Comparison between one-jaw and two-jaw designs in virtual surgery planning for patients with class III malocclusion
Copyright © 2024 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved..
Orthognathic surgery is highly effective for treating maxillomandibular discrepancies in patients with class III malocclusion. However, whether one- or two-jaw surgery should be selected remains controversial. Our study aimed to evaluate quantitative differences between one-jaw and two-jaw surgical designs. In total, 100 consecutive patients with skeletal class III malocclusion who underwent orthognathic surgery with preoperative three-dimensional simulation between August 2016 and November 2021 were recruited. Based on the same final occlusal setup, a two-jaw surgery design and two types of one-jaw design were created. In total, 400 image sets, including preoperative images and three types of surgical simulation, were measured and compared. The one-jaw mandibular setback design led to improvement in most cephalometric measurements and facial symmetry. Although the one-jaw maxillary advancement design improved the ANB angle and facial convexity, it induced maxillary protrusion and reduced facial symmetry. Compared with the other designs, the two-jaw design provided significantly closer cephalometric measurements to the normative values, better symmetry, and less occlusal cant. Overall, the two-jaw design provided a quantitatively better facial appearance in terms of symmetry, proportion, and profile. Although an optimal surgical design necessitates thorough preoperative evaluation and a shared decision-making process, two-jaw surgery can be considered for improving overall facial esthetics and harmony.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
---|---|
Enthalten in: |
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery - (2024) vom: 16. Feb. |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Hattori, Yoshitsugu [VerfasserIn] |
---|
Links: |
---|
Themen: |
Class III malocclusion |
---|
Anmerkungen: |
Date Revised 06.03.2024 published: Print-Electronic Citation Status Publisher |
---|
doi: |
10.1016/j.jcms.2024.02.023 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM369381009 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM369381009 | ||
003 | DE-627 | ||
005 | 20240307232940.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240307s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1016/j.jcms.2024.02.023 |2 doi | |
028 | 5 | 2 | |a pubmed24n1319.xml |
035 | |a (DE-627)NLM369381009 | ||
035 | |a (NLM)38448337 | ||
035 | |a (PII)S1010-5182(24)00070-2 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Hattori, Yoshitsugu |e verfasserin |4 aut | |
245 | 1 | 0 | |a Comparison between one-jaw and two-jaw designs in virtual surgery planning for patients with class III malocclusion |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 06.03.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status Publisher | ||
520 | |a Copyright © 2024 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. | ||
520 | |a Orthognathic surgery is highly effective for treating maxillomandibular discrepancies in patients with class III malocclusion. However, whether one- or two-jaw surgery should be selected remains controversial. Our study aimed to evaluate quantitative differences between one-jaw and two-jaw surgical designs. In total, 100 consecutive patients with skeletal class III malocclusion who underwent orthognathic surgery with preoperative three-dimensional simulation between August 2016 and November 2021 were recruited. Based on the same final occlusal setup, a two-jaw surgery design and two types of one-jaw design were created. In total, 400 image sets, including preoperative images and three types of surgical simulation, were measured and compared. The one-jaw mandibular setback design led to improvement in most cephalometric measurements and facial symmetry. Although the one-jaw maxillary advancement design improved the ANB angle and facial convexity, it induced maxillary protrusion and reduced facial symmetry. Compared with the other designs, the two-jaw design provided significantly closer cephalometric measurements to the normative values, better symmetry, and less occlusal cant. Overall, the two-jaw design provided a quantitatively better facial appearance in terms of symmetry, proportion, and profile. Although an optimal surgical design necessitates thorough preoperative evaluation and a shared decision-making process, two-jaw surgery can be considered for improving overall facial esthetics and harmony | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Class III malocclusion | |
650 | 4 | |a Facial esthetics | |
650 | 4 | |a One-jaw surgery | |
650 | 4 | |a Orthognathic surgery | |
650 | 4 | |a Two-jaw surgery | |
700 | 1 | |a Pai, Betty Chien-Jung |e verfasserin |4 aut | |
700 | 1 | |a Lo, Chi-Chin |e verfasserin |4 aut | |
700 | 1 | |a Chou, Pang-Yun |e verfasserin |4 aut | |
700 | 1 | |a Lo, Lun-Jou |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery |d 1995 |g (2024) vom: 16. Feb. |w (DE-627)NLM01277541X |x 1878-4119 |7 nnns |
773 | 1 | 8 | |g year:2024 |g day:16 |g month:02 |
856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jcms.2024.02.023 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |j 2024 |b 16 |c 02 |