Volume 11, Issue 2 (7-2022)                   WJPS 2022, 11(2): 46-56 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Eshghpour M, Samieirad S, Mahrokh F M, Mozaffar S, Hashemzadeh H. Is There Any Differences in Dento-Skeletal Stability between One Vs. Three-Screw Fixation of Mandible Following Bilateral Sagittal Split Osteotomy (BSSO)?. WJPS. 2022; 11 (2) :46-56
URL: http://wjps.ir/article-1-931-en.html
Department of Orthodontics, School Of Dentistry, Tehran University of Medical Sciences , h-hashemzadeh@razi.tums.ac.ir
Abstract:   (558 Views)
Background: The aim of this study was to compare the dento-skeletal stability between one and three-screw fixation of mandible following bilateral sagittal split osteotomy (BSSO) in skeletal class 3 patients.
Methods: Healthy patients with skeletal class 3 malocclusion in Mashhad, Iran, from August 2020 to May 2021 were undergone mandibular setback through bilateral sagittal split osteotomy. Rigid fixation was performed in one group with one-screw technique, and three-screw fixation was done in another group. Cephalogram x-rays were prepared and analyzed in three stages: before surgery (T0), one week after the surgery (T1), and six months postoperatively (T2). The linear and angular alterations of chosen multivariate skeletal and dental variables were evaluated and statistically compared in all three periods.
Results: This study included a total of 20 patients, 12 of them were female (60%). Patients in the one-screw fixation group had a mean age of 20.6 ± 2.2 years old, whereas those in the three-screw fixation group were 21.5 ± 2.8 years old, with no statistically significant difference. Both groups had excellent mandibular stability six months following surgery. No statistically significant differences were observed in the postoperative skeletal and dental changes between the two techniques.
Conclusion: Fixation of the mandible following the setback surgery by the BSSO technique with the one-screw fixation method may be accomplished effectively, and the therapeutic outcomes are comparable to those obtained with the traditional 3-screw fixation approach.
 
Full-Text [PDF 349 kb]   (266 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2022/06/18 | Accepted: 2022/07/19 | Published: 2022/07/30

References
1. Zeynalzadeh F, Shooshtari Z, Eshghpour M, Hoseini Zarch SH, Tohidi E, Samieirad S. Dal Pont vs Hunsuck: Which Technique Can Lead to a Lower Incidence of Bad Split during Bilateral Sagittal Split Osteotomy? A Triple-blind Randomized Clinical Trial. World J Plast Surg 2021 Sep;10(3):25-33. [DOI:10.52547/wjps.10.3.25]
2. Eshghpour M, Mianbandi V, Samieirad S. Intra-and postoperative complications of Le Fort I maxillary osteotomy. J Craniofac Surg 2018 Nov;29(8):e797-e803. [DOI:10.1097/SCS.0000000000004828] [PMID]
3. Eshghpour M, Labafchi A, Samieirad S, Abrishami MH, Nodehi E, Javan. Does the Presence of Impacted Mandibular Third Molars Increase the Risk of Bad Split Incidence During Bilateral Sagittal Split Osteotomy? World J Plast Surg 2021 Jan;10(1):37-42. [DOI:10.29252/wjps.10.1.37] [PMID] [PMCID]
4. Paunonen J, Helminen M, Peltomäki T. Long-term stability of mandibular advancement with bilateral sagittal split osteotomy. J Craniomaxillofac Surg 2018 Sep;46(9):1421-1426. [DOI:10.1016/j.jcms.2018.05.023] [PMID]
5. Bou Wadi MN, Freitas KM, Freitas DS, Cançado RH, Oliveira RC, Oliveira RC, Janson G, Valarelli FP. Comparison of profile attractiveness between class III orthodontic camouflage and predictive tracing of Orthognathic surgery. Int J Dent 2020 Sep 7;2020. [DOI:10.1155/2020/7083940] [PMID] [PMCID]
6. Bertin H, Huon JF, Praud M, Fauvel F, Salagnac JM, Perrin JP, Mercier JM, Corre P. Bilateral sagittal split osteotomy training on mandibular 3-dimensional printed models for maxillofacial surgical residents. Br J Oral Maxillofac Surg 2020 Oct ;58(8):953-8. [DOI:10.1016/j.bjoms.2020.04.039] [PMID]
7. Mousoulea S, Kloukos D, Sampaziotis D, Vogiatzi T, Eliades T. Condylar resorption in orthognathic patients after mandibular bilateral sagittal split osteotomy: a systematic review. Eur J Orthod 2017 Jun 1;39(3):294-309. [DOI:10.1093/ejo/cjw045] [PMID]
8. Wu TY, Denadai R, Lin HH, Ho CT, Lo LJ. The outcome of skeletofacial reconstruction with mandibular rotation for management of asymmetric skeletal class III deformity: A three-dimensional computer-assisted investigation. Sci Rep 2019 Sep 16;9(1):1-3. [DOI:10.1038/s41598-019-49946-9] [PMID] [PMCID]
9. Hoffmannová J, Foltán R, Vlk M, Klíma K, Pavlíková G, Bulik O. Factors affecting the stability of bilateral sagittal split osteotomy of a mandible. Prague Med Rep 2008;109(4):286-97.
