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Role of anterior segmental osteotomy for management of dento-osseous deformities

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international journal of stomatology & occlusion medicine

Abstract

Background

The procedures of anterior segmental osteotomy are stable, versatile and can be undertaken for multiple deformities affecting the anterior portion of jaws.

Objectives

To describe indications in which anterior segmental osteotomy alone can correct maxillomandibular deformities and if adjunct surgery is needed or not. Orthosurgical planning with cephalometric predictions of those deformities of anterior portions of jaws which can be corrected by anterior segmental osteotomy. Achieve occlusion and periodical follow-up of the operated patients to analyze changes produced by surgery and stability of results clinico-radiographically.

Material and methods

The study consisted of 16 selected patients of which 9 were female and 7 were male. The ages ranged from 17 to 25 years. Patients with skeletal deformity along with malocclusion which was too severe to be corrected orthodontically were selected. History and examinations were carried out as per standardized protocol. The parameters were laid down only after reviewing the literature and discussion with an orthodontist as presurgical and postsurgical orthodontics are considered mandatory for these cases.

Results

Presurgical orthodontics is required for decompensating the intradental and interdental relationship. Cephalometric studies should be mandatory. Model surgery and construction of an occlusal wafer was of great help in achieving the desired position of osteotomized segments intraoperatively.

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References

  1. Bell WH, Condit CL. Surgical orthodontic correction of adult bi-maxillary protrusion. J Oral Surg. 1970;28:578–90.

    PubMed  CAS  Google Scholar 

  2. Hullihen BP. Case of elongation of the under jaw and distortion of the face and neck, caused by a burn, successfully treated. Am J Dent Sci. 1849;9:157–65.

    Google Scholar 

  3. Bell WH. Correction of maxillary excess by anterior maxillary osteotomy: a review of three basic procedures. Oral Surg. 1977;43:332–32.

    Google Scholar 

  4. Schuchardt K. Experiences with the surgical treatment of some deformities of the jaws from prognathia, micrognathia and open bite. In: Wallace AB, editor. Transactions of second congress. London: International Society of Plastic Surgeons; 1959.

    Google Scholar 

  5. Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg. 1959;12:277–88, 413–20, 515–29.

    Article  PubMed  CAS  Google Scholar 

  6. Mohnac AM. Maxillary osteotomy in management of occlusal deformities. J Oral Surg. 1966;24:305–17.

    PubMed  CAS  Google Scholar 

  7. Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. J Oral Maxillofac Surg. 2001;59:1128–36.

    Article  PubMed  CAS  Google Scholar 

  8. Wolford L, Hellerd FW, Dugan DJ. Surgical treatment objective. St. Louis: Mosby; 1985.

    Google Scholar 

  9. Nakajima T, Yeshiano K, Ken H, Honada K. Sliding osteotomy in the mandibular body for correction of prognathism. J Oral Surg. 1978;36:361–8.

    PubMed  CAS  Google Scholar 

  10. Nordenram A, Walker A. Oral surgical correction of mandibular protrusion. Br J Oral Surg. 1968;6:64–74.

    Article  PubMed  CAS  Google Scholar 

  11. McNeil RW, Profit WR, White RP. Cephalometric prediction for orthognathic surgery. Angle Orthod. 1972;42:154–64.

    Google Scholar 

  12. Burstone CJ, James RB, Legan HC. Cephalometrics for orthognathic surgery. J Oral Surg. 1978;36:269–77.

    PubMed  CAS  Google Scholar 

  13. Bell WH, Dann JJ. Correction of dentofacial deformities by surgery in the anterior part of the jaws. A study of stability and soft tissue changes. American J Orthod. 1973;64:162–86.

    Article  CAS  Google Scholar 

  14. Epker BN. A modified anterior maxillary osteotomy. J Maxillofac Surg. 1977;5:35–8.

    Article  PubMed  CAS  Google Scholar 

  15. Epker BN. Vascular considerations in orthognathic surgery. Oral Surg. 1984;57:473–8.

    Article  PubMed  CAS  Google Scholar 

  16. Kent JN, Hinds E. Management of dental facial deformities by anterior alveolar surgery. J Oral Surg. 1971;29:13–25.

    PubMed  CAS  Google Scholar 

  17. Bishara SE. Treatment planning in maxillary prognathism. Am J Orthod. 1973;64:384–403.

    Article  PubMed  CAS  Google Scholar 

  18. Hogeman KE, Sarnäs KV. Surgical and dental-orthopaedic correction of maxillary protrusion or angle Class II, division I malocclusion. A follow-up study of 16 adult females. Scand J Plast Reconstr Surg. 1967;1:101–7.

    Article  PubMed  CAS  Google Scholar 

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Compliance with ethical guidelines

Conflict of interest

S. Malik, V. Singh, S. C. Anand, V. Laxmi, G. Singh and D. C. Malik state that there are no conflicts of interest.

All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form). Informed consent was obtained from all patients.

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Authors and Affiliations

  1. Dept. of Dental Surgery, BPS Government Medical College For Women, Khanpur Kalan, Sonepat, Haryana, India

    Sunita Malik MDS & Gurdarshan Singh BDS

  2. Dept. of Oral & Maxillofacial Surgery, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India

    Virendra Singh MDS & S. C. Anand MDS

  3. Dept. of Dental Surgery, SHK Government Medical College, Mewat, Haryana, India

    Vijay Laxmi MDS

  4. HCMS, Rohtak, Haryana, India

    Dinesh Chandra Malik MD

Authors
  1. Sunita Malik MDS
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  2. Virendra Singh MDS
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  3. S. C. Anand MDS
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  4. Vijay Laxmi MDS
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  5. Gurdarshan Singh BDS
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  6. Dinesh Chandra Malik MD
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Correspondence to Sunita Malik MDS.

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Malik, S., Singh, V., Anand, S. et al. Role of anterior segmental osteotomy for management of dento-osseous deformities. J. Stomat. Occ. Med. 7, 68–76 (2014). https://doi.org/10.1007/s12548-014-0109-z

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  • DOI: https://doi.org/10.1007/s12548-014-0109-z

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