Changes in the occlusal function of orthognathic patients with vertical malformations after combined orthodontic surgical therapy: a prospective clinical study
The aim of this study was to assess the changes in occlusal patterns during combined surgical and orthodontic therapy in patients with vertical jaw malformations. Twenty-six orthognathic patients (18 female, eight male; median age 25 years, interquartile range 11.5 years) and 10 control patients (fi...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2023-03, Vol.52 (3), p.371-378 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Wiechens, B. Quast, A. Klenke, D. Brockmeyer, P. Schliephake, H. Meyer-Marcotty, P. |
| description | The aim of this study was to assess the changes in occlusal patterns during combined surgical and orthodontic therapy in patients with vertical jaw malformations. Twenty-six orthognathic patients (18 female, eight male; median age 25 years, interquartile range 11.5 years) and 10 control patients (five female, five male; median age 29.8 years, interquartile range 13.5 years) recruited from neutral configured patients attending the Department of Orthodontics, were investigated. Based on cephalometry, the patients were grouped into vertical skeletal configurations of either open, deep, or natural bite cases. Registrations of the occlusal contacts were taken using a digital occlusal sensor immediately before surgery and at 9 months after the surgical intervention. Before the intervention, open and deep bite patients showed significantly less efficient occlusal patterns than the untreated controls regarding total tooth contact (P |
| doi_str_mv | 10.1016/j.ijom.2022.06.018 |
| format | Article |
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Twenty-six orthognathic patients (18 female, eight male; median age 25 years, interquartile range 11.5 years) and 10 control patients (five female, five male; median age 29.8 years, interquartile range 13.5 years) recruited from neutral configured patients attending the Department of Orthodontics, were investigated. Based on cephalometry, the patients were grouped into vertical skeletal configurations of either open, deep, or natural bite cases. Registrations of the occlusal contacts were taken using a digital occlusal sensor immediately before surgery and at 9 months after the surgical intervention. Before the intervention, open and deep bite patients showed significantly less efficient occlusal patterns than the untreated controls regarding total tooth contact (P < 0.001), time of occlusion (P = 0.002), occlusal asymmetry (P = 0.001), anterior tooth contact (P < 0.001), and posterior tooth contact (P < 0.001). After surgery, the parameters in the deep bite patients were similar to those in the controls; however, in open bite patients, total tooth contact (P = 0.003), occlusal asymmetry (P = 0.011), and posterior tooth contact (P = 0.035) differed significantly. In conclusion, combined orthodontic and surgical correction of vertical malocclusions was found to improve occlusal function in patients with deep bite to the level of controls.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2022.06.018</identifier><identifier>PMID: 35835683</identifier><language>eng</language><publisher>Denmark: Elsevier Inc</publisher><subject>Adolescent ; Cephalometry ; Child ; Dental Occlusion ; Dentofacial deformities ; Female ; Humans ; Male ; Malocclusion - surgery ; Mastication ; Orthodontics ; Orthognathic surgery ; Overbite ; Prospective Studies ; Tooth</subject><ispartof>International journal of oral and maxillofacial surgery, 2023-03, Vol.52 (3), p.371-378</ispartof><rights>2022 International Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. 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Twenty-six orthognathic patients (18 female, eight male; median age 25 years, interquartile range 11.5 years) and 10 control patients (five female, five male; median age 29.8 years, interquartile range 13.5 years) recruited from neutral configured patients attending the Department of Orthodontics, were investigated. Based on cephalometry, the patients were grouped into vertical skeletal configurations of either open, deep, or natural bite cases. Registrations of the occlusal contacts were taken using a digital occlusal sensor immediately before surgery and at 9 months after the surgical intervention. Before the intervention, open and deep bite patients showed significantly less efficient occlusal patterns than the untreated controls regarding total tooth contact (P < 0.001), time of occlusion (P = 0.002), occlusal asymmetry (P = 0.001), anterior tooth contact (P < 0.001), and posterior tooth contact (P < 0.001). After surgery, the parameters in the deep bite patients were similar to those in the controls; however, in open bite patients, total tooth contact (P = 0.003), occlusal asymmetry (P = 0.011), and posterior tooth contact (P = 0.035) differed significantly. In conclusion, combined orthodontic and surgical correction of vertical malocclusions was found to improve occlusal function in patients with deep bite to the level of controls.