Complications associated with orthognathic surgery: A retrospective study of 485 cases

Zaroni, Fábio Marzullo; Cavalcante, Rafael Correia; Costa, Delson João da; Klüppel, Leandro Eduardo; Scariot, Rafaela; Rebellato, Nelson Luís Barbosa

doi:10.1016/j.jcms.2019.11.012

Cited by 66 publications

(55 citation statements)

References 32 publications

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“…Indeed, the website of highest quality came from a private practice. Only 13 websites out of 48 provided information on possible risks or side-effects of orthognathic surgery, although according to the current literature complications occur in approximately 20% of patients (Zaroni et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Quality assessment of patient information on orthognathic surgery on the internet

Engelmann

Fischer

Nkenke

2020

Journal of Cranio-Maxillofacial Surgery

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The aim of this study was to assess the quality of online information for patients on orthognathic surgery. Materials and methods: A selection of search terms specific for orthognathic surgery was chosen and 150 websites were identified using the Internet search engines Google, Yahoo and Bing. Irrelevant websites were excluded. The remaining websites were assessed with a modified Ensuring Quality Information for Patients (EQIP) tool. EQIP evaluates the quality of medical patient information by measuring the three key aspects of content, structure, and identification data. Results: 48 relevant websites were identified. EQIP values ranged between 2 and 28 (median 13.65). While 37 of the 48 websites described details of the surgical procedures, only 13 mentioned possible risks and complications of the surgery. No differences were found between the websites of private practices, dentists and public hospitals, universities, or others (p ¼ 0.66). Websites found by Google had a significantly lower EQIP score compared with Yahoo and Bing (11.12 vs. 16.60 for Yahoo and 16.23 for Bing; p ¼ 0.012). The better the rank of the website, the higher the EQIP score (r ¼ À0.411, p ¼ 0.004). Conclusions: The results of this study reflected a large variation of quality of information on orthognathic surgery on the Internet. Therefore, surgeons must be aware that they might be confronted with unrealistic expectations of patients, who may underestimate the potential risks and drawbacks of orthognathic surgery.

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Section: Discussionmentioning

confidence: 99%

Quality assessment of patient information on orthognathic surgery on the internet

Engelmann

Fischer

Nkenke

2020

Journal of Cranio-Maxillofacial Surgery

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“…However, orthognathic surgery inherently carries a risk of morbidity, is expensive, and needs post-surgical hospitalization; this has led to a significant demand for a non-surgical alternative. 7 Non- Due to variations in skeletal discrepancy, a specific case may demand not only anteroposterior (A-P), but also vertical and transverse displacements of the dental arch. Where the A-P and vertical displacements are concerned, localizing the centre of resistance of the whole arch must precede the appliance design.…”

Section: R Ationale Of Non -Surg Ic Al Orthodonti C Tre Atmentmentioning

confidence: 99%

“…Relocation of the maxillomandibular jawbones via orthognathic surgery may be indicated primarily for the correction of occlusion in severe skeletal discrepancies, which cannot be camouflaged by tooth movement. However, orthognathic surgery inherently carries a risk of morbidity, is expensive, and needs post‐surgical hospitalization; this has led to a significant demand for a non‐surgical alternative 7 . Non‐surgical treatment of skeletal discrepancy in general is challenging due to the amount of tooth movement, extension of treatment time, questionable predictability of the tooth movement, anatomical barriers, and the complexity of the tooth movement in three dimensions.…”

Section: Rationale Of Non‐surgical Orthodontic Treatmentmentioning

confidence: 99%

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

Choi

Jeon

Lee

et al. 2020

Orthod Craniofacial Res

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Currently, miniscrews or mini-implants, which are widely used as temporary anchorage devices for orthodontic treatment, are mainly made of grade 5 titanium alloy (Ti6Al4V). This allows for small-sized miniscrews less likely developing a fracture during insertion, reduces patient discomfort, and avoids root or periodontal ligament proximity when placed in the inter-radicular spaces. 1 Typically, the miniscrews are cylindrical and tapered and have a diameter of 1.0-2.3 mm and a length of 5.0-17.0 mm. They must be at least 1 mm in diameter and at least 3.8 mm in length within the alveolar bone, to ensure stability. 2 The failure rate of the miniscrew is 13.5%-14.0%, which is correlated with the cortical bone thickness. 3,4 The failure rate in the mandible is higher than that in the maxilla due to excessive insertion

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“…In non-growing skeletal class III patients that cannot be adequately treated only with an orthodontic therapy, the orthodontic–surgical treatment is the therapeutic approach of choice. Therefore, orthognathic surgery is indicated in the treatment of patients with moderate or severe malocclusions which outweigh the implications for an orthodontic correction only [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Accuracy of Jaws Repositioning in Bimaxillary Orthognathic Surgery with Traditional Surgical Planning Compared to Digital Surgical Planning in Skeletal Class III Patients: A Retrospective Observational Study

Barone

Stefani

Baciliero

et al. 2020

JCM

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Background: Technological progress has led to the transition to digital methods to perform surgical planning and to obtain surgical splints with CAD/CAM technologies. The present study aimed to compare the accuracy of jaw repositioning in bimaxillary orthognathic surgery using traditional and digital surgical planning in skeletal class III patients. Methods: This study included 60 skeletal class III patients divided into two groups based on the method used to perform surgical planning: traditional (T, n = 30) and digital (D, n = 30). For each patient, a 2D presurgical Visual Treatment Objective (VTO) was prepared and the outcome of the surgery was compared with that planned by using determined cephalometric measurements (ANB, SNA, SNB, Ar-Go-Me, S-Ar-Go). Statistical analysis showed that the measurements planned and those obtained after surgery were equivalent in Group D. For Group T, the analysis showed equivalence only for one of the considered measurements (ANB). By comparing the results of the two groups, Group D presented a lower level of error than Group T. Conclusions: Digital surgical planning performed significantly better in terms of accuracy of jaw repositioning than the traditional protocol.

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Complications associated with orthognathic surgery: A retrospective study of 485 cases

Cited by 66 publications

References 32 publications

Quality assessment of patient information on orthognathic surgery on the internet

Quality assessment of patient information on orthognathic surgery on the internet

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

The Accuracy of Jaws Repositioning in Bimaxillary Orthognathic Surgery with Traditional Surgical Planning Compared to Digital Surgical Planning in Skeletal Class III Patients: A Retrospective Observational Study

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