[논문]Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics

Eslami, Sara; Faber, Jorge; Fateh, Ali; Sheikholaemmeh, Farnaz; Grassia, Vincenzo; Jamilian, Abdolreza

doi:10.1186/s40510-018-0218-0

Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics 원문보기

Progress in orthodontics, v.19 no.1, 2018년, pp.28 -

Eslami, Sara (Department of Orthodontics, Tehran Dental Branch, Craniomaxillofacial Research Center, Islamic Azad University, No 14, Pesiyan Ave., Vali Asr St., Tehran, 1986944768 Iran) , Faber, Jorge (Department of Orthodontics, Faculty of Health Science, University of Brasilia, Brasilia, Brazil) , Fateh, Ali (Craniomaxillofacial Research Center, Tehran Dental Branch, Islamic Azad University, Tehran, Iran) , Sheikholaemmeh, Farnaz (Department of Orthodontics, Tehran Dental Branch, Craniomaxillofacial Research Center, Islamic Azad University, No 14, Pesiyan Ave., Vali Asr St., Tehran, 1986944768 Iran) , Grassia, Vincenzo (Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania ‘Luigi Vanvitelli’, Naples, Italy) , Jamilian, Abdolreza (Department of Orthodontics, Tehran Dental Branch, Craniomaxillofacial Research Center, Islamic Azad University, No 14, Pesiyan Ave., Vali Asr St., Tehran, 1986944768 Iran)

Abstract ▼ AI-Helper

BackgroundOne of the most controversial issues in treatment planning of class III malocclusion patients is the choice between orthodontic camouflage and orthognathic surgery. Our aim was to delineate diagnostic measures in borderline class III cases for choosing proper treatment.MethodsThe pretreatment lateral cephalograms of 65 patients exhibiting moderate skeletal class III were analyzed. The camouflage group comprised of 36 patients with the mean age of 23.5 (SD 4.8), and the surgery group comprised of 29 patients with the mean age of 24.8 years (SD 3.1). The camouflage treatment consisted of flaring of the upper incisors and retraction of the lower incisors, and the surgical group was corrected by setback of the mandible, maxillary advancement, or bimaxillary surgery. Mann-Whitney U test was used to compare the variables between the two groups. Stepwise discriminant analysis was applied to identify the dentoskeletal variables that best separate the groups.ResultsHoldaway H angle and Wits appraisal were able to differentiate between the patients suitable for orthodontic camouflage or surgical treatment. Cases with a Holdaway angle greater than 10.3° and Wits appraisal greater than − 5.8 mm would be treated successfully by camouflage, while those with a Holdaway angle of less than 10.3° and with Wits appraisal less than − 5.8 mm can be treated surgically. Based on this model, 81.5% of our patients were properly classified.ConclusionsHoldaway H angle and Wits appraisal can be used as a critical diagnostic parameter for determining the treatment modality in class III borderline cases.

주제어

참고문헌 (22)

1. Perillo L Vitale M Masucci C D'Apuzzo F Cozza P Franchi L Comparisons of two protocols for the early treatment of class III dentoskeletal disharmony Eur J Orthod 2016 38 1 51 6 10.1093/ejo/cjv010 25770942

상세보기
2. Jamilian A Cannavale R Piancino MG Eslami S Perillo L Methodological quality and outcome of systematic reviews reporting on orthopaedic treatment for class III malocclusion: overview of systematic reviews J Orthod 2016 43 102 120 10.1080/14653125.2016.1155334 27086590

상세보기
3. Showkatbakhsh R Jamilian A Ghassemi M Ghassemi A Taban T Imani Z The effects of facemask and reverse chin cup on maxillary deficient patients J Orthod 2012 39 95 101 10.1179/1465312512Z.00000000011 22773672

상세보기
4. Ngan P Wilmes B Drescher D Martin C Weaver B Gunel E Comparison of two maxillary protraction protocols: tooth-borne versus bone-anchored protraction facemask treatment Prog Orthod 2015 16 26 10.1186/s40510-015-0096-7 26303311

상세보기
5. Perillo L Femminella B Farronato D Baccetti T Contardo L Perinetti G Do malocclusion and Helkimo Index >/= 5 correlate with body posture? J Oral Rehabil 2011 38 242 252 10.1111/j.1365-2842.2010.02156.x 21070327

