Xerox copy of the dental cast for analysis of the stability of mandibular osteotomy
Stability of the mandible was analysed with a Xerox copy of the dental cast in 35 cases of mandibular prognathism corrected by ramus osteotomies. The occlusal relationship in the Xerox copy was illustrated by superimposing two contact points on the upper and lower dental arches and the change in the...
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Published in | Journal of cranio-maxillo-facial surgery Vol. 16; no. 2; pp. 69 - 75 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Kidlington
Elsevier Ltd
01.02.1988
Elsevier |
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Abstract | Stability of the mandible was analysed with a Xerox copy of the dental cast in 35 cases of mandibular prognathism corrected by ramus osteotomies. The occlusal relationship in the Xerox copy was illustrated by superimposing two contact points on the upper and lower dental arches and the change in the position of the lower dental arch in relation to the upper dental arch was obtained by superimposing the latter on preoperative predicted postoperative, and six months postoperative occlusions. The stability of the mandible was analysed by measuring the movement of five landmarks (two posterior, two molar and one incisor points) set around the lower dental arch to represent the movement of the mandible. The relapse was estimated by the movements of the landmarks from the predicted postoperative occlusion to the six months postoperative occlusion. The mean estimated anterior relapses at the posterior and molar points with the larger predicted movement and the incisor point were between 0.9 mm. and 2.0 mm. at six months postoperatively, whereas on the side with the smaller predicted movement, the points moved posteriorly by 0.6 mm. and 0.5 mm. Despite the fact that the amount of the predicted lateral movement was much smaller than that of the predicted posterior movement at operation, the posterior points were estimated to relapse laterally by 2.0 mm. and 1.7 mm. Thus, although there were significant correlations between the predicted movement at operation and estimated relapse at six months at all landmarks except for the anteroposterior movement at the incisor point, the highest correlation with correlation coefficients of more than 0.86 was seen in the lateral movement at the posterior points. The large movement at the incisor point was stable unless it was accompanied by large lateral movement at the posterior points. The results indicate the importance of avoiding large lateral movements at the osteotomy site in planning the postoperative occlusion, to minimize relapse in ramus osteotomies. |
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AbstractList | Stability of the mandible was analysed with a Xerox copy of the dental cast in 35 cases of mandibular prognathism corrected by ramus osteotomies. The occlusal relationship in the Xerox copy was illustrated by superimposing two contact points on the upper and lower dental arches and the change in the position of the lower dental arch in relation to the upper dental arch was obtained by superimposing the latter on preoperative predicted postoperative, and six months postoperative occlusions. The stability of the mandible was analysed by measuring the movement of five landmarks (two posterior, two molar and one incisor points) set around the lower dental arch to represent the movement of the mandible. The relapse was estimated by the movements of the landmarks from the predicted postoperative occlusion to the six months postoperative occlusion. The mean estimated anterior relapses at the posterior and molar points with the larger predicted movement and the incisor point were between 0.9 mm. and 2.0 mm. at six months postoperatively, whereas on the side with the smaller predicted movement, the points moved posteriorly by 0.6 mm. and 0.5 mm. Despite the fact that the amount of the predicted lateral movement was much smaller than that of the predicted posterior movement at operation, the posterior points were estimated to relapse laterally by 2.0 mm. and 1.7 mm. Thus, although there were significant correlations between the