Objective: The objectives of this study were to compare the time-dependent changes in occlusal contact area (OCA) and bite force (BF) of the deviated and non-deviated sides in mandibular prognathic patients with mandibular asymmetry before and after orthognathic surgery and investigate the factors associated with the changes in OCA and BF on each side.

Methods: The sample consisted of 67 patients (33 men and 34 women; age range 15-36 years) with facial asymmetry who underwent 2-jaw orthognathic surgery. OCA and BF were taken before presurgical orthodontic treatment, within 1 month before surgery, and 1 month, 3 months, 6 months, 1 year, and 2 years after surgery. OCA and BF were measured using the Dental Prescale System.

Results: The OCA and BF decreased gradually before surgery and increased after surgery on both sides. The OCA and BF were significantly greater on the deviated side than on the non-deviated side before surgery, and there was no difference after surgery. According to the linear mixed-effect model, only the changes in the mandibular plane angle had a significant effect on BF ( < 0.05).

Conclusions: There was a difference in the amount of the OCA and BF between the deviated and non-deviated sides before surgery. The change in mandibular plane angle affects the change, especially on the non-deviated side, during the observation period.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117793PMC
http://dx.doi.org/10.4041/kjod21.236DOI Listing

Publication Analysis

Top Keywords

deviated non-deviated
12
non-deviated sides
12
surgery
9
bite force
8
occlusal contact
8
contact area
8
patients mandibular
8
mandibular asymmetry
8
orthognathic surgery
8
surgery oca
8

Similar Publications

We compared the 2 year outcomes after proximal interphalangeal joint surface replacement in 68 joints with severe (>15°) preoperative longitudinal axis deviation and 50 joints without (<5°) preoperative deviation. Patients in both groups had a mean preoperative brief Michigan Hand Outcomes Questionnaire score of 47 and had similar 2 year scores of 72 (95% CI 68-77) (severe deviation) and 70 (95% CI 65-76) (no deviation). Pain, proximal interphalangeal joint range of motion, grip strength and complications did not differ between the groups at 2 years.

View Article and Find Full Text PDF

Changes in 3-Dimensional Measurements of Masseter Muscle After Orthognathic Surgery in Patients with Facial Asymmetry.

Aesthetic Plast Surg

October 2024

Department of Oral and Maxillofacial Surgery, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou, 510150, China.

Article Synopsis
  • The study aimed to evaluate changes in the masseter muscle in patients with facial asymmetry using 3D analysis, focusing on factors influencing these changes before and after orthognathic surgery.
  • A cohort of 22 patients showed significant reductions in masseter muscle volume and cross-sectional area on the non-deviated side post-surgery, while the deviated side experienced an increase in length.
  • Results indicated that masseter muscle asymmetry could be improved through maxilla-mandible correction, with greater muscle atrophy linked to a larger inclined occlusal plane angle after surgery.
View Article and Find Full Text PDF

Adaptation of soft tissue following bilateral sagittal split ramus osteotomy in skeletal class III patients with facial asymmetry: A retrospective study.

J Stomatol Oral Maxillofac Surg

September 2024

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea; Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Korea; Dental Research Institute, Seoul National University, Seoul, Korea. Electronic address:

Purpose: This retrospective study aimed to evaluate sequential changes in soft tissue thickness after bilateral sagittal split ramus osteotomy (BSSRO) in skeletal class III patients with facial asymmetry and to explore their correlation with surgical movements for optimal postoperative facial symmetry and esthetic outcomes.

Material And Methods: This study included 37 patients with class III malocclusion and > 4 mm Menton (Me) deviation who underwent BSSRO. Posteroanterior cephalograms were captured at preoperative (T0), 6 weeks (T1), 6 months (T2), and 1 year (T3) postoperative intervals to analyze changes in Me deviation, fronto-ramal inclination (FRI), and soft tissue thickness.

View Article and Find Full Text PDF

Temporomandibular joint stress analysis of patients with different mandibular deformities during unilateral molar occlusion.

Comput Methods Biomech Biomed Engin

June 2024

Key Lab for Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu, China.

Mandibular prognathism, retrusion and deviation are common mandibular deformities. They can lead to functional and aesthetic problems due to their important role in the oral system. Different from other occlusions, unilateral molar occlusion often occurs during mastication, which has a deep impact on the functions of temporomandibular joints (TMJs).

View Article and Find Full Text PDF
Article Synopsis
  • * A retrospective study analyzed the effects of SLEG on patients undergoing septorhinoplasty, revealing significant improvements in nasal function as measured by the NOSE score and nasal geometry.
  • * Results indicated that SLEG, particularly when combined with turbinoplasty, led to notable enhancements in airway function, making it effective for East Asian patients with nasal deviations.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!