J Korean Assoc Oral Maxillofac Surg.  2010 Apr;36(2):94-99. 10.5125/jkaoms.2010.36.2.94.

Soft tissue changes in skeletal class II patients treated with bilateral sagittal split osteotomy advancement surgery

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Seoul St. Mary's Dental Hospital, Seoul, Korea. jupark@catholic.ac.kr
  • 2Graduate School of Clinical Dental Science, the Catholic University, Seoul, Korea.

Abstract

The purpose of this study was to examine the soft tissue changes in skeletal class II patients after mandibular advancement by bilateral sagittal split ramus osteotomy (BSSRO). In Asian population, the incidence of skeletal class II malocclusion is lower than that of skeletal class III malocclusion unlike the caucasians. This study was conducted to figure out the ratio at which hard tissue and soft tissue changes after mandibular advancement by analyzing cephalograms of 13 patients that have undergone the mandibular advancement surgery. As a result, change ratios of Li, B', Pog' according to the movement of li, B, Pog were found to be 0.59, 1.06, 0.82. Also, vertical height of vermilion zone (Si-Vb) and lower lip and chin (Si-Me') were measured to evaluate vertical changes. Vermilion zone showed tendency to decrease by 1.02 mm on the average postoperatively, whereas vertical length of lower lip and chin showed tendency to increase by 3.57 mm on the average.

Keyword

Mandibular advancement surgery; Bilateral sagittal split ramus osteotomy (BSSRO); Soft tissue changes

MeSH Terms

Asian Continental Ancestry Group
Chin
Humans
Incidence
Lip
Malocclusion
Mandibular Advancement
Osteotomy
Osteotomy, Sagittal Split Ramus

Figure

  • Fig. 1. Reference lines and points in cephalometric measurements. (NSL: nasion-sella line)


Reference

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