Soft Tissue Outcome After Mandibular Advancement--an Anthropometric Evaluation of 171 Consecutive Patients

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2012 Aug 16

PMID 22893037

Citations 4

Authors

Gregor F Raschke

Ulrich M Rieger

Rolf-Dieter Bader

Arndt Guentsch

Oliver Schaefer

Stefan Schultze-Mosgau

Affiliations

Soon will be listed here.

Abstract

Objectives: There is an ongoing discussion in the literature about preoperative planning and postoperative evaluation of orthognathic surgery and its impact on facial appearance and aesthetics.

Materials And Methods: We present an anthropometric and cephalometric evaluation of orthognathic surgery results based on reference anthropometric data. In 171 Class II patients, mandibular advancement by bilateral sagittal split osteotomy was performed. Preoperative as well as 3 and 9 months postoperative standardized frontal view and profile photographs and lateral cephalograms were evaluated in a standardized manner by use of 21 anthropometric indices. In cephalograms, SNA and SNB angle as well as Wits appraisal were investigated. Results of anthropometric and cephalometric measurements were correlated.

Results: Lower vermilion contour, vermilion and cutaneous total lower lip height, nose-lower face height, nose-face height, upper face-face height, upper lip- and chin-mandible height index showed significant pre- to postoperative changes as well as SNB angle and Wits appraisal. Furthermore, medial-lateral cutaneous upper lip height, vermilion and cutaneous total lower lip height and philtrum-mouth width index presented significant correlations to cephalometric measurements.

Conclusions: The investigated anthropometric indices and cephalometric measurements presented reproducible results related to surgery. The correlation of cephalometric to anthropometric measurements has been proven useful for preoperative planning and postoperative evaluation of orthognathic surgery patients.

Clinical Relevance: The presented anthropometric measurements and their observed correlation to cephalometric measurements could lead to a better prediction and optimized planning of the soft tissue result in orthognathic surgery patients and thereby improve the aesthetic outcome.

Citing Articles

Wearing complete dental prostheses - Effects on perioral morphology.

Raschke G, Eberl P, Thompson G, Guntsch A, Peisker A, Schultze-Mosgau S Med Oral Patol Oral Cir Bucal. 2016; 21(4):e413-9.

PMID: 27031069 PMC: 4920453. DOI: 10.4317/medoral.21102.

Morphologic outcome of bimaxillary surgery--an anthropometric appraisal.

Raschke G, Rieger U, Peisker A, Djedovic G, Gomez-Dammeier M, Guentsch A Med Oral Patol Oral Cir Bucal. 2014; 20(1):e103-10.

PMID: 25475769 PMC: 4320412. DOI: 10.4317/medoral.19978.

Cheek rotation flap reconstruction--an anthropometric appraisal of surgical outcomes.

Raschke G, Rieger U, Bader R, Guentsch A, Schaefer O, Elstner S Clin Oral Investig. 2013; 18(4):1251-1257.

PMID: 23921852 DOI: 10.1007/s00784-013-1075-3.

A better statistical method of predicting postsurgery soft tissue response in Class II patients.

Lee H, Suh H, Lee Y, Lee S, Donatelli R, Dolce C Angle Orthod. 2013; 84(2):322-8.

PMID: 23914820 PMC: 8673813. DOI: 10.2319/050313-338.1.

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