Cervicomental angle changes observed after mandibular advancement surgery – A systematic review

Abstract

Purpose: In adults, correction of such a jaw base relation is done by bilateral sagittal split osteotomy and mandibular advancement which often causes change in the cervicomental angle that might not be within the acceptable and aesthetic range. The objective of this systematic review was to evaluate the changes observed in cervicomental angle after mandibular advancement surgery. Data Sources: Based on the available data, we conducted an electronic database PubMed search, based on the search of published data from 1994 to 2017, six strategies were designed using two keywords, and four articles were shortlisted for systematic review. Study Eligibility Criteria: Studies that provide information on cervicomental angle changes after mandibular advancement surgery, published from 1994 to 2017. Results: The search yielded 168 articles, of which four were included based on the selection criteria. These articles described that the cervicomental angle observed after mandibular advancement surgery falls between 95° and 125°. Conclusion: Cervicomental angle decreases as the mandible is advanced to correct the jaw base Class II relation to Class I. Acceptable range is found to be between 95° and 125°. Implications: An esthetic look is the desire of every patient that reports to the clinics for an orthodontic correction. Surgical correction is an integral part of the treatment. While advancing the mandible, change is observed in the cervicomental angle. Knowing the acceptable range of this angle will help the orthodontist and the oral surgeon to plan the advancement accordingly.