Relapse in class II orthognathic surgery - a systematic review - Publikationsserver der Universität Regensburg

Es ist eine neuere Version dieses Eintrags verfügbar.

Dokumentenart:	Artikel
Open Access Art:	DEAL (Springer Gold)
Titel eines Journals oder einer Zeitschrift:	BMC Oral Health
Verlag:	Springer
Band:	22
Datum:	15 Dezember 2022
Institutionen:	Medizin > Lehrstuhl für Kieferorthopädie Medizin > Lehrstuhl für Zahnerhaltung und Parodontologie > Dr. rer. nat. Karl-Anton Hiller Zentrale Einrichtungen > Universitätsbibliothek
Stichwörter / Keywords:	Orthognathic surgery, Stability, Class II, Systematic review
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Ja
Dokumenten-ID:	53305

Zusammenfassung

Objectives Relapse after orthognathic surgery seems to depend on diverse factors. Proffit et al. postulated in 2007 a “hierarchy of stability” (Head Face Med 6:66, 2007), ranking posttreatment stability after various orthognathic procedures, but no systematically reviewed evidence was provided. Therefore, the aim of this review was to investigate the extent of class II relapse in orthognathic ...

Zusammenfassung

Objectives
Relapse after orthognathic surgery seems to depend on diverse factors. Proffit et al. postulated in 2007 a “hierarchy of stability” (Head Face Med 6:66, 2007), ranking posttreatment stability after various orthognathic procedures, but no systematically reviewed evidence was provided. Therefore, the aim of this review was to investigate the extent of class II relapse in orthognathic surgery of Angle class II patients depending on the surgical procedure used.
Materials and methods
Seven databases were searched for randomized and controlled clinical trials to compare relapse in surgical procedures for Angle class II patients. After duplicate study selection, data extraction and risk of bias assessment were performed with the ROBINS-I tool as well as data synthesis by frequency distribution, followed by assessment of the quality of evidence with GRADE.
Results
Four non-randomized cohort-studies with a total of 132 patients were included. Bimaxillary procedures as well mandibular advancement procedures proved to be highly stable. Single jaw interventions at the maxilla achieved mostly stable results at sagittal dimension and problematic stability in the vertical dimension. However, there were only limited data available with low quality of evidence.
Conclusions
Limited existing evidence of low quality partly support the postulated hierarchy of stability of Proffit et al. (Head Face Med 6:66, 2007) and indicates that a surgical correction of class II dysgnathia with bimaxillary procedures and mandibular advancement seems to be highly stable. However, additional studies are needed to address the relation between relapse and surgical orthognathic intervention.

Relapse in class II orthognathic surgery - a systematic review

Details

Verfügbare Versionen dieses Eintrags

Vorschau

Bibliographische Daten exportieren

Zusammenfassung

Zusammenfassung

Downloadstatistik

Downloads

Weitere Literatur (mittels CORE)

Universitätsbibliothek