Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in ‘surgery-first’ and ‘surgery-early’ orthognathic treatment
Autor/a
Hernández Alfaro, F.
Nieto, M.J.
Ruiz Magaz, Vanessa
Valls Ontañón, A.
Méndez Manjón, I.
Guijarro Martínez, R.
Fecha de publicación
2017ISSN
0901-5027
Resumen
Increasing experience with alternative timing protocols in orthognathic surgery has given way to new surgical and orthodontic techniques to shorten treatment times, reduce biological costs, and improve the final outcome. A prospective evaluation of class III patients who received an inferior segmental osteotomy (ISO) for decompensation of significantly retroclined lower incisors in the context of ‘surgery-first’ (SF) or ‘surgery-early’ (SE) timing protocols was performed. Treatment was planned virtually. A thorough periodontal assessment was performed at baseline and periodically until debonding. A minimally invasive surgical technique including selective interdental corticotomies and elective bone augmentation was used. Patient and orthodontist satisfaction with the treatment was evaluated. Eight patients (mean age 26.3 years) underwent surgery. One had isolated maxillary surgery and seven had bimaxillary surgery in combination or not with additional cosmetic procedures. The periodontal status of all patients remained stable throughout the observation period. The mean duration of orthodontic treatment was 8.7 months in the SF group and 10.5 months in the SE group. Satisfaction with treatment was extremely high. The ISO is a safe, reliable technique for dentoalveolar decompensation in timing protocols with a short or no orthodontic preparatory phase. This methodology may represent a reasonable approach in selected class III patients.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
Inglés
Materias (CDU)
61 - Medicina
Palabras clave
Cirurgia ortognàtica
Segmentació
Osteotomia subapical
Osteotomia segmentària
Mandíbula
Deformitat dentofacial
Primera cirurgia
Cirugía ortognática
Segmentación
Osteotomía subapical
Osteotomía segmentaria
Mandíbula
Deformidad dentofacial
Primera cirugía
Cirurgia ortognàtica
Segmentació
Osteotomia subapical
Osteotomia segmentària
Mandíbula
Deformitat dentofacial
Primera cirurgia
Páginas
6
Publicado por
Elsevier
Colección
46;1
Publicado en
International Journal of Oral and Maxillofacial Surgery
Citación
Hernández Alfaro, F.; Nieto, M.J.; Ruiz Magaz, Vanessa [et al.]. Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in ‘surgery-first’ and ‘surgery-early’ orthognathic treatment. International Journal of Oral and Maxillofacial Surgery, 2017, 46(1), p. 80-85. Disponible en: <https://www.sciencedirect.com/science/article/pii/S0901502716302697?via%3Dihub>. Fecha de acceso: 22 ene. 2024. DOI: 10.1016/j.ijom.2016.09.026
Este ítem aparece en la(s) siguiente(s) colección(ones)
- Odontologia [228]
Derechos
© 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.