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3급 부정교합에서 선수술 교정치료를 통한 양악 수술 후 안정성
Evaluation of Skeletal Stability Following Two-jaw Surgery via Surgery First Orthodontic Treatment in Class 3 Malocclusion
황대석 ( Dae Seok Hwang ) , 김용일 ( Yong Il Kim ) , 이재열 ( Jae Yeol Lee ) , 이성탁 ( Seong Tak Lee ) , 김태훈 ( Tae Hoon Kim ) , 이주민 ( Joo Min Lee ) , 안경용 ( Kyung Yong Ahn )
UCI I410-ECN-0102-2012-320-002148123

Purpose: The purpose of the present study was to evaluate the postoperative skeletal stability of two-jaw surgery (Le Fort I osteotomy and bilateral sagittal split ramus osteotomy) via surgery first orthodontic treatment (SFOT) in class III malocclusion. Methods: Thirty-two patients who had two-jaw surgery via SFOT were included in this study. Serial lateral cephalograms were obtained before (T0), immediately after (T1), and six months after (T2) surgery. Twelve variables were measured for horizontal and vertical skeletal stability as well as for dental change. All measurements were evaluated statistically by a paired t-test (P <0.05). Results: The mean skeletal changes were 0.1±2.5 mm at point A and -12.0±7.4 mm at the pogonion. The mean horizontal relapse was 11.6% at the pogonion, and the mean vertical surgical changes included an upward displacement of 2.1±7.1 mm and a forward displacement of 1.4±4.6 mm at the pogonion. Upper incisor inclination decreased after surgery and was maintained at T2, and lower incisors were proclined from T1 to T2 by postsurgical orthodontic treatment. Conclusion: Postoperative skeletal stability of two-jaw surgery via surgery first orthodontic treatment in class III malocclusion was clinically acceptable.

[자료제공 : 네이버학술정보]
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