Sagittal Split Ramus Osteotomy in the Shortest Buccal Bone Marrow Distances of the Mandible on the Coronal Plane.

Purpose. This study investigated the relationship between the shortest buccal bone marrow of the ramus and skeletal patterns. Materials and Methods. Using cone-beam computed tomography data (specifically, the A point-nasion-B point (ANB) angle), we divided patients into three groups as follows: skel...

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Publicado en:BioMed Research International pp. 1 - 12
Autores principales: Chen, Chun-Ming, Hsu, Han-Jen, Chen, Ping-Ho, Liang, Shih-Wei, Lin, I-Ling, Hsu, Kun-Jung
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 3/19/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/19/2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        149377845
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        10.1155/2021/5586498
        149377845
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        atl: Sagittal Split Ramus Osteotomy in the Shortest Buccal Bone Marrow Distances of the Mandible on the Coronal Plane.
      aug:
        au:
          Chen, Chun-Ming
          Hsu, Han-Jen
          Chen, Ping-Ho
          Liang, Shih-Wei
          Lin, I-Ling
          Hsu, Kun-Jung
        affil: School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
      sug:
        subj:
          Osteotomy Methods
          Mandible Surgery
          Mouth Mucosa Pathology
          Human
          Radiography, Computed Methods
          Mandible Anatomy and Histology
          Descriptive Statistics
          Muscle, Skeletal Physiopathology
          Comparative Studies
      ab: Purpose. This study investigated the relationship between the shortest buccal bone marrow of the ramus and skeletal patterns. Materials and Methods. Using cone-beam computed tomography data (specifically, the A point-nasion-B point (ANB) angle), we divided patients into three groups as follows: skeletal class I ( 0 ° < ANB < 4 ° ), class II (ANB: ≥4°), and class III (ANB: ≤0°). Sixteen vertical sections in the coronal plane were taken starting from slice 0 (original intact mandibular canal) anteriorly at 2 mm intervals to slice 15 (30 mm). The thickness of the mandible (M) and shortest buccal bone marrow (SBM) were measured. The data of SBM were divided into two groups (SBM ≥ 1 mm and SBM < 1 mm). For each skeletal pattern, an SBM value < 1 mm was considered to indicate a high possibility of postoperative nerve paresthesia and bad split. Results. The three skeletal pattern groups also did not significantly differ in their M values for all sections. The mean SBM values of class III (0.91–2.11 mm) at 6–16 mm anterior to the mandibular foramen were significantly smaller than those of class II (1.53–3.17 mm). Comparing the occurrence ratio of SBM < 1 mm , the highest and lowest probabilities in class III (55% and 21.7%, respectively) were significantly larger at 6–20 mm anterior to the mandibular foramen than those in class II (28.3% and 5%, respectively). Conclusion. Class III had a significantly shorter SBM distance and higher SBM occurrence probability than class II at the mandibular ramus region, implying that class III participants are more likely than class II participants to have nerve paresthesia and bad split after sagittal split ramus osteotomy.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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