OBJECTIVE: To evaluate the relationship between soft tissue and bone structure for Class III patients before and after bilateral sagittal split osteotomy (BSSO) and bimaxillary orthognathic surgery; to determine the impact of other factors on soft tissue change; and to evaluate correlations between thickness of tissue before surgery, SNA, SNB, and ANB angles, and soft tissue changes. MATERIALS AND METHODS: The study included 78 Class III patients treated only with BSSO or with BSSO and Le Fort I osteotomy. Lateral cephalograms were taken before and 3 months to 1 year after surgery. After all points of the Zagreb82 and Legan and Burstone profile analysis were traced, the ratio of five soft tissue points before and after surgery was evaluated. RESULTS: Soft tissue between points Sn and A and upper lip showed statistically significant changes for patients treated with bimaxillary surgery and BSSO. Only gender had an influence on soft tissue change. The correlation between soft tissue thickness and changes after surgery was significant. A change in SNB angle correlated with upper lip thickness for patients treated with BSSO but not for patients treated with BSSO and Le Fort I. SNA angle changes correlated with soft tissue changes between points Sn and A. CONCLUSION: Results of this study show soft tissue changes after BSSO and BSSO and Le Fort I and eliminate the deficiencies that were indicated in the meta-analysis of soft tissue changes from a previous study.
OBJECTIVE: To evaluate the relationship between soft tissue and bone structure for Class III patients before and after bilateral sagittal split osteotomy (BSSO) and bimaxillary orthognathic surgery; to determine the impact of other factors on soft tissue change; and to evaluate correlations between thickness of tissue before surgery, SNA, SNB, and ANB angles, and soft tissue changes. MATERIALS AND METHODS: The study included 78 Class III patients treated only with BSSO or with BSSO and Le Fort I osteotomy. Lateral cephalograms were taken before and 3 months to 1 year after surgery. After all points of the Zagreb82 and Legan and Burstone profile analysis were traced, the ratio of five soft tissue points before and after surgery was evaluated. RESULTS: Soft tissue between points Sn and A and upper lip showed statistically significant changes for patients treated with bimaxillary surgery and BSSO. Only gender had an influence on soft tissue change. The correlation between soft tissue thickness and changes after surgery was significant. A change in SNB angle correlated with upper lip thickness for patients treated with BSSO but not for patients treated with BSSO and Le Fort I. SNA angle changes correlated with soft tissue changes between points Sn and A. CONCLUSION: Results of this study show soft tissue changes after BSSO and BSSO and Le Fort I and eliminate the deficiencies that were indicated in the meta-analysis of soft tissue changes from a previous study.
Authors: Kevin O'Brien; Jean Wright; Frances Conboy; Priscilla Appelbe; David Bearn; Susan Caldwell; Jayne Harrison; Jamil Hussain; David Lewis; Simon Littlewood; Nicola Mandall; Tim Morris; Alison Murray; Mojtaba Oskouei; Stephen Rudge; Jonathan Sandler; Badri Thiruvenkatachari; Tanya Walsh; Elizabeth Turbill Journal: Am J Orthod Dentofacial Orthop Date: 2009-06 Impact factor: 2.650
Authors: Montey Garg; Luke Cascarini; Darryl M Coombes; Stephen Walsh; Dimitra Tsarouchi; Robert Bentley; Peter A Brennan; Daljit K Dhariwal Journal: Br J Oral Maxillofac Surg Date: 2009-11-06 Impact factor: 1.651
Authors: S Rupperti; P Winterhalder; S Krennmair; S Holberg; C Holberg; G Mast; I Rudzki Journal: J Orofac Orthop Date: 2021-04-21 Impact factor: 2.341
Authors: Christy John Parappallil; Ratna Parameswaran; Devaki Vijayalakshmi; Benjamin George Thomas Mavelil Journal: J Maxillofac Oral Surg Date: 2018-01-10