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:
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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
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD Surgery
RK Dentistry
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?
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.
format Article
author Ismail, Izzati Nabilah Ismail
Leung, Y.Y.
author_facet Ismail, Izzati Nabilah Ismail
Leung, Y.Y.
author_sort Ismail, Izzati Nabilah Ismail
title 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_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_sort anterior open bite correction by le fort i osteotomy with or without anterior segmentation: which is more stable?
publisher Elsevier
publishDate 2017
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
first_indexed 2023-09-18T21:19:57Z
last_indexed 2023-09-18T21:19:57Z
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