Geometrically Investigating the Effect of Maxillary Posterior Impaction on Mandible Autorotation in Patients with Anterior Openbite Using Proplan CMF Software on Available CT Scans
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Abstract
Introduction: Posterior impaction of the maxilla leads to spontaneous rotation of the mandible and these rotations are often accompanied by soft tissue and skeletal changes. The present research aims to determine the effects of posterior impaction of the maxilla on mandible’s Autorotation in patients with anterior open bite.Materials and Methods: Using a 3D reconstructed model of 25 patients with anterior open bites, this descriptive study is conducted. The construction model of the posterior segment of the mandible design was subjected to 2, 3, 5, and 7mm posterior impaction of the maxilla around the ANS axis without any mandibular intervention, using the available CT scan and ProPlan CMF software. Following this, the autorotation and anterior open bite correction were assessed. A basic linear regression test was used to examine the effects of various variables on the anterior open bite closure at various impaction rates. Results: The rise, in impact rate led to an increase in the byte closure rate. With 2, 3, 5 and 7mm posterior impaction of the maxilla, the bite closure was not significantly affected by maxilla length, mandible length, U1-SN angle, ANS-PNS angle with the maxillary occlusal plane, or mandibular incisor angle with the mandibular plane. Nevertheless, during the 5mm posterior maxillary impaction procedure, there was a 0.2mm increase in the open bite closure for every 1 degree increase in IMPA; this number is statistically significant. (p<0.001). Conclusion: The amount of bite closure increased along with the posterior impaction of the maxilla. All other variables did not significantly affect bite closure rate, with the exception of the IMPA variable in 5mm impactions. Keywords: Maxillary posterior impaction; Mandible autorotation; Anterior open bite; ProPlan CMF software.
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2. Greenlee GM, Huang GJ, Chen SS-H, Chen J, Koepsell T, Hujoel P. Stability of treatment for anterior open-bite malocclusion: a meta-analysis. American journal of orthodontics and dentofacial orthopedics. 2011;139(2):154-69.
3. Sherwood K. Correction of skeletal open bite with implant anchored molar/bicuspid intrusion. Oral and maxillofacial surgery clinics of North America. 2007;19(3):339-50.
4. Deguchi T, Kurosaka H, Oikawa H, Kuroda S, Takahashi I, Yamashiro T, et al. Comparison of orthodontic treatment outcomes in adults with skeletal open bite between conventional edgewise treatment and implant-anchored orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics. 2011;139(4):S60-S8.
5. Burford D, Noar JH. The causes, diagnosis and treatment of anterior open bite. Dental update. 2003;30(5):235-41.
6. Bisase B, Johnson P, Stacey M. Closure of the anterior open bite using mandibular sagittal split osteotomy. British Journal of Oral and Maxillofacial Surgery. 2010;48(5):352-5.
7. Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. The angle orthodontist. 1987;57(4):290-321.
8. Mizrahi E. A review of anterior open bite. British journal of orthodontics. 1978;5(1):21-7.
9. Sandler PJ, Madahar AK, Murra A. Anterior open bite: aetiology and management. Dental update. 2011;38(8):522-32.
10. Schendel SA, Eisenfeld J, Bell WH, Epker BN, Mishelevich DJ. The long face syndrome: vertical maxillary excess. American journal of orthodontics. 1976;70(4):398-408.
11. Schendel SA, Eisenfeld JH, Bell WH, Epker BN. Superior repositioning of the maxilla: stability and soft tissue osseous relations. American journal of orthodontics. 1976;70(6):663-74.
12. Steinhäuser S, Richter U, Richter F, Bill J, Rudzki-Janson I. Profile changes following maxillary impaction and autorotation of the mandible. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2008;69(1):31-41.
13. Sperry TP, Steinberg MJ, Gans BJ. Mandibular movement during autorotation as a result of maxillary impaction surgery. American journal of orthodontics. 1982;81(2):116-23.
14. Sasaki R, Rasse M. Mandibular reconstruction using ProPlan CMF: a review. Craniomaxillofacial Trauma & Reconstruction Open. 2017;1(1):s-0037-1606835.
15. Nadjmi N, Mommaerts MY, Abeloos JV, De Clercq CA. Prediction of mandibular autorotation. Journal of oral and maxillofacial surgery. 1998;56(11):1241-7.
16. Hosseinzadeh Nik T, Emdadian Razavi ES, Modarresi A. A Retrospective Cephalometric Evaluation on Location of Center of Mandibular Autorotation after Le Fort I Superior Repositioning Osteotomy. Iranian Journal of Orthodontics. 2014;9(1):37-42.
17. Watted N, Wieber M, Reuther J. Treatment of a Class II deformity with skeletal open bite and lateroocclusion. Clinical Orthodontics and Research. 2001;4(1):50-9.
18. Zarrinkelk HM, Throckmorton GS, Ellis III E, Sinn DP. Functional and morphologic alterations secondary to superior repositioning of the maxilla. Journal of oral and maxillofacial surgery. 1995;53(11):1258-67.
19. Hatcher JE. Effects of Surgical Orthodontic Treatment on Natural Head Posture and Position: Texas, UNITED STATES; 1988.
