Class III surgical-orthodontic treatment: a cephalometric study.

作者: Chris Johnston , Donald Burden , David Kennedy , Nigel Harradine , Mike Stevenson

DOI: 10.1016/J.AJODO.2005.01.023

关键词:

摘要: Introduction: In this retrospective study, we investigated treatment outcomes in Class III surgical-orthodontic patients. Methods: Records of 151 consecutively completed patients (overjet, 0 mm or less) were obtained from 87 consultant orthodontists the United Kingdom. Pretreatment and posttreatment cephalometric radiographs analyzed. Results: Bimaxillary surgical (75%) had more negative initial ANB-angle values smaller SNA-angle than those treated with single-jaw mandibular surgery. Mandibular surgery (15%) greater pretreatment prominence (SNB angle) maxillary Maxilla-only (10%) lower overjet bimaxillary An within ideal range 1 to 4 was achieved 83% Logistic regression identified no predictors outcome. SNB angle corrected 75° 81° 44% This less likely only larger SNB-angle values. ANB (1° 5°) 40% surgery, angles, presurgical orthodontic extractions arch. Ideal unadjusted Holdaway angles (7° 14°) 59% when used. Incisor decompensation incomplete 46% associated arch extractions. Conclusions: Surgical-orthodontic a high success rate normalizing soft-tissue profile ranges most frequently used procedure an increased likelihood correction anteroposterior skeletal discrepancy.

参考文章(19)
K L Fridrich, J J Wheeler, P C Tompach, Orthodontic considerations in orthognathic surgery. The International journal of adult orthodontics and orthognathic surgery. ,vol. 10, pp. 97- 107 ,(1995)
James Richard Ewart Mills, Principles and practice of orthodontics Churchill Livingstone. ,(1982)
G H Blakey, W R Proffit, L J Bailey, L H Haltiwanger, Who seeks surgical-orthodontic treatment: a current review. The International journal of adult orthodontics and orthognathic surgery. ,vol. 16, pp. 280- 292 ,(2001)
William R. Proffit, James L. Ackerman, Soft tissue limitations in orthodontics: Treatment planning guidelines Angle Orthodontist. ,vol. 67, pp. 327- 336 ,(1997) , 10.1043/0003-3219(1997)067<0327:STLIOT>2.3.CO;2
J. Coulter, A. Richardson, Normal eruption of the maxillary canine quantified in three dimensions. European Journal of Orthodontics. ,vol. 19, pp. 171- 183 ,(1997) , 10.1093/EJO/19.2.171
J.M. Tanner, Peter S.W. Davies, Clinical longitudinal standards for height and height velocity for North American children The Journal of Pediatrics. ,vol. 107, pp. 317- 329 ,(1985) , 10.1016/S0022-3476(85)80501-1
W.J.B. Houston, The analysis of errors in orthodontic measurements American Journal of Orthodontics. ,vol. 83, pp. 382- 390 ,(1983) , 10.1016/0002-9416(83)90322-6
William R. Proffit, Celb Phillips, Neofitis Douvartzidis, A comparison of outcomes of orthodontic and surgical-orthodontic treatment of class II malocclusion in adults American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 101, pp. 556- 565 ,(1992) , 10.1016/0889-5406(92)70131-S
Reed A. Holdaway, A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part II American Journal of Orthodontics. ,vol. 85, pp. 279- 293 ,(1984) , 10.1016/0002-9416(84)90185-4
Angelika Stellzig-Eisenhauer, Christopher J. Lux, Gabriele Schuster, Treatment decision in adult patients with Class III malocclusion: Orthodontic therapy or orthognathic surgery? American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 122, pp. 27- 37 ,(2002) , 10.1067/MOD.2002.123632