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Article ; Online: Primary Mandibular Deficiency Dentofacial Deformities: Occlusion and Facial Aesthetic Surgical Outcomes.

Posnick, Jeffrey C / Egolum, Nkemakonam / Tremont, Timothy J

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

2018  Volume 76, Issue 10, Page(s) 2209.e1–2209.e15

Abstract: Purpose: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, ...

Abstract Purpose: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, genioplasty, and intranasal surgery.
Patients and methods: A retrospective cohort study of PMD subjects undergoing bimaxillary, chin, and intranasal surgery was implemented. The predictor variables were grouped into demographic, anatomic, operative, and longitudinal categories. The primary outcome variables were the initial postoperative occlusion achieved at 5 weeks postoperatively (T
Results: Forty subjects met the inclusion criteria. Their age at surgery averaged 32 years (range 13 to 63). The study included 25 females (63%). The findings confirmed that the occlusion after initial surgical healing (T
Conclusions: Most PMD subjects achieved and maintained a corrected occlusion in the long-term. In the untreated subjects, a "facial type" was identified. Orthognathic surgery proved effective in correcting the associated facial dysmorphology in most patients.
MeSH term(s) Adolescent ; Adult ; Dentofacial Deformities/surgery ; Esthetics, Dental ; Female ; Genioplasty ; Humans ; Male ; Malocclusion/surgery ; Mandible/abnormalities ; Middle Aged ; Nasal Obstruction/surgery ; Orthognathic Surgical Procedures ; Photography ; Retrospective Studies ; Treatment Outcome
Language English
Publishing date 2018-06-12
Publishing country United States
Document type Journal Article
ZDB-ID 392404-x
ISSN 1531-5053 ; 0278-2391
ISSN (online) 1531-5053
ISSN 0278-2391
DOI 10.1016/j.joms.2018.06.009
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