</description><subject>Adolescent</subject><subject>Cephalometry</subject><subject>Child</subject><subject>Dental Occlusion</subject><subject>Dentofacial deformities</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Malocclusion - surgery</subject><subject>Mastication</subject><subject>Orthodontics</subject><subject>Orthognathic surgery</subject><subject>Overbite</subject><subject>Prospective Studies</subject><subject>Tooth</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2O0zAUhSMEYsrAC7BAXrJJuLYbO0FsUMWfNBIbWFuOfdO4SuxiOx31aXhV3OnAktVd3O-c-3Oq6jWFhgIV7w6NO4SlYcBYA6IB2j2pNpT3fQ3A4Gm1gR5o3QKTN9WLlA4A0PNOPq9ueNvxVnR8U_3eTdrvMRHnSZ6QBGPmNemZjKs32QVPwkhCzFPYe50nZ8hRZ4c-J3Lv8kROGLMzhV_0PIa46IsmET1mjMSEZXAe7dXABl9Qkta4f1CUcVEfz--JJscY0hHLvBMSMzv_0E95teeX1bNRzwlfPdbb6ufnTz92X-u771--7T7e1YaDzLXlUgySdtyAZUYaubWjARylFGA6PshWUGmote2Wc5QWBrmVwBnb4qg5BX5bvb36llV-rZiyWlwyOM_aY1iTYqKn0HIh-oKyK2rK1iniqI7RLTqeFQV1CUYd1CUYdQlGgVAlmCJ68-i_Dgvaf5K_SRTgwxXAcuXJYVTJlD8btC6Wzygb3P_8_wBGSKOZ</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Wiechens, B.</creator><creator>Quast, A.</creator><creator>Klenke, D.</creator><creator>Brockmeyer, P.</creator><creator>Schliephake, H.</creator><creator>Meyer-Marcotty, P.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230301</creationdate><title>Changes in the occlusal function of orthognathic patients with vertical malformations after combined orthodontic surgical therapy: a prospective clinical study</title><author>Wiechens, B. ; Quast, A. ; Klenke, D. ; Brockmeyer, P. ; Schliephake, H. ; Meyer-Marcotty, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-d376b7183c0d2c7c74dfc0ef7760c83b75617c1dd5433e7d0b74703224efa3103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Cephalometry</topic><topic>Child</topic><topic>Dental Occlusion</topic><topic>Dentofacial deformities</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Malocclusion - surgery</topic><topic>Mastication</topic><topic>Orthodontics</topic><topic>Orthognathic surgery</topic><topic>Overbite</topic><topic>Prospective Studies</topic><topic>Tooth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiechens, B.</creatorcontrib><creatorcontrib>Quast, A.</creatorcontrib><creatorcontrib>Klenke, D.</creatorcontrib><creatorcontrib>Brockmeyer, P.</creatorcontrib><creatorcontrib>Schliephake, H.</creatorcontrib><creatorcontrib>Meyer-Marcotty, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiechens, B.</au><au>Quast, A.</au><au>Klenke, D.</au><au>Brockmeyer, P.</au><au>Schliephake, H.</au><au>Meyer-Marcotty, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in the occlusal function of orthognathic patients with vertical malformations after combined orthodontic surgical therapy: a prospective clinical study</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>52</volume><issue>3</issue><spage>371</spage><epage>378</epage><pages>371-378</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><abstract>The aim of this study was to assess the changes in occlusal patterns during combined surgical and orthodontic therapy in patients with vertical jaw malformations. Twenty-six orthognathic patients (18 female, eight male; median age 25 years, interquartile range 11.5 years) and 10 control patients (five female, five male; median age 29.8 years, interquartile range 13.5 years) recruited from neutral configured patients attending the Department of Orthodontics, were investigated. Based on cephalometry, the patients were grouped into vertical skeletal configurations of either open, deep, or natural bite cases. Registrations of the occlusal contacts were taken using a digital occlusal sensor immediately before surgery and at 9 months after the surgical intervention. Before the intervention, open and deep bite patients showed significantly less efficient occlusal patterns than the untreated controls regarding total tooth contact (P < 0.001), time of occlusion (P = 0.002), occlusal asymmetry (P = 0.001), anterior tooth contact (P < 0.001), and posterior tooth contact (P < 0.001). After surgery, the parameters in the deep bite patients were similar to those in the controls; however, in open bite patients, total tooth contact (P = 0.003), occlusal asymmetry (P = 0.011), and posterior tooth contact (P = 0.035) differed significantly. In conclusion, combined orthodontic and surgical correction of vertical malocclusions was found to improve occlusal function in patients with deep bite to the level of controls.</abstract><cop>Denmark</cop><pub>Elsevier Inc</pub><pmid>35835683</pmid><doi>10.1016/j.ijom.2022.06.018</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Cephalometry Child Dental Occlusion Dentofacial deformities Female Humans Male Malocclusion - surgery Mastication Orthodontics Orthognathic surgery Overbite Prospective Studies Tooth |
| title | Changes in the occlusal function of orthognathic patients with vertical malformations after combined orthodontic surgical therapy: a prospective clinical study |
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