Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?

A retrospective cohort study was conducted to analyze the relapse rate of anterior open bite (AOB) correction comparing Le Fort I osteotomy with and without anterior segmentation. The risk factors that might contribute to relapse were also assessed. Lateral cephalograms obtained at six different ti...

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Main Authors: Ismail, Izzati Nabilah Ismail, Leung, Y.Y.
Format: Article
Language:English
Published: Elsevier 2017
Subjects:
Online Access:http://irep.iium.edu.my/56641/
http://irep.iium.edu.my/56641/1/Published%20AOB.pdf
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author Ismail, Izzati Nabilah Ismail
Leung, Y.Y.
author_facet Ismail, Izzati Nabilah Ismail
Leung, Y.Y.
author_sort Ismail, Izzati Nabilah Ismail
building IIUM Repository
collection Online Access
description A retrospective cohort study was conducted to analyze the relapse rate of anterior open bite (AOB) correction comparing Le Fort I osteotomy with and without anterior segmentation. The risk factors that might contribute to relapse were also assessed. Lateral cephalograms obtained at six different times were analyzed. A total of 81 patients with AOB were recruited. Thirty-five patients underwent Le Fort I osteotomy without anterior segmentation and 46 patients underwent anterior segmentation. Le Fort I osteotomy with anterior segmentation resulted in significantly more AOB relapse when compared to that without anterior segmentation at 7 weeks postoperative (15.2% vs. 0%, P = 0.016). During the early postoperative period, factors that contributed to AOB relapse in Le Fort I osteotomy with anterior segmentation were AOB closure 4 mm and inferior positioning of the anterior segment >2 mm. Over the long term, AOB closure �4 mm and intraoral vertical ramus osteotomy as the only mandibular procedure were factors identified as causing more AOB relapse in those treated by Le Fort I osteotomy with anterior segmentation. In conclusion, Le Fort I osteotomy without anterior segmentation was found to be more stable in the surgical correction of AOB in the early and late postoperative periods.
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spelling iium-566412017-11-05T17:44:00Z http://irep.iium.edu.my/56641/ Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable? Ismail, Izzati Nabilah Ismail Leung, Y.Y. RD Surgery RK Dentistry A retrospective cohort study was conducted to analyze the relapse rate of anterior open bite (AOB) correction comparing Le Fort I osteotomy with and without anterior segmentation. The risk factors that might contribute to relapse were also assessed. Lateral cephalograms obtained at six different times were analyzed. A total of 81 patients with AOB were recruited. Thirty-five patients underwent Le Fort I osteotomy without anterior segmentation and 46 patients underwent anterior segmentation. Le Fort I osteotomy with anterior segmentation resulted in significantly more AOB relapse when compared to that without anterior segmentation at 7 weeks postoperative (15.2% vs. 0%, P = 0.016). During the early postoperative period, factors that contributed to AOB relapse in Le Fort I osteotomy with anterior segmentation were AOB closure 4 mm and inferior positioning of the anterior segment >2 mm. Over the long term, AOB closure �4 mm and intraoral vertical ramus osteotomy as the only mandibular procedure were factors identified as causing more AOB relapse in those treated by Le Fort I osteotomy with anterior segmentation. In conclusion, Le Fort I osteotomy without anterior segmentation was found to be more stable in the surgical correction of AOB in the early and late postoperative periods. Elsevier 2017-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/56641/1/Published%20AOB.pdf Ismail, Izzati Nabilah Ismail and Leung, Y.Y. (2017) Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable? International Journal of Oral and Maxillofacial Surgery, 46 (6). pp. 766-773. ISSN 0901-5027 http://www.sciencedirect.com/science/article/pii/S0901502717313425 10.1016/j.ijom.2017.02.1275
spellingShingle RD Surgery
RK Dentistry
Ismail, Izzati Nabilah Ismail
Leung, Y.Y.
Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title_full Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title_fullStr Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title_full_unstemmed Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title_short Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?
title_sort anterior open bite correction by le fort i osteotomy with or without anterior segmentation: which is more stable?
topic RD Surgery
RK Dentistry
url http://irep.iium.edu.my/56641/
http://irep.iium.edu.my/56641/
http://irep.iium.edu.my/56641/
http://irep.iium.edu.my/56641/1/Published%20AOB.pdf