Morphological changes in the upper airway and the resulting alteration in the nasal respiratory function after jawbone repositioning during orthognathic surgery have garnered attention recently. In particular, nasopharyngeal stenosis, because of the complex influence of both jaws, the effects of which have not yet been clarified owing to postero-superior repositioning of the maxilla, may significantly impact sleep and respiratory function, necessitating further functional evaluation. This study aimed to perform a functional evaluation of the effects of surgery involving maxillary repositioning, which may result in a larger airway resistance if the stenosis worsens the respiratory function, using CFD for treatment planning.
View Article and Find Full Text PDFIntroduction: When tooth roots protrude into the maxillary sinus, apical root resorption and tipping may occur during horizontal tooth movement across the sinus floor. Three-dimensional cone-beam computed tomography (CBCT) images may provide detailed information without distortion and overlap. We evaluated the relationships between the maxillary tooth root apices and the maxillary sinus floor using CBCT.
View Article and Find Full Text PDFIntroduction: Lingual displacement of the maxillary anterior teeth is 1 of the most common forms of malocclusion. The labial alveolar bone is thinner for the maxillary lateral incisor than for the central incisor and canine; however, the alveolar bone width at the actual position of the maxillary lateral incisor has not been examined. We investigated the morphologic characteristics of the alveolar bone around palatally displaced maxillary lateral incisors using cone-beam computed tomography and a split-mouth model.
View Article and Find Full Text PDFPurpose: This study aimed to evaluate the influence of maxillary impaction orthognathic surgery on nasal respiratory function and the efficacy of bone trimming at the inferior edge of the pyriform aperture.
Materials And Methods: The participants were 10 patients (3 male and 7 female patients) with mandibular prognathism who underwent bimaxillary orthognathic surgery with maxillary impaction. The surgical procedures performed were Le Fort I osteotomy with bone trimming at the inferior edge of the pyriform aperture and bilateral sagittal split osteotomy.