predicted movement at operation and estimated relapse at six months at all landmarks except for the anteroposterior movement at the incisor point, the highest correlation with correlation coefficients of more than 0.86 was seen in the lateral movement at the posterior points. The large movement at the incisor point was stable unless it was accompanied by large lateral movement at the posterior points. The results indicate the importance of avoiding large lateral movements at the osteotomy site in planning the postoperative occlusion, to minimize relapse in ramus osteotomies. Stability of the mandible was analysed with a Xerox copy of the dental cast in 35 cases of mandibular prognathism corrected by ramus osteotomies. The occlusal relationship in the Xerox copy was illustrated by superimposing two contact points on the upper and lower dental arches and the change in the position of the lower dental arch in relation to the upper dental arch was obtained by superimposing the latter on preoperative, predicted postoperative, and six months postoperative occlusions. The stability of the mandible was analysed by measuring the movement of five landmarks (two posterior, two molar and one incisor points) set around the lower dental arch to represent the movement of the mandible. The relapse was estimated by the movements of the landmarks from the predicted postoperative occlusion to the six months postoperative occlusion. The mean estimated anterior relapses at the posterior and molar points with the larger predicted movement and the incisor point were between 0.9 mm. and 2.0 mm. at six months postoperatively, whereas on the side with the smaller predicted movement, the points moved posteriorly by 0.6 mm. and 0.5 mm. Despite the fact that the amount of the predicted lateral movement was much smaller than that of the predicted posterior movement at operation, the posterior points were estimated to relapse laterally by 2.0 mm. and 1.7 mm. |
Author | Kobayashi, Tadaharu Sasakura, Hitoshi Ueda, Ken Nakajima, Tamio Hanada, Kohji |
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Keywords | Movement in the horizontal plane Mandibular prognathism Xerox copy of dental cast Postoperative stability Human Stability Malformation Osteotomy Stomatology Surgery Inferior maxillary Prognathism |
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References | Sasakura, Uchida, Hirose, Yamazaki, Hanada, Ueda, Nakajima (bib12) 1982; 41 Åstrand, Ridell (bib2) 1973; 7 Abe, Ohashi, Igarashi, Honma (bib1) 1980; 26 Reitzik (bib11) 1980; 38 Dal Pont (bib3) 1961; 19 Marcotte (bib5) 1976; 65 Pepersack, Chausse (bib9) 1978; 6 Nakajima, Kajikawa, Tokiwa, Hanada (bib7) 1979; 37 Obwegeser (bib8) 1957; 10 Kobayashi, Watanabe, Ueda, Nakjima (bib4) 1986; 44 McNeill, Hooley, Sundberg (bib6) 1973; 31 Ueda (bib14) 1983; 11 Ueda, Kobayashi, Nakajima, Sasakura, Hanada (bib15) 1986; 44 Reitzik (bib10) 1972; 10 Singh, Savara (bib13) 1964; 69 Marcotte (10.1016/S1010-5182(88)80021-0_bib5) 1976; 65 McNeill (10.1016/S1010-5182(88)80021-0_bib6) 1973; 31 Kobayashi (10.1016/S1010-5182(88)80021-0_bib4) 1986; 44 Nakajima (10.1016/S1010-5182(88)80021-0_bib7) 1979; 37 Åstrand (10.1016/S1010-5182(88)80021-0_bib2) 1973; 7 Obwegeser (10.1016/S1010-5182(88)80021-0_bib8) 1957; 10 Reitzik (10.1016/S1010-5182(88)80021-0_bib10) 1972; 10 Ueda (10.1016/S1010-5182(88)80021-0_bib14) 1983; 11 Reitzik (10.1016/S1010-5182(88)80021-0_bib11) 1980; 38 Pepersack (10.1016/S1010-5182(88)80021-0_bib9) 1978; 6 Sasakura (10.1016/S1010-5182(88)80021-0_bib12) 1982; 41 Ueda (10.1016/S1010-5182(88)80021-0_bib15) 1986; 44 Singh (10.1016/S1010-5182(88)80021-0_bib13) 1964; 69 Dal Pont (10.1016/S1010-5182(88)80021-0_bib3) 1961; 19 Abe (10.1016/S1010-5182(88)80021-0_bib1) 1980; 26 |
