A Comparative Study of Stability After Mandibular Advancement Surgery

The postsurgical stability of two groups of patients treated with different fixation techniques after mandibular advancement was evaluated retrospectively. Sixteen patients (group 1) underwent rigid osseous fixation, and another group of 16 patients (group 2) underwent intraosseous wiring fixation. Our findings suggested that skeletal and dental changes occurred in both groups as a result of adaptation to the altered functional equilibrium. Relapse resulting in a percentage loss of the initial advancement occurred primarily 6 to 8 weeks postsurgically. No statistically significant difference was found to exist in the short-term and long-term rates between the two groups. For the population studied, relative stability after mandibular advancement surgery was affected more by individual variability than by the fixation technique.