, medial-lateral diameter and condylar height. The mandibular relapse was calculated by the positional changes of pogonion, menton, gonions, gnathion and mental foramens. All data were measured by MIMICS and analyzed by SPSS software; significance was set at p<0.05.

RESULTS: 31 patients (62 condyles) were enrolled into this study. 28 of 62 condyles showed resorption beyond 1 mm on condylar height and 15 were beyond 2 mm. Positional changes of chin, mental foramens and gonion were respectively 1.57 ± 2.36 mm, 1.31 ± 1.23 mm and 1.42 ± 1.02 mm. 21 of 31 patients experienced mandibular relapse less than 1 mm but additional 4 patients showing relapse more than 2 mm. Correlation with moderate intensity could be observed between condylar height alteration and post-operative mandibular displacement more than 1 mm (p = 0.035).

CONCLUSION: The resorption degree of condylar height can be regarded as a useful parameter for evaluating post-operative skeletal relapse.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery - 48(2020), 9 vom: 09. Sept., Seite 839-844

Sprache:

Englisch

Beteiligte Personen:

Yin, Qing [VerfasserIn]
Abotaleb, Bassam [VerfasserIn]
Bi, Ruiye [VerfasserIn]
Zhu, Songsong [VerfasserIn]

Links:

Volltext

Themen:

3D remodeling
BSSRO
Condylar resorption
Journal Article
Mandibular retrusion

Anmerkungen:

Date Completed 17.09.2020

Date Revised 17.09.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jcms.2020.07.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313283540