상세보기
6. Showkatbakhsh R Jamilian A Taban T Golrokh M The effects of face mask and tongue appliance on maxillary deficiency in growing patients: a randomized clinical trial Prog Orthod 2012 13 266 272 10.1016/j.pio.2011.12.004 23260537

상세보기
7. Jamilian A Haraji A Showkatbakhsh R Valaee N The effects of miniscrew with class III traction in growing patients with maxillary deficiency Int J Orthod 2011 22 25 30

상세보기
8. Perillo L Vitale M Masucci C D'Apuzzo F Cozza P Franchi L Comparisons of two protocols for the early treatment of class III dentoskeletal disharmony Eur J Orthod 2016 38 51 56 10.1093/ejo/cjv010 25770942

상세보기
9. Maspero C Galbiati G Perillo L Favero L Giannini L Orthopaedic treatment efficiency in skeletal class III malocclusions in young patients: RME-face mask versus TSME Eur J Paediatr Dent 2012 13 225 230 22971261

상세보기
10. Perillo L Castaldo MI Cannavale R Longobardi A Grassia V Rullo R Evaluation of long-term effects in patients treated with Frankel-2 appliance Eur J Paediatr Dent 2011 12 261 266 22185253

상세보기
11. Perillo L Monsurro A Bonci E Torella A Mutarelli M Nigro V Genetic association of ARHGAP21 gene variant with mandibular prognathism J Dent Res 2015 94 569 576 10.1177/0022034515572190 25691070

상세보기
12. Kerr WJ Miller S Dawber JE Class III malocclusion: surgery or orthodontics? Br J Orthod 1992 19 21 24 10.1179/bjo.19.1.21 1562575

상세보기
13. Stellzig-Eisenhauer A Lux CJ Schuster G Treatment decision in adult patients with class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofac Orthop 2002 122 27 37 10.1067/mod.2002.123632

상세보기
14. Rabie AB Wong RW Min GU Treatment in borderline class III malocclusion: orthodontic camouflage (extraction) versus orthognathic surgery Open Dent J 2008 2 38 48 10.2174/1874210600802010038 19088881

상세보기
15. Benyahia H Azaroual MF Garcia C Hamou E Abouqal R Zaoui F Treatment of skeletal class III malocclusions: orthognathic surgery or orthodontic camouflage? How to decide Int Orthod 2011 9 196 209 21511553

상세보기
16. Faul F Erdfelder E Lang AG Buchner A G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences Behav Res Methods 2007 39 175 191 10.3758/BF03193146 17695343

상세보기
17. Schabel BJ McNamara JA Jr Franchi L Baccetti T Q-sort assessment vs visual analog scale in the evaluation of smile esthetics Am J Orthod Dentofacial Orthop 2009 135 S61 S71 10.1016/j.ajodo.2007.08.019 19362268

상세보기
18. O'Neill K Harkness M Knight R Ratings of profile attractiveness after functional appliance treatment Am J Orthod Dentofacial Orthop 2000 118 371 376 10.1067/mod.2000.109492 11029730

상세보기
19. Cassidy DW Jr Herbosa EG Rotskoff KS Johnston LE Jr A comparison of surgery and orthodontics in “borderline” adults with class II, division 1 malocclusions Am J Orthod Dentofacial Orthop 1993 104 455 470 10.1016/0889-5406(93)70072-V 8237898

상세보기
20. Holdaway RA A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I Am J Orthod 1983 84 1 28 10.1016/0002-9416(83)90144-6 6575614

상세보기
21. Ghiz MA Ngan P Gunel E Cephalometric variables to predict future success of early orthopedic class III treatment Am J Orthod Dentofacial Orthop 2005 127 301 306 10.1016/j.ajodo.2004.02.014 15775944

상세보기
22. Martinez P Bellot-Arcis C Llamas JM Cibrian R Gandia JL Paredes-Gallardo V Orthodontic camouflage versus orthognathic surgery for class III deformity: comparative cephalometric analysis Int J Oral Maxillofac Surg 2017 46 490 495 10.1016/j.ijom.2016.12.001 28034574

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (22)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트