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Cephalometric evaluation of surgical mandibular advancement
Boeck, Eloísa Marcantônio; Kuramae, Mayury; Lunardi, Nádia; Santos-Pinto, Ary dos; Mazzonetto, Renato.
Afiliação
  • Boeck, Eloísa Marcantônio; Araras University. Hermínio Ometto University Center. Department of Orthodontics. Araras. BR
  • Kuramae, Mayury; Araras University. Hermínio Ometto University Center. Department of Orthodontics. Araras. BR
  • Lunardi, Nádia; Araras University. Hermínio Ometto University Center. Department of Orthodontics. Araras. BR
  • Santos-Pinto, Ary dos; Universidade Estadual Paulista. Faculdade de Odontologia de Araraquara. Department of Orthodontics. Araraquara. BR
  • Mazzonetto, Renato; University of Campinas. Piracicaba Dental School. Department of Surgery. Piracicaba. BR
Braz. oral res ; 24(2): 189-196, Apr.-June 2010. tab, ilus
Article em En | LILACS | ID: lil-553906
Biblioteca responsável: BR1.1
ABSTRACT
The treatment of Class II adult individuals with mandibular deficiency has been the combination of orthodontic treatment and orthognathic surgery. Therefore, a study was conducted in which cephalometric analysis was used to evaluate the influence of dentoalveolar decompensation in Class II patients submitted to orthodontic and surgical treatment for mandibular advancement, by bilateral osteotomy of the mandibular ramus. A sample of 15 leukoderma adult female patients were selected and three cephalometric radiographs of each patient, taken before the orthodontic treatment, before surgery and after at least 6 months postoperatively, were analyzed in a total of 45 roentgenograms. The tracings were made by the manual method and the points were digitalized using software. The results showed that values of SNB increased from 75.6 to 78.6°. The measures BNP and PGNP were reduced from -12.7 to -7.7 mm and -12.7 to -6.6 mm, respectively. For ANB there was a reduction of 3.23° (from 8.1° to 4.9°). Likewise, the values of AOBO were diminished by 6.3 mm (from 7.6 to 1.3 mm), and in the values of OJ there was a reduction of 5.7 mm (from 9 to 3.3 mm). It was concluded that the pre-surgical orthodontic treatment promoted minimal and variable dental and skeletal changes in the final result. The surgical treatment caused significant skeletal changes, especially in the measurements related to the mandible (SNB, BNP, PGNP and SNPM) or indirectly to it (ANB, AOBO and OJ).
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Retrognatismo / Cefalometria / Avanço Mandibular / Má Oclusão Classe II de Angle / Mandíbula Tipo de estudo: Guideline / Prognostic_studies Limite: Adult / Female / Humans Idioma: En Revista: Braz. oral res Assunto da revista: ODONTOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Retrognatismo / Cefalometria / Avanço Mandibular / Má Oclusão Classe II de Angle / Mandíbula Tipo de estudo: Guideline / Prognostic_studies Limite: Adult / Female / Humans Idioma: En Revista: Braz. oral res Assunto da revista: ODONTOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil