Objectives: To examine tooth root length and root volume in cone beam computed tomography (CBCT) images in patients with skeletal Class II and III anomalies who have undergone single-jaw (SJ) and double-jaw (DJ) orthognathic surgery, and to compare the changes between jaws with and without osteotomy.
Materials And Methods: This study was conducted on the archive records of a total of 60 adults: 36 women and 24 men with an average age of 21.1 ± 3.1 years, whose CBCT images were recorded just before orthognathic surgery and within 6-12 months after surgery. The sample was divided into four groups with 15 individuals in each: Class II SJ (mandibular advancement only), Class II DJ (maxillary advancement and impaction with mandibular advancement), Class III SJ (maxillary advancement and impaction), and Class III DJ (maxillary advancement and impaction with mandibular setback).
Results: Within groups, statistically significant decreases in root length and root volume were found in the period between preorthognatic and postorthognathic surgery (P < .05). No statistically significant differences were found in comparisons between groups (P > .05).
Conclusions: Regardless of the type of skeletal anomaly in the sagittal direction and the orthognathic surgery performed, a statistically significant but clinically insignificant decrease was found in tooth root length and root volume during the postorthognathic surgery period, both in jaws with and without osteotomy.
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http://dx.doi.org/10.2319/052024-390.1 | DOI Listing |
Objectives: To examine tooth root length and root volume in cone beam computed tomography (CBCT) images in patients with skeletal Class II and III anomalies who have undergone single-jaw (SJ) and double-jaw (DJ) orthognathic surgery, and to compare the changes between jaws with and without osteotomy.
Materials And Methods: This study was conducted on the archive records of a total of 60 adults: 36 women and 24 men with an average age of 21.1 ± 3.
Diagnostics (Basel)
December 2024
Department of Applied Bioengineering, Graduate School of Convergence Science and Technology, Seoul National University, Seoul 08826, Republic of Korea.
: Accurate determination of the natural head position (NHP) is essential in orthognathic surgery for optimal surgical planning and improved patient outcomes. However, traditional methods encounter reproducibility issues and rely on external devices or patient cooperation, potentially leading to inaccuracies in the surgical plan. : To address these limitations, we developed a geometric deep learning network (NHP-Net) to automatically reproduce NHP from CT scans.
View Article and Find Full Text PDFHead Face Med
January 2025
Department of Oral and Maxillofacial Surgery, Heinrich Heine University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Background: Virtual surgical planning for orthognathic surgery typically relies on two methods for intraoperative plan transfer: CAD/CAM occlusal splints and patient-specific implants (PSI). While CAD/CAM splints may offer limited accuracy, particularly in the vertical dimension, PSIs are constrained by higher costs and extended preparation times. Surgical navigation has emerged as a potential alternative, but existing protocols often involve invasive registration or lack transparent evaluation.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Temporomandibular joint osteoarthritis (TMJOA) is a common degenerative disease that causes chronic pain and joint dysfunction. However, the current understanding of TMJOA pathogenesis is limited and necessitates further research. Animal models are crucial for investigating TMJOA due to the scarcity of clinical samples.
View Article and Find Full Text PDFJ Craniofac Surg
January 2025
Division of Plastic & Reconstructive Surgery, John H. Stroger Hospital of Cook County, Chicago, IL.
Median craniofacial hypoplasia is characterized by tissue deficiency of the midline facial structures and/or brain. Patients can present with a wide variety of facial differences that may or may not require operative intervention. Common reconstructive procedures include cleft lip and/or palate repair, rhinoplasty, and orthognathic surgery, among others.
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