Surgical-orthodontic treatment of severe mandibular retrusion

Poulton, Donald R.; Ware, William R.

doi:10.1016/0002-9416(71)90098-4

Cited by 95 publications

(7 citation statements)

References 11 publications

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“…51,52 According to many surgeons, tension produced by the elongated and stretched suprahyoid muscles and associated connective tissues is the primary cause for postsurgical instability following mandibular advancement surgery. 51,52,[55][56][57][58][59][60][61][62][63][64][65][66][67][68] The potential promise of DO is that because the lengthening of the mandible occurs slowly, the soft tissue stretch associated with lengthening can be more readily accommodated by the masticatory system. This, theoretically, would allow a sooner return to homeostasis between the stretched soft tissues and the advanced mandible, with the possibility of achieving a more stable result.…”

Section: Postsurgical Stability After Advancement Of the Mandiblementioning

confidence: 99%

Bilateral Sagittal Split Ramus Osteotomy Versus Distraction Osteogenesis for Advancement of the Retrognathic Mandible

Al‐Moraissi

Ellis

2015

Journal of Oral and Maxillofacial Surgery

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Section: Postsurgical Stability After Advancement Of the Mandiblementioning

confidence: 99%

Bilateral Sagittal Split Ramus Osteotomy Versus Distraction Osteogenesis for Advancement of the Retrognathic Mandible

Al‐Moraissi

Ellis

2015

Journal of Oral and Maxillofacial Surgery

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“…It was generally assumed that post-surgical changes leading to compromised results occurred after the release of maxillo-mandibular fixation, but Poulton and Ware (1973) showed that skeletal changes can occur during maxillomandibular fixation. They demonstrated that the dentition can be bodily re-orientated within the alveolar processes as skeletal equilibrium is being re-established.…”

Section: Introductionmentioning

confidence: 99%

Dental and skeletal changes following sagittal split osteotomy for correction of mandibular prognathism

Vasir¹,

Thompson²,

Davies³

1991

The European Journal of Orthodontics

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Skeletal and dental changes were examined in 15 patients presenting with a Class III malocclusion treated by a sagittal split osteotomy. All patients received orthodontic treatment with Straightwire appliances both prior to and following surgery. These appliances were also used for fixation. The lower incisors were proclined by 8.4 degrees before surgery with little change in upper incisor inclination. With surgery, there was a mean reduction of 4.3 degrees in the angle SNB. Following surgery, the relapse in mandibular position was minimal and was not related to the dental changes during this period. Changes in the vertical skeletal parameters were generally small. The individual cases exhibited a wide variation in the changes.

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“…Большинство неудач в то время связывали с неправильным позиционировани-ем мыщелковых отростков во время фиксации остеото-мированных фрагментов [25,26], однако со временем стало ясно, что даже идеальное положение головок НЧ не является гарантом послеоперационной стабильно-сти [23].…”

Section: результаты и обсуждениеunclassified

TMJ disc displacement as a cause of changes in facial skeletal morphology

Seniuk¹,

Nerobeev²,

Romanovskiĭ³

2014

Stomat.

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ХИРУРГИЧЕСКИЙ РАЗДЕЛВ настоящее время роль хирурга в лечении патологии височно-нижнечелюстного сустава (ВНЧС) неоднознач-на. В соответствии с рекомендациями авторитетного аме-риканского профессионального сообщества AAOMS (American Association of Oral and Maxillofacial Surgeons), хирургическое вмешательство на суставе показано только в случае боли и (или) дисфункции, не отвечающих на кон-сервативные методы лечения. В связи с повсеместным развитием таких малоинвазивных методик, как артроцен-тез и артроскопия ВНЧС, на долю открытой хирургии приходится не более 10% всех хирургических манипуля-ций на данном суставе. Это объясняется также и тем, что в большинстве случаев симптомы дисфункции могут быть All the patients showed stability in skeletal and occlusal elements at 6 months follow-up period. The second group patients underwent disc-repositioning surgery only. In all the cases pain was completely eliminated but there was no sufficient improvement in MIO at 6 months follow-up period. Open TMJ disc repositioning surgery can be used for prevention of relapse after orthognathic surgery in patients with TMJ internal derangements such as anterior disc displacement without reduction.

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Surgical-orthodontic treatment of severe mandibular retrusion

Cited by 95 publications

References 11 publications

Bilateral Sagittal Split Ramus Osteotomy Versus Distraction Osteogenesis for Advancement of the Retrognathic Mandible

Bilateral Sagittal Split Ramus Osteotomy Versus Distraction Osteogenesis for Advancement of the Retrognathic Mandible

Dental and skeletal changes following sagittal split osteotomy for correction of mandibular prognathism

TMJ disc displacement as a cause of changes in facial skeletal morphology

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