References_xml | – volume: 26 start-page: 1528 year: 1980 ident: bib1 article-title: Evaluation of Obwegeser/Dal Pont's method in 9 patients publication-title: Jpn. J. Oral Surg. contributor: fullname: Honma – volume: 37 start-page: 21 year: 1979 ident: bib7 article-title: Stability of the mandible after surgical correction of skeletal class III malocclusion in 50 patients publication-title: J. Oral Surg. contributor: fullname: Hanada – volume: 44 start-page: 21 year: 1986 ident: bib15 article-title: Three-dimensional prediction of mandibular movement in the treatment of prognathism publication-title: J. Oral Maxillofac. Surg. contributor: fullname: Hanada – volume: 19 start-page: 42 year: 1961 ident: bib3 article-title: Retromolar osteotomy for the correction of prognathism publication-title: J. 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Surg. doi: 10.3109/02844317309056421 contributor: fullname: Åstrand – volume: 10 start-page: 677 year: 1957 ident: 10.1016/S1010-5182(88)80021-0_bib8 contributor: fullname: Obwegeser – volume: 11 start-page: 216 year: 1983 ident: 10.1016/S1010-5182(88)80021-0_bib14 article-title: Three-dimensional analysis for prediction and assessment of mandibular movement in orthognathic surgery in the ramus publication-title: J. Max.-Fac. Surg. doi: 10.1016/S0301-0503(83)80052-6 contributor: fullname: Ueda – volume: 44 start-page: 21 year: 1986 ident: 10.1016/S1010-5182(88)80021-0_bib15 article-title: Three-dimensional prediction of mandibular movement in the treatment of prognathism publication-title: J. Oral Maxillofac. Surg. doi: 10.1016/0278-2391(86)90010-8 contributor: fullname: Ueda – volume: 26 start-page: 1528 year: 1980 ident: 10.1016/S1010-5182(88)80021-0_bib1 article-title: Evaluation of Obwegeser/Dal Pont's method in 9 patients publication-title: Jpn. J. Oral Surg. doi: 10.5794/jjoms.26.1528 contributor: fullname: Abe – volume: 31 start-page: 212 year: 1973 ident: 10.1016/S1010-5182(88)80021-0_bib6 article-title: Skeletal relapse during intermaxillary fixation publication-title: J. Oral Surg. contributor: fullname: McNeill – volume: 37 start-page: 21 year: 1979 ident: 10.1016/S1010-5182(88)80021-0_bib7 article-title: Stability of the mandible after surgical correction of skeletal class III malocclusion in 50 patients publication-title: J. Oral Surg. contributor: fullname: Nakajima – volume: 10 start-page: 1 year: 1972 ident: 10.1016/S1010-5182(88)80021-0_bib10 article-title: Cephalometry in the surgical correction of prognathism publication-title: Brit. J. Oral Surg. doi: 10.1016/S0007-117X(72)80001-5 contributor: fullname: Reitzik – volume: 41 start-page: 369 year: 1982 ident: 10.1016/S1010-5182(88)80021-0_bib12 article-title: Postoperative changes of mandible and anterior teeth in orthognathic surgery for the correction of skeletal class III open bite cases publication-title: J. Jpn. Orthodont. Soc. contributor: fullname: Sasakura – volume: 19 start-page: 42 year: 1961 ident: 10.1016/S1010-5182(88)80021-0_bib3 article-title: Retromolar osteotomy for the correction of prognathism publication-title: J. Oral Surg. contributor: fullname: Dal Pont – volume: 38 start-page: 109 year: 1980 ident: 10.1016/S1010-5182(88)80021-0_bib11 article-title: Skeletal and dental changes after surgical correction of mandibular prognathism publication-title: J. Oral Surg contributor: fullname: Reitzik – volume: 44 start-page: 693 year: 1986 ident: 10.1016/S1010-5182(88)80021-0_bib4 article-title: Stability of the mandible after sagittal ramus osteotomy for correction of prognathism publication-title: J. Oral Maxillofac. Surg. doi: 10.1016/0278-2391(86)90037-6 contributor: fullname: Kobayashi – volume: 6 start-page: 117 year: 1978 ident: 10.1016/S1010-5182(88)80021-0_bib9 article-title: Long term follow-up of the sagittal splitting technique for correction of mandibular prognathism publication-title: J. Max.-Fac. Surg. doi: 10.1016/S0301-0503(78)80079-4 contributor: fullname: Pepersack |
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SubjectTerms | Biological and medical sciences Cephalometry Copying Processes Dental Arch - anatomy & histology Dental Models Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology Forecasting Humans Mandible - anatomy & histology Mandible - surgery Mandibular prognathism Medical sciences Movement in the horizontal plane Non tumoral diseases Osteotomy - methods Otorhinolaryngology. Stomatology Postoperative stability Prognathism - pathology Prognathism - surgery Recurrence Xerox copy of dental cast |
Title | Xerox copy of the dental cast for analysis of the stability of mandibular osteotomy |
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