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Analysis of facial soft-tissue changes after mandibular sagittal split ramus osteotomy

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Abstract


This study was intended to perform cepholometric analysis of the facial soft tissue profile after surgical correction of skeletal Class III malocclusion after SSRO in 29 patients (Males 12, Females 17). Lateral cephalograms were taken in centric
occlusion before and immediate, long term after surgeries.
1. Counter-clockwise rotation of mandible was observed after the surgery, average relapses of mandibular set back were 1.23-1.28mm. The net effects of the mandibular set-back after surgeries were 81.7-82.2%. Because these relapse tendencies may
reduce
the effects of the surgical outcomes, surgeon must consider these net effects before the surgical treatment planning
2. The ratio of horizontal changes of hard tissue to soft tissue at lower lip, mentolabial sulcus, pogonion were 72.7-93.7%, 100.3%, 99.1-102.1% respectively. There were little changes at upper lip position anteroposteriorly.
3. The relationship of upper and lower lips were improved after surgery. Lower lip was posteriorly repostioned and upper lip was flattend and elongated in conjunction with deepening of inferior labial sulcus. But profile of chin was still
prominent
after surgery.
4. Hard tissue horizontal changes and soft tissue vertical changes were significantly correlated with each other and there were reverse correlations with hard tissue vertical changes and soft tissue horizontal changes.

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KCI
KoreaMed