J Korean Assoc Oral Maxillofac Surg.  2005 Feb;31(1):55-59.

A study of bone resorption at the posterior border of distal segment after bilateral sagittal split ramus osteotomy of manibular prognathic patients

• Lee YI
• Lim JH
• Noh KS
• Hong JR
• Jun JH
• Kim CS

Abstract

PURPOSE: This study is to predict the changes of the distal segment by investing the resorption of the excessive distal segment regarding the amount of setback after BSSRO. MATERIAL AND METHODS: 20 patients with Mandible prognathism treated by Obwegeser-Dal Pont method during the years 2000 to 2002 were selected for this study. Group A consisted of 5 males and 5 females with a setback amount of 10mm and above(Mean 10.80mm+/-1.03, n=20) and Group B consisted of 2 males and 8 females with a setback amount of below 10mm.(Mean 6.10mm+/-1.10, n=20) Panorama X-ray was taken at day 1, 1month, 3months, 6months, and 12months after the surgery. Resorption areas of excessive distal segment were measured on these panorama X-rays and compared.
RESULTS
There was bone resorption in both groups. Group A showed more bone resorption than Group B. Group B showed slightly higher resorption rate than Group A. However, there was no statistically significant difference between the resorption rates of Group A and Group B. (P>0.05)
CONCLUSION
More bone resorption occurred with a larger amount of setback and about one third of the excessive distal segment underwent resorption, irrespective of the amount of setback.

Keyword

Mandibular prognathism; Mandibular setback; Sagittal split ramus osteotomy; Distal segment; Bone resorption

MeSH Terms

Bone Resorption*
Female
Humans
Male
Mandible
Osteotomy, Sagittal Split Ramus*
Prognathism