Assessment of skeletal stability of intraoral vertical ramus osteotomy with one-day maxillary-mandibular fixation followed by early jaw exercise.
OBJECTIVE
Intraoral vertical ramus osteotomy (IVRO) is an effective surgical technique for cases of mandibular setback, is simpler and has a lower incidence of mental paraesthesia when compared to sagittal split ramus osteotomy (SSRO). However, IVRO has a disadvantage in the prolonged duration of postoperative maxillary-mandibular fixation (MMF) required due to the absence of rigid bone fixation. To avoid an extended MMF period, we developed a postoperative management protocol for our IVRO patients, using jaw exercises with elastic bands starting on the second day after surgery.


METHODS
We evaluated the cephalometric skeletal and dental stabilities of 16 IVRO patients as they followed our protocol.


RESULTS
The stabilities were confirmed and were similar to those of previous reports.


CONCLUSIONS
One-day MMF and early initiation of jaw exercise after IVRO did not affect the jaw position stability. Moreover, our findings suggest that starting jaw exercise earlier after IVRO surgery is beneficial, as it allows patients to avoid a long period of rigid MMF so that they can resume their normal daily activities sooner.
Department of Regenerative Oral Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8588, Japan; Division of Dental and Oral Surgery, Faculty of Medical Science, University of Fukui, 23-3 Shimoaizuki, Matsuoka, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan. Electronic address: seigoohba@gmail.com.
Seigo
S
Ohba
Haruna
H
Tasaki
Takayoshi
T
Tobita
Tokutarou
T
Minamizato
Takako
T
Kawasaki
Naomi
N
Motooka
Etsuko
E
Watanabe
Noriaki
N
Yoshida
Izumi
I
Asahina
D000328:Adult; D001864:Bone Wires; D002508:Cephalometry / Q000379:methods; D002985:Clinical Protocols; D004576:Electromyography / Q000379:methods; D005081:Exercise Therapy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D019248:Jaw Fixation Techniques / Q000295:instrumentation; D008297:Male; D008334:Mandible / Q000473:pathology*; D063168:Mandibular Osteotomy / Q000379:methods*; D008409:Mastication / Q000502:physiology; D008410:Masticatory Muscles / Q000503:physiopathology; D008437:Maxilla / Q000473:pathology; D009295:Nasal Bone / Q000473:pathology; D017090:Occlusal Splints; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D011378:Prognathism / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology; D012658:Sella Turcica / Q000473:pathology; D014716:Vertical Dimension; D055815:Young Adult
Intraoral vertical osteotomy (IVRO); Jaw exercise; Maxillary–mandibular fixation (MMF)