Skeletal stability in orthognathic surgery: evaluation of methods of rigid internal fixation after counterclockwise rotation in patients with class II deformities

Is Counterclockwise Rotation of the Maxillomandibular Complex Stable Compared With Clockwise Rotation in the Correction of Dentofacial Deformities? A Systematic Review and Meta-Analysis

“…Some authors reported that the skeletal stability after CCWR of the MMC is comparable to other mandibular surgical procedures. 6,8,9 The same authors, emphasized that to get the acceptable stability after CCWR, preoperative orthodontic treatment, proper execution of the surgery and the presence of healthy TMJs are essential factors.…”

Orthognathic Surgery: A Review of Articles Published in 2014–2015

“…By comparing Cephalometric tracings of 2 days, 6 and 12 months postoperatively he found out an anterior mandible relapse was \1 mm, and proper post-operative planning would compensate the increased superior relapse. Rocha et al [9] in their study concluded that there are significant long term changes with counterclockwise rotation of the maxillamandibular complex and mandibular advancement procedures, but these were clinically acceptable as they were found to be \2 mm, while Ohba et al [10] state that there was reliable stability of both the maxilla and mandible after maxilla-mandibular osteotomy with physiological positioning in patients with mandibular prognathism. It was showed by conducting cephalometric analysis, pre-operatively, immediately, and more than 1 year after maxillomandibular osteotomy.…”

Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non‐treated patients

“…Surgical mandibular movement anteriorly using bilateral sagittal split osteotomy (BSSO) is a common orthognathic treatment with severe Class II patients with retrognathic mandible . Pre‐ and post‐surgical TMD status is one of the most important issues when deciding whether to start surgical‐orthodontic treatment.…”

“…[18][19][20] Surgical mandibular movement anteriorly using bilateral sagittal split osteotomy (BSSO) is a common orthognathic treatment with severe Class II patients with retrognathic mandible. [21][22][23][24] Pre-and postsurgical TMD status is one of the most important issues when deciding whether to start surgical-orthodontic treatment. A systematic review focusing on mandibular advancement surgery and TMD concluded that studies do not unambiguously confirm whether the treatment improves or worsens TMJ condition.…”