Differences of condylar changes after orthognathic surgery among Class II and Class III patients.

Background/purpose: The nature of susceptibility to condylar resorption after orthognathic surgery can be different between skeletal Class II and Class III populations, which was addressed by few in the past. The aim of the present study was to use cone-beam computed tomographic (CBCT) images to inv...

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Publicado en:Journal of the Formosan Medical Association Vol. 121; no. 1; pp. 98 - 108
Autores principales: Hsu, Li-Fang, Liu, Yi-Jen, Kok, Sang-Heng, Chen, Yi-Jane, Chen, Yunn-Jy, Chen, Mu-Hsiung, Jane Yao, Chung-Chen
Formato: research Journal Article
Publicado: Elsevier B.V. Jan2022:Part 1
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022:Part 1
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      pub: Elsevier B.V.
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        154142336
        154142336
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        154142336
        10.1016/j.jfma.2021.01.018
        NLM33583702
        154142336
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        atl: Differences of condylar changes after orthognathic surgery among Class II and Class III patients.
      aug:
        au:
          Hsu, Li-Fang
          Liu, Yi-Jen
          Kok, Sang-Heng
          Chen, Yi-Jane
          Chen, Yunn-Jy
          Chen, Mu-Hsiung
          Jane Yao, Chung-Chen
        affil: Graduate Institute of Clinical Dentistry, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan
      sug:
        subj:
          Orthognathic Surgery
          Human
      ab: Background/purpose: The nature of susceptibility to condylar resorption after orthognathic surgery can be different between skeletal Class II and Class III populations, which was addressed by few in the past. The aim of the present study was to use cone-beam computed tomographic (CBCT) images to investigate the displacement and morphological changes of temporomandibular joints (TMJs) in patients received orthodontic treatment combined with orthognathic surgery.Methods: Both Class III (n = 34) and Class II (n = 17) patients were compared through overall and regional superimpositions of the initial and posttreatment CBCTs. Two-sample t-test was used to identify significance between group differences. Pearson's correlation coefficient was used to address changes of TMJ and the amount of setback or advancement.Results: The axial ramal angle increased significantly in Class III group and decreased in Class II groups after orthognathic surgery (p < FDR_p). For condylar dimensions, significant widths and lengths reductions were noted only in Class II group. However, no significant difference was found after comparing subgroup differences according to one-jaw and two-jaw options, nor any significant correlation found between the condylar changes and the amount of surgical movements.Conclusion: The nature of condylar susceptibility could result more from different skeletal patterns than the amount of surgical movements. However, the direction of mandibular surgery may contribute to different changes of condylar angle in axial section.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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