INTRODUCTION: The purpose of this study was to assess alterations in the 3-dimensional (3D) position of the mandibular rami and condyles in patients receiving either maxillary advancement and mandibular setback or maxillary surgery only. METHODS: High-resolution cone-beam computed tomography scans were taken of 21 patients before and after orthognathic surgery. Ten patients with various malocclusions underwent maxillary surgery only, and 11 Class III patients received maxillary advancement and mandibular setback. Presurgery and postsurgery 3D models were registered on the surface of the cranial base. A new tool was used for graphical overlay and 3D display with color maps to visually assess the locations and to quantify positional changes in the posterior border of the mandibular rami and condyles between superimposed models. RESULTS: The average displacements in condylar position were small--0.77 mm (SD, 0.12 mm) and 0.70 mm (SD, 0.08 mm)--for 2-jaw and 1-jaw surgeries, respectively (not significant, P >.05). All 2-jaw surgery patients had backward rotational displacements of the mandibular rami (mean, 1.98 mm; SD, 1.03 mm), with a maximum surface distance change of > or =2 mm in 8 of 11 subjects. For the 1-jaw surgery, all subjects had small backward rotational displacements of the mandibular rami (mean, 0.78 mm; SD, 0.25 mm), with only 1 subject having a maximum surface distance change > or =2 mm. The difference in mean backward rotational displacement was statistically significant (P <.01). CONCLUSIONS: The visualization of 3D model superimposition clearly identified the location, magnitude, and direction of mandibular displacement. The 3D imaging allowed quantification of vertical, transverse, and anteroposterior ramus displacement that accompanied mandibular, but not maxillary only, surgery.
INTRODUCTION: The purpose of this study was to assess alterations in the 3-dimensional (3D) position of the mandibular rami and condyles in patients receiving either maxillary advancement and mandibular setback or maxillary surgery only. METHODS: High-resolution cone-beam computed tomography scans were taken of 21 patients before and after orthognathic surgery. Ten patients with various malocclusions underwent maxillary surgery only, and 11 Class III patients received maxillary advancement and mandibular setback. Presurgery and postsurgery 3D models were registered on the surface of the cranial base. A new tool was used for graphical overlay and 3D display with color maps to visually assess the locations and to quantify positional changes in the posterior border of the mandibular rami and condyles between superimposed models. RESULTS: The average displacements in condylar position were small--0.77 mm (SD, 0.12 mm) and 0.70 mm (SD, 0.08 mm)--for 2-jaw and 1-jaw surgeries, respectively (not significant, P >.05). All 2-jaw surgery patients had backward rotational displacements of the mandibular rami (mean, 1.98 mm; SD, 1.03 mm), with a maximum surface distance change of > or =2 mm in 8 of 11 subjects. For the 1-jaw surgery, all subjects had small backward rotational displacements of the mandibular rami (mean, 0.78 mm; SD, 0.25 mm), with only 1 subject having a maximum surface distance change > or =2 mm. The difference in mean backward rotational displacement was statistically significant (P <.01). CONCLUSIONS: The visualization of 3D model superimposition clearly identified the location, magnitude, and direction of mandibular displacement. The 3D imaging allowed quantification of vertical, transverse, and anteroposterior ramus displacement that accompanied mandibular, but not maxillary only, surgery.
Authors: Lucia H S Cevidanes; Alexandre A Franco; Guido Gerig; William R Proffit; Dennis E Slice; Donald H Enlow; Helio K Yamashita; Yong-Jik Kim; Marco A Scanavini; Julio W Vigorito Journal: Am J Orthod Dentofacial Orthop Date: 2005-07 Impact factor: 2.650
Authors: F S Neves; T C Souza; S M Almeida; F Haiter-Neto; D Q Freitas; F N Bóscolo Journal: Dentomaxillofac Radiol Date: 2012-01-26 Impact factor: 2.419
Authors: Lucia H S Cevidanes; Abeer Alhadidi; Beatriz Paniagua; Martin Styner; John Ludlow; Andre Mol; Timothy Turvey; William R Proffit; Paul Emile Rossouw Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Date: 2011-04-16
Authors: Alexandre Trindade Simões da Motta; Felipe de Assis Ribeiro Carvalho; Ana Emília Figueiredo Oliveira; Lúcia Helena Soares Cevidanes; Marco Antonio de Oliveira Almeida Journal: Dental Press J Orthod Date: 2010-03-01
Authors: Bassam Hassan; Paulo Couto Souza; Reinhilde Jacobs; Soraya de Azambuja Berti; Paul van der Stelt Journal: Clin Oral Investig Date: 2009-06-09 Impact factor: 3.573