Stability of clockwise rotation of the maxillary occlusal plane in skeletal Class III patients treated with two-jaw surgery

© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

OBJECTIVE: The objective of the study was to investigate the post-surgical stability of clockwise rotation of the maxillary occlusal plane (MXOP) after Le Fort I osteotomy for posterior impaction and advancement, in skeletal Class III patients who had undergone two-jaw orthognathic surgery (2J-OGS).

MATERIALS AND METHODS: The sample set consisted of 46 patients (18 males and 28 females). Using lateral cephalograms taken at the initial evaluation (T0), before 2J-OGS (T1), after 2J-OGS (T2) and at debonding (T3), the amount of MXOP change (criterion: 2° in ΔMXOP [between T2 and T3]) was used to assign patients to Group 1 (G1, high relapse, -3.09°) or Group 2 (G2, low relapse, -0.99°). Findings were statistically compared between the groups.

RESULTS: Compared with G2, G1 exhibited more severe skeletal Class III relationships and a flatter MXOP at T0, a greater increase in ΔANB, and more clockwise rotation of ΔMXOP and ΔFMA between T1 and T2. G1 also showed a greater decrease in ΔANB, higher counterclockwise rotation of ΔMXOP and upward movement of U1 between T2 and T3. Regression analysis yielded the following equation: MXOP (ΔT2-T3) = -0.37 X MXOP (ΔT1-T2) -0.43.

CONCLUSIONS: The higher the clockwise rotation of the MXOP during 2J-OGS in skeletal Class III patients, the greater the subsequent relapse (counterclockwise rotation) of the MXOP.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Orthodontics & craniofacial research - 26(2023), 2 vom: 23. Mai, Seite 207-215

Sprache:

Englisch

Beteiligte Personen:

Kang, Soon-Young [VerfasserIn]
Kim, Young Ho [VerfasserIn]
Baek, Seung-Hak [VerfasserIn]
Kim, Dong Woo [VerfasserIn]
Shin, Jeong Won [VerfasserIn]
Chae, Hwa Sung [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Relapse
The maxillary rotation
Two-jaw orthognathic surgery

Anmerkungen:

Date Completed 04.04.2023

Date Revised 04.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ocr.12601

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345718526