The Skeletal Stabi
The Skeletal Stability of Maxillary Advancement in
Combination with Bilateral Sagittal Split Ramus Osteotomy
Mohamed Diaa
Z. Ismail
Associate
Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams
University
Corresponding
author: [email protected]
Abstract: The aim of the current
study is to assess the efficiency of poly-L- lactic acid (PLLA) plating system
for LeFort I maxillary advancement stability in combination with bilateral
sagittal split ramus osteotomy (BSSRO). The current study was conducted on 16
patients with age range 20-33 years old with skeletal class III. After
preoperative workup, all patients were submitted for Le Fort I maxillary
advancement and mandibular setback by BSSRO. The patients were divided into 2
equal groups. Titanium miniplates and monocortical screws were utilized for fixation
in group I while, PLLA plating system was used for group II. Statistical
significant differences were identified between the two groups in S-ANS
perpendicular to SN, S-PNS perpendicular to SN, S-PNS parallel to SN and S-A
point parallel to SN. Moreover, no statistical significant differences were
identified in S-ANS parallel to SN and S- A point parallel to SN. In
conclusion, these results suggested a slight tendency for vertical impaction
after Le fort I osteotomy in group II, although difference in time course
changes were not clinically apparent and normal occlusion was established in
all patient.
[Mohamed
Diaa Z. Ismail. The Skeletal Stability of Maxillary Advancement in
Combination with Bilateral Sagittal Split Ramus Osteotomy. J Am Sci 2012;8(10):675-679].
(ISSN: 1545-1003).http://www.jofamericanscience.org. 91
Key
words: plating system, bilateral
sagittal split ramus osteotomy, LeFort I osteotomy Full Text 91