Trends in surgical-orthodontic management of Class III malocclusions in Western Australia

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Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine

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ISSN: 2207-7472
eISSN: 2207-7480

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VOLUME 36 , ISSUE 1 (May 2020) > List of articles

Trends in surgical-orthodontic management of Class III malocclusions in Western Australia

Webson Sibanda * / Mithran Goonewardene * / Christophe Duigou * / Steven Naoum *

Citation Information : Australasian Orthodontic Journal. Volume 36, Issue 1, Pages 62-68, DOI: https://doi.org/10.21307/aoj-2020-008

License : (CC BY 4.0)

Published Online: 20-July-2021

ARTICLE

ABSTRACT

Aim: The aim of this retrospective cohort study was to identify trends in the surgical-orthodontic management of skeletal Class III malocclusions in Western Australia between 1985 and 2016.

Methods: The records of 225 patients (132 females, 93 males) who received combined surgical-orthodontic correction of their Class III malocclusion between 1985 and 2016 were retrospectively assessed. The subjects were divided into three groups according to surgery type: Group (1) maxillary advancement only; Group (2) mandibular setback only; Group (3) two-jaw surgery.

Results: A trend towards two-jaw surgery for Class III correction was observed. Between 1985 and 2016, 123 patients (55%) were treated via two-jaw surgery; 97 patients (43%) were treated via maxillary advancement alone and five patients (2%) were treated via mandibular setback alone. Between 2011 and 2016, 61% were treated via two-jaw surgery; 37% were treated via maxillary advancement surgery; 2% were treated via mandibular setback surgery. Gender affected surgery type: two-jaw surgery (60% female); maxillary advancement (62% female); mandibular setback (17% female). A greater proportion of females received Class III surgical management in comparison with males (59:41).

Conclusion: Two-jaw surgery is the most common procedure for the surgical correction of skeletal Class III malocclusions in Western Australia. Of the single jaw procedures, isolated maxillary advancement surgery is more common than mandibular setback procedures.

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1. Mucedero M, Coviello A, Baccetti T, Franchi L, Cozza P. Stability factors after double-jaw surgery in Class III malocclusion: a systematic review. Angle Orthod 2008;78:1141-52.

2. Ngan P, Hu AM, Fields HW Jr. Treatment of Class III problems begins with differential diagnosis of anterior crossbites. Pediatr Dent 1997;19:386-95.

3. Stojanović LS, Mileusnić I, Mileusnić B, Čutović T. Orthodonticsurgical treatment of the skeletal class III malocclusion: a case report. Vojnosanit Pregl 2013;70:215-20.

4. Oltramari-Navarro PVP, de Almeida RR, Conti AC, Navarro Rde L, de Almeida MR, Fernandes LS. Early treatment protocol for skeletal Class III malocclusion. Braz Dent J 2013;24:167-73.

5. Proffit WR, Phillips C, Prewitt JW, Turvey TA. Stability after surgical-orthodontic correction of skeletal Class III malocclusion. 2. Maxillary advancement. Int J Adult Orthodon Orthognath Surg 1991;6:71-80.

6. Bailey L, Proffit WR, White RP Jr. Trends in surgical treatment of Class III skeletal relationships. Int J Adult Orthodon Orthognath Surg 1995;10:108-18.

7. Proffit W, Phillips C, Dann C 4th. Who seeks surgical-orthodontic treatment? Int J Adult Orthodon Orthognath Surg 1990;5:153-60.

8. Ngan P, Moon W. Evolution of Class III treatment in orthodontics. Am J Orthod Dentofacial Orthop 2015;148:22-36.

9. Proffit WR, White RP Jr. Combined surgical-orthodontic treatment: how did it evolve and what are the best practices now? Am J Orthod Dentofacial Orthop 2015;147:S205-15.

10. Cho HJ. Long-term stability of surgical mandibular setback. Angle Orthod 2007;77:851-6.

11. Monson LA. Seminars in plastic surgery: Thieme Medical Publishers;145-8.

12. Proffit WR, Phillips C, Turvey TA. Stability after mandibular setback: mandible-only versus 2-jaw surgery. J Oral Maxillofac Surg 2012;70:e408-14.

13. Park KH, Sandor GK, Kim YD. Skeletal stability of surgery-first bimaxillary orthognathic surgery for skeletal class III malocclusion, using standardized criteria. Int J Oral Maxillofac Surg 2016;45:35- 40.

14. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med 2007;3:21.

15. Fattahi T. Aesthetic surgery to augment orthognathic surgery. Oral Maxillofac Surg Clin North Am 2007;19:435-47.

16. Tan SK, Leung WK, Tang ATH, Zwahlen RA. Effects of mandibular setback with or without maxillary advancement osteotomies on pharyngeal airways: An overview of systematic reviews. PloS one 2017;12:e0185951.

17. Dantas JF, Neto JN, de Carvalho SH, Martins IM, de Souza RF, Sarmento VA. Satisfaction of skeletal class III patients treated with different types of orthognathic surgery. Int J Oral Maxillofac Surg 2015;44:195-202.

18. Lee CH, Park HH, Seo BM, Lee SJ. Modern trends in Class III orthognathic treatment: A time series analysis. Angle Orthod 2017;87:269-78.

19. Bell RB. Computer planning and intraoperative navigation in cranio-maxillofacial surgery. Oral Maxillofac Surg Clin North Am 2010;22:135-56.

20. Jakobsone G, Stenvik A, Sandvik L, Espeland L. Three-year followup of bimaxillary surgery to correct skeletal Class III malocclusion: stability and risk factors for relapse. Am J Orthod Dentofacial Orthop 2011;139:80-9.

21. Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop 2002;122:27-37.

22. Proffit W, Phillips C, Turvey TA. Stability after surgical-orthodontic corrective of skeletal Class III malocclusion. 3. Combined maxillary and mandibular procedures. Int J Adult Orthodon Orthognath Surg 1991;6:211-25.

23. Altug-Atac AT, Bolatoglu H, Memikoglu UT. Facial soft tissue profile following bimaxillary orthognathic surgery. Angle Orthod 2008;78:50-7.

24. Bailey LJ, Haltiwanger LH, Blakey GH, Proffit WR. Who seeks surgical-orthodontic treatment: a current review? Int J Adult Orthodon Orthognath Surg 2001;16:280-92.

25. Peacock ZS, Lee CC, Klein KP, Kaban LB. Orthognathic surgery in patients over 40 years of age: indications and special considerations. J Oral Maxillofac Surg 2014;72:1995-2004.

26. Chew MT. Spectrum and management of dentofacial deformities in a multiethnic Asian population. Angle Orthod 2006;76:806-9.

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