10. Paunonen J, Svedström-Oristo AL, Helminen M, Peltomäki T. Quality of life several years after orthodontic-surgical treatment with bilateral sagittal split osteotomy. Acta Odontol Scand 2020 Jul;78(5):358-361. [DOI:10.1080/00016357.2020.1725110] [PMID]
11. Huang C, Chen Y-R. Orthodontic principles and guidelines for the surgery-first approach to orthognathic surgery. Int J Oral Maxillofac Surg 2015 Dec 1;44(12):1457-62. [DOI:10.1016/j.ijom.2015.05.023] [PMID]
12. Ferretti C, Reyneke JP. Mandibular, sagittal split osteotomies fixed with biodegradable or titanium screws: a prospective, comparative study of postoperative stability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002 May 1;93(5):534-7. [DOI:10.1067/moe.2002.124091] [PMID]
13. Van Bakelen NB, Boermans BD, Buijs GJ, Jansma J, Pruim GJ, Hoppenreijs TJ, Bergsma JE, Stegenga B, Bos RR. Comparison of the long-term skeletal stability between a biodegradable and a titanium fixation system following BSSO advancement-a cohort study based on a multicenter randomised controlled trial. Br J Oral Maxillofac Surg 2014 Oct 1;52(8):721-8. [DOI:10.1016/j.bjoms.2014.06.014] [PMID]
14. Edwards RC, Kiely KD, Eppley BL. Fixation of bimaxillary osteotomies with resorbable plates and screws: experience in 20 consecutive cases. J Oral Maxillofac Surg 2001 Mar 1;59(3):271-6. [DOI:10.1053/joms.2001.20988] [PMID]
15. Al-Moraissi EA, Ellis E. Stability of bicortical screw versus plate fixation after mandibular setback with the bilateral sagittal split osteotomy: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2016 Jan 1;45(1):1-7. [DOI:10.1016/j.ijom.2015.09.017] [PMID]
16. Costa F, Robiony M, Zorzan E, Zerman N, Politi M. Stability of skeletal Class III malocclusion after combined maxillary and mandibular procedures: titanium versus resorbable plates and screws for maxillary fixation. J Oral Maxillofac Surg 2006 Apr;64(4):642-51. [DOI:10.1016/j.joms.2005.11.043] [PMID]
17. Harada K, Enomoto S. Stability after surgical correction of mandibular prognathism using the sagittal split ramus osteotomy and fixation with poly-L-lactic acid (PLLA) screws. .J Oral Maxillofac Surg 1997 May 1;55(5):464-8. [DOI:10.1016/S0278-2391(97)90691-1]
18. Cheung LK, Chow LK, Chiu WK. A randomized controlled trial of resorbable versus titanium fixation for orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004 Oct;98(4):386-97. [DOI:10.1016/j.tripleo.2004.02.069] [PMID]
19. Edwards RC, Kiely KD, Eppley BL. The fate of resorbable poly-L-lactic/polyglycolic acid (LactoSorb) bone fixation devices in orthognathic surgery. J Oral Maxillofac Surg 2001 Jan;59(1):19-25. [DOI:10.1053/joms.2001.19267] [PMID]
20. Berköz Ö, Karaali S, Kozanoğlu E, Akalın BE, Çeri A, Barış Ş, Marşan G, Cura N, Emekli U. The relationship between fixation method and early central condylar sagging after bilateral sagittal split ramus osteotomy in orthognathic surgery. J Craniomaxillofac Surg 2020 Oct;48(10):928-932. [DOI:10.1016/j.jcms.2020.07.017] [PMID]
21. Mavili ME, Canter HI, Saglam-Aydinatay B. Semirigid fixation of mandible and maxilla in orthognathic surgery: stability and advantages. Ann Plast Surg 2009 Oct;63(4):396-403. [DOI:10.1097/SAP.0b013e318190322f] [PMID]
22. Monson LA. Bilateral sagittal split osteotomy. Semin Plast Surg 2013 Aug;27(3):145-8. [DOI:10.1055/s-0033-1357111] [PMID] [PMCID]
23. Maurer P, Holweg S, Knoll WD, Schubert J. Study by finite element method of the mechanical stress of selected biodegradable osteosynthesis screws in sagittal ramus osteotomy. Br J Oral Maxillofac Surg 2002 Feb;40(1):76-83. [DOI:10.1054/bjom.2001.0752] [PMID]
24. Mazzonetto R, Paza AO, Spagnoli DB. A retrospective evaluation of rigid fixation in orthognathic surgery using a biodegradable self-reinforced (70L: 30DL) polyactide. Int J Oral Maxillofac Surg 2004 Oct;33(7):664-9. [DOI:10.1016/j.ijom.2004.02.001] [PMID]
25. Matthews NS, Khambay BS, Ayoub AF, Koppel D, Wood G. Preliminary assessment of skeletal stability after sagittal split mandibular advancement using a bioresorbable fixation system. Br J Oral Maxillofac Surg 2003 Jun;41(3):179-84. [DOI:10.1016/S0266-4356(03)00048-2]
26. Landes CA, Ballon A. Skeletal stability in bimaxillary orthognathic surgery: P (L/DL) LA-resorbable versus titanium osteofixation. Plast Reconstr Surg 2006 Sep;118(3):703-21. Discussion 722. [DOI:10.1097/01.prs.0000232985.05153.bf] [PMID]
27. Costa F, Robiony M, Sembronio S, Polini F, Politi M. Stability of skeletal Class III malocclusion after combined maxillary and mandibular procedures. Int J Adult Orthodon Orthognath Surg 2001 Jan 1;16(3):179-92.
28. Kallela I, Laine P, Suuronen R, Iizuka T, Pirinen S, Lindqvist C. Skeletal stability following mandibular advancement and rigid fixation with polylactide biodegradable screws. Int J Oral Maxillofac Surg 1998 Feb;27(1):3-8. [DOI:10.1016/S0901-5027(98)80086-6]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb