Anterior open-bite malocclusion: stability of maxillary repositioning using rigid internal fixation.
A retrospective cephalometric study was performed to investigate the stability of 37 non-growing anterior open-bite cases using mini-plate rigid fixation. The sample was divided into two groups: Group A: maxillary repositioning alone (17 cases) and Group B: bimaxillary surgery (20 cases). Tracings were performed pre-operatively (T1), immediately post-operatively (T2) and at a minimum of one year follow-up (T3) (12-90 months). In Group A, the maxilla was advanced (3.8 +/- 2.8 mm, p < 0.01) and superiorly repositioned at PNS (2.8 +/- 2.3 mm, p < 0.001). In Group B, the maxilla was advanced (3.5 +/- 3.0 mm, p < 0.01) and superiorly repositioned at PNS (3.7 +/- 1.8 mm, p < 0.001); and the mandible (11.7 +/- 3.8 mm, p < 0.001), with no significant change in the vertical plane (p > 0.05). Late relapse due to condylar remodelling or resorption was found as a cause of large horizontal relapse (8.0 < x < 14.0 mm) in three cases (15%), the amount being associated with the amount of operative advancement (r = 0.7, r-sq = 40%, p < 0.01). It was concluded that the correction of anterior open bite by posterior repositioning of the maxilla using rigid fixation is a stable procedure during the follow-up period, and that in bimaxillary cases, post-operative stability depends largely on the stability of the mandibular advancement, which in turn relates to the amounts of advancement, the pre-operative anterior open bite and the mandibular plane angle.
Arpornmaeklong
P
P
Prince of Songkla University Hospital, Thailand.
Heggie
A A
AA
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D016723:Bone Remodeling / Q000502:physiology; D001862:Bone Resorption / Q000503:physiopathology; D001863:Bone Screws; D002508:Cephalometry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D016014:Linear Models; D008297:Male; D008310:Malocclusion / Q000473:pathology / Q000601:surgery*; D008334:Mandible / Q000473:pathology / Q000601:surgery; D019186:Mandibular Advancement; D008335:Mandibular Condyle / Q000503:physiopathology; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D019340:Osteotomy, Le Fort; D012008:Recurrence; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014716:Vertical Dimension