Patients’ perceptions of improvements after bilateral sagittal split osteotomy advancement surgery: 10 to 14 years of follow-up

Trovik, Tordis A.; Wisth, Per Johan; Tornes, Knut; Bøe, Olav Egil; Moen, Ketil

doi:10.1016/j.ajodo.2011.06.039

Cited by 24 publications

(13 citation statements)

References 30 publications

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“…The selection of patients operated during a five-year period(1998)(1999)(2000)(2001)(2002) was performed to achieve an acceptable number of patients eligible for study participation. The participation rate of 43% in Papers I and II is comparable with other long-term follow-up studies after orthognathic surgery(130,(143)(144)(145).The participants in Papers I and II did not statistically significantly differ from the nonresponders concerning distribution of residency, age at surgery or age at T3, but participation rate was statistically significantly higher among women. Women being more concerned about dental and facial appearance than men can be an explanation for this discordance(146,147).…”

supporting

confidence: 77%

“…Compared to the adult Norwegian population, the OHRQoL was slightly poorer among the previous orthognathic patients (Paper II). Eighteen percent of the sample from the general Norwegian population between 16-79 years of age reported at least one oral impact on daily performance in the past six months (132) compared to 26% in Paper II and 39% in the study by Trovik et al(130). That the majority of the participants in Paper II and other previous orthognathic surgery patients would have elected the same treatment Traditionally, the effect of mandibular setback surgery on the pharyngeal morphology has been evaluated with lateral cephalograms, and several studies have reported reduction of the two-dimensional measurements of PAS (97-102).…”

mentioning

confidence: 82%

“…et al evaluating combined orthodontic and SSO advancement surgical treatment 10-14 years after surgery in patients operated at the same university hospital as the subjects presented in this thesis(130). The reason for using the same questionnaire was to make comparisons with the study by Trovik et al evaluating a different surgical technique and dentofacial deformity but with similar follow-up period (Paper II).…”

mentioning

confidence: 99%

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Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

Eriksen

Wisth

Løes

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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The purpose of this study was to elucidate the long-term skeletal and dental stability after combined orthodontic and orthognathic surgical treatment of mandibular prognathism with the intraoral vertical ramus osteotomy (IVRO) as the surgical technique followed by 6 weeks of intermaxillary fixation (IMF). Thirty-six patients were included in the study. Mean age at surgery was 21.6 years. Lateral cephalograms and study casts obtained before the start of treatment (T0), and 8 weeks (T1), 1 year (T2), and 12.5 years (T3) after the operation were evaluated. Mean mandibular setback measured at point B was 8.3mm. Between T1 and T2, a mean anterior relapse of 12% of the setback was observed. Between T2 and T3, the anterior relapse persisted, but decreased to 7% of the setback measured at point B. Despite dental adjustments in both jaws, a statistically significant reduction in overjet was observed during both observation periods. However, the change of the mandible in an anterior direction was small and of minor clinical importance for most of the patients. In conclusion these results indicate that combined orthodontic and orthognathic surgical treatment of mandibular prognathism with the IVRO as the surgical procedure followed by 6 weeks of IMF provides predictable and good long-term clinical results.

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supporting

confidence: 77%

mentioning

confidence: 82%

mentioning

confidence: 99%

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Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

Eriksen

Wisth

Løes

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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“…Also, other occlusal factors like deep bite and Angle Class II/III occlusion have been suggested to be risk factors for TMD [16,[18][19][20], but these associations are being questioned in other studies [13,21,22]. Because pain and TMDrelated reasons are common motivation factors for seeking orthodontic/orthodontic-surgical treatment, the prevalence of TMD has been high in previous studies concerning adults with severe malocclusion [23][24][25]. A systematic review suggested that orthodontic-surgical treatment is more likely to improve than worsen the signs and symptoms of TMD [26].…”

Section: Introductionmentioning

confidence: 98%

Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion?

Silvola

Tolvanen

Rusanen

et al. 2015

Acta Odontologica Scandinavica

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Introduction. The aim was to evaluate the relationships of changes in facial pain, temporomandibular disorders (TMDs) and oral health-related quality-of-life (OHRQoL) in adults who underwent orthodontic or orthodontic/surgical treatment. Methods. Sixty-four patients (46 women, 18 men, range 18-64 years) with severe malocclusion and functional problems were treated in Oulu University Hospital. Of these, 44 underwent orthodontic-surgical and 20 orthodontic treatment. Data were collected with questionnaires and clinical stomatognathic examinations before and on average 3 years after treatment. The OHRQoL was measured with OHIP-14 (The Oral Health Impact Profile), the intensity of facial pain with the Visual Analogue Scale (VAS) and the severity of TMD with the Helkimo's anamnestic (Ai) and clinical (Di) dysfunction indices. Results. A significant improvement was found in facial pain, signs and symptoms of TMD and OHRQoL after the treatment (p < 0.05). The decrease in VAS was associated with improvement in OHIP-14 severity (r = 0.296, p = 0.019). The correlations between changes in OHIP-14 severity and Ai and Di were not statistically significant. Conclusion. Treatment of severe malocclusion seemed to improve OHRQoL via decreased facial pain. Decreased facial pain was associated especially with improved OHRQoL dimensions of physical pain, physical disability and social disability.

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“…[26] These changes may be temporary, lasting six to twelve months; however, some patients may experience permanent damage.…”

Section: Discussionmentioning

confidence: 99%

Educational intervention in patients undergoing orthognathic surgery: Pilot study

Sousa

Turrini

Poveda

2015

JNEP

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Objective: This study was to assess the feasibility of educational intervention nusing printed materials and the appropriateness of the instruments chosen to assess the efficacy of the intervention in patients undergoing orthognathic surgery. Methods: Nonrandomized pilot study was conducted with eight patients. In the preoperative period, an educational intervention using printed material and the application of instruments for data collection was carried out; in the postoperative period, only data collection was carried out. Friedman, Wilcoxon, McNemar and Rasch's statistical tests were applied in order to assess the variables and the instrument. Results: Significant findings with respect to trait anxiety (p = .016), lower difficulty of patients to perform oral hygiene (p = .008), mild pain (p = .025), and moderate pain (p = .046). For the knowledge test, Rasch analysis showed that the model did not fit, since easy questions were stacked in the lower limit of the map, which showed the need to reformulate some questions. Conclusions: The intervention was consistent, but it can only be confirmed as effective through a research with a control group. It was observed that the use of brochures could improve the management of the signs and symptoms experienced by the patients in the postoperative period.

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Patients’ perceptions of improvements after bilateral sagittal split osteotomy advancement surgery: 10 to 14 years of follow-up

Cited by 24 publications

References 30 publications

Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

Skeletal and dental stability after intraoral vertical ramus osteotomy: a long-term follow-up

Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion?

Educational intervention in patients undergoing orthognathic surgery: Pilot study

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