scholarly journals Silent Changes in Sleep Quality Following Mandibular Setback Surgery in Patients with Skeletal Class III Malocclusion: A Prospective Study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Sung Woon On ◽  
Hyun Jun Kim ◽  
Dong Hyeon Cho ◽  
Yeo Rae Moon ◽  
Seung Il Song
2019 ◽  
Vol 18 (2) ◽  
pp. 216-221
Author(s):  
Fahimeh Farzanegan ◽  
Farzin Hearvi ◽  
Mandana Karrari ◽  
Hooman Shafaee ◽  
Touraj Vaezi ◽  
...  

Objectives: The aim of this study was to evaluate the changes in smile morphometric indices following maxillary advancement and mandibular setback surgery in patients with skeletal class III malocclusion. Materials and Methods: Smile morphometric indices were measured on frontal rest and smile photographs of 15 female patients with skeletal Class III malocclusions before and three months after maxillary advancement and mandibular setback surgery. Pre- and post-surgery measurements were compared. Results: The amount of left and right commissural height, philtrum height, and maximum upper incisor show at rest did not change significantly three months after surgery (p>0.05). The amount of maximum upper and lower incisor show, interlabial gap, smile width and index, buccal corridor ratio, gingival display, and smile arc on the frontal smile photographs didn’t showstatistically significant difference before and after surgery (P>0.05). Conclusion: Orthognathic surgery in patients with skeletal Class III malocclusion had no significant effect on rest and smile parameters from the frontal view. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.216-221


2020 ◽  
Vol 54 (2) ◽  
pp. 150-156
Author(s):  
Sanjeev Verma

VG, 25-year-old male, presented with c/c of forwardly placed lower jaw and history of unsatisfactory previous orthodontic treatment. Extraorally, the patient had asymmetrical face and concave profile, competent lips, positive lip step, and chin deviated toward left side by 2 mm. Intraorally, the patient had Angle’s class III type 3 malocclusion with an overjet of (–1) mm, overbite of 0%, and cross-bite wrt 12, 21. The patient was skeletal class III due to macrognathic and prognathic mandible with hypodivergent growth pattern, and proclined upper and retroclined lower incisors. The patient was managed orthosurgically with bimaxillary surgery (maxillary advancement 3 mm + mandibular setback 7 mm) after presurgical decompensation. The case report discusses in detail the diagnosis and comprehensive management of the skeletal class III case.


2021 ◽  
Vol 9 (F) ◽  
pp. 644-649
Author(s):  
Dareen Aljehani

AIM: This study aimed to review the scientific evidence related to the effect of mandibular setback surgery for the correction of Class III malocclusion on the changes in volume and anatomical structures’ positions of the upper airway within at least 1 year follow-up. METHODS: An electronic research was conducted on PubMed, Google scholar, and Elsevier up to April 20, 2021, the inclusion criteria were prospective or retrospective studies aiming to compare the changes in upper airway space following isolated mandibular setback through at least 1 year of follow-up. RESULTS: A total of 84 studies were retrieved, only 12 studies met the eligibility criteria. Their methods of measurement were using lateral cephalometry, CT, or Cone-beam computed tomography. Most of them showed narrowing in the Pharyngeal airway space, with some variability within the follow-up periods. Impact on the possibility of obstructive sleep apnea (OSA) was discussed in most of the included studies. CONCLUSION: Narrowing of upper airway volume is associated with isolated mandibular setback surgeries within 1 year of follow-up. However, OSA was not necessarily a consequence. Any predisposing factors for OSA should be considered before isolated mandibular setback surgery.


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