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Radiographic assessment of the condylar position after Le Fort I osteotomy in patients with asymptomatic temporomandibular joints: a prospective study.
Cortez, Andre Luis Vieira; Passeri, Luis Augusto.
Afiliação
  • Cortez AL; Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil.
J Oral Maxillofac Surg ; 65(2): 237-41, 2007 Feb.
Article em En | MEDLINE | ID: mdl-17236927
PURPOSE: A prospective radiographic study analyzed condylar position in patients who had undergone orthodontic treatment and isolated maxillary advancement after Le Fort I osteotomy. PATIENTS AND METHODS: Eleven patients were selected and radiographic images were taken in the immediate preoperative, immediate postoperative (1-2 weeks), and late postoperative periods (minimum of 6 months). Tracings were done on acetate paper for the submento-vertex radiograph, to measure the axial angulation of the condyles, and for the tomographic images of both sides, in the maximal intercuspation, rest position, and maximal opening, for the 3 periods. Linear measurements were taken for the tomograms over the posterior, superior, and anterior articular spaces. These images with the tracings were digitized and measured by means of computer software (UTHSCSA Image Tool 3.0; University of Texas Health Science Center at San Antonio, San Antonio, TX), after it had been adequately calibrated. RESULTS: The analysis of variance (ANOVA; 5% of significance) demonstrated 1) that there was no statistically significant difference for the linear measurements of the articular spaces in any of the periods, and 2) also not for the angular measure of the condyles (P > .05). In the maximal opening, there was a significant difference for the immediate postoperative period for both sides (P = .003). CONCLUSION: Le Fort I osteotomy for maxillary advancement did not cause any significant changes in this specific group of patients evaluated.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação Temporomandibular / Osteotomia de Le Fort / Má Oclusão Classe III de Angle / Côndilo Mandibular / Maxila Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Oral Maxillofac Surg Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação Temporomandibular / Osteotomia de Le Fort / Má Oclusão Classe III de Angle / Côndilo Mandibular / Maxila Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Oral Maxillofac Surg Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos