양악 수술 후 안정성 평가
Evaluation of Stability Following Two-Jaw Surgery
이승용, 김수관, 김서윤, 오지수, 문경남, 윤대웅, 김훈, 김정선,
소속 상세정보
이승용 ( Lee Sung-Yong ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김수관 ( Kim Su-Gwan ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김서윤 ( Kim Seo-Yoon ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
오지수 ( Oh Ji-Su ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
문경남 ( Moon Kyung-Nam ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
윤대웅 ( Yoon Dae-Woong ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김훈 ( Kim Hoon ) - 을지대학교병원 치과
김정선 ( Kim Jeong-Sun ) - 광주보건대학교 치위생과
KMID : 0360120110330020137
Abstract
Purpose: Orthognathic surgery is required in patients with severe skeletal disharmony and facial asymmetry, which results in functional and esthetic improvement. Recently, bimaxillary surgery has become generalized. Establishment of the occlusal plane among several other factors included in the surgery plan is a major consideration for the diagnosis and treatment plan and it is also an important factor for postoperative stability.
Methods: In this study, we assessed postoperative stability of occlusal plane, B-point, and pogonion point on 20 patients who underwent two-jaw surgery in the Chosun Dental Hospital from 2000 to 2007. Preoperative and postoperative states and at least a one year postoperative follow-up were compared.
Results: The postsurgical relapse volume of the occlusal plane to the SN plane and the FH plane was ?0.26±2.8o and ?0.44±3.29o, respectively and after two-jaw surgery, the stability of occlusal plane was maintained. The horizontal relapse degree was 0.85±0.46 mm and 0.76±0.48 mm, respectively, and the vertical relapse degree was 1.16±0.36 mm and 1.13±0.71 mm of the B point and the Pogonion point at the time after minimal 1 year.
Conclusion: The vertical relapse amount was shown to be slightly larger than the horizontal relapse amount.
키워드
Bilateral sagittal split ramus osteotomy; Le Fort I osteotomy; Orthognathic surgery; Relapse; Stability
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