J Korean Assoc Maxillofac Plast Reconstr Surg.  2011 Mar;33(2):137-143.

Evaluation of Stability Following Two-Jaw Surgery

• Lee SY
• Kim SG
• Kim SY
• Oh JS
• Moon KN
• Yoon DW
• Kim H
• Kim JS

Abstract

PURPOSE
Orthognathic surgery is required in patients with severe skeletal disharmony and facial asymmetry, which results in functional and esthetic improvement. Recently, bimaxillary surgery has become generalized. Establishment of the occlusal plane among several other factors included in the surgery plan is a major consideration for the diagnosis and treatment plan and it is also an important factor for postoperative stability.
METHODS
In this study, we assessed postoperative stability of occlusal plane, B-point, and pogonion point on 20 patients who underwent two-jaw surgery in the Chosun Dental Hospital from 2000 to 2007. Preoperative and postoperative states and at least a one year postoperative follow-up were compared.
RESULTS
The postsurgical relapse volume of the occlusal plane to the SN plane and the FH plane was -0.26+/-2.8degrees and -0.44+/-3.29degrees, respectively and after two-jaw surgery, the stability of occlusal plane was maintained. The horizontal relapse degree was 0.85+/-0.46 mm and 0.76+/-0.48 mm, respectively, and the vertical relapse degree was 1.16+/-0.36 mm and 1.13+/-0.71 mm of the B point and the Pogonion point at the time after minimal 1 year.
CONCLUSION
The vertical relapse amount was shown to be slightly larger than the horizontal relapse amount.

Keyword

Bilateral sagittal split ramus osteotomy; Le Fort I osteotomy; Orthognathic surgery; Relapse; Stability

MeSH Terms

Dental Occlusion
Facial Asymmetry
Follow-Up Studies
Humans
Orthognathic Surgery
Recurrence