20. Mojdehi M, Buschang PH, English JD, Wolford LM. Postsurgical growth changes in the mandible of adolescents with vertical maxillary excess growth pattern. American Journal of Orthodontics and Dentofacial Orthopedics. 2001;119(2):106-16.
21. Epker BN, Fish LC. Surgical superior repositioning of the maxilla: what to do with the mandible? American Journal of Orthodontics. 1980;78(2):164-91.
22. Wessberg GA, Washburn MC, LaBanc JP, Epker BN. Autorotation of the mandible: Effect of surgical superior repositioning of the maxilla on mandibular resting posture. American journal of orthodontics. 1982;81(6):465-72.
23. Tanne K, Sachdeva R, Sakima T. Mandibular autorotation associated with Le Fort I total maxillary osteotomy. The Journal of Osaka University Dental School. 1987;27:21-30.
24. Peleg O, Mijiritsky E, Manor Y, Inchingolo F, Blinder D, Mortellaro C, et al. Predictability of mandibular autorotation after Le Fort I maxillary impaction in case of vertical maxillary excess. Journal of Craniofacial Surgery. 2019;30(4):1102-4.
25. Nattestad A, Vedtofte P. Mandibular autorotation in orthognathic surgery: a new method of locating the centre of mandibular rotation and determining its consequence in orthognathic surgery. Journal of cranio-maxillofacial surgery. 1992;20(4):163-70.
26. Nattestad A, Vedtofte P, Mosekilde E. The significance of an erroneous recording of the centre of mandibular rotation in orthognathic surgery. Journal of Cranio-Maxillofacial Surgery. 1991;19(6):254-9.
27. Bryan D. An investigation into the accuracy and validity of three points used in the assessment of autorotation in orthognathic surgery. British journal of oral and maxillofacial surgery. 1994;32(6):363-72.
28. Bell WH, Creekmore TD, Alexander R. Surgical correction of the long face syndrome. American journal of orthodontics. 1977;71(1):40-67.
29. Fish LC, Wolford LM, Epker BN. Surgical-orthodontic correction of vertical maxillary excess. American journal of orthodontics. 1978;73(3):241-57.
30. Lee D, Bailey L, Proffit W. Soft tissue changes after superior repositioning of the maxilla with Le Fort I osteotomy: 5-year follow-up. The International journal of adult orthodontics and orthognathic surgery. 1996;11(4):301-11.
31. Knoops P, Borghi A, Breakey R, Ong J, Jeelani N, Bruun R, et al. Three-dimensional soft tissue prediction in orthognathic surgery: a clinical comparison of Dolphin, ProPlan CMF, and probabilistic finite element modelling. International journal of oral and maxillofacial surgery. 2019;48(4):511-8.
32. Reddy SGK, Ibrahim HM, Bhardwaj S, Potdar S, Kumar A, Uppal A, et al. Autorotation of the mandible as sequelae to maxillary intrusion: A systematic review. Journal of Pharmacy and Bioallied Sciences. 2021;13(Suppl 2):S947-S51.
33. Baumrind S, Miller D, Molthen R. The reliability of head film measurements: 3. Tracing superimposition. American journal of orthodontics. 1976;70(6):617-44.
34. Sarver DM, Johnston MW, Matukas VJ. Video imaging for planning and counseling in orthognathic surgery. Journal of oral and maxillofacial surgery. 1988;46(11):939-45.
35. Brammer J, Finn R, WH B, Sinn D, Reisch J, Dana K. Stability after bimaxillary surgery to correct vertical maxillary excess and mandibular deficiency. 1980.
2. Greenlee GM, Huang GJ, Chen SS-H, Chen J, Koepsell T, Hujoel P. Stability of treatment for anterior open-bite malocclusion: a meta-analysis. American journal of orthodontics and dentofacial orthopedics. 2011;139(2):154-69.
3. Sherwood K. Correction of skeletal open bite with implant anchored molar/bicuspid intrusion. Oral and maxillofacial surgery clinics of North America. 2007;19(3):339-50.
4. Deguchi T, Kurosaka H, Oikawa H, Kuroda S, Takahashi I, Yamashiro T, et al. Comparison of orthodontic treatment outcomes in adults with skeletal open bite between conventional edgewise treatment and implant-anchored orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics. 2011;139(4):S60-S8.
5. Burford D, Noar JH. The causes, diagnosis and treatment of anterior open bite. Dental update. 2003;30(5):235-41.
6. Bisase B, Johnson P, Stacey M. Closure of the anterior open bite using mandibular sagittal split osteotomy. British Journal of Oral and Maxillofacial Surgery. 2010;48(5):352-5.
7. Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. The angle orthodontist. 1987;57(4):290-321.
8. Mizrahi E. A review of anterior open bite. British journal of orthodontics. 1978;5(1):21-7.
9. Sandler PJ, Madahar AK, Murra A. Anterior open bite: aetiology and management. Dental update. 2011;38(8):522-32.
10. Schendel SA, Eisenfeld J, Bell WH, Epker BN, Mishelevich DJ. The long face syndrome: vertical maxillary excess. American journal of orthodontics. 1976;70(4):398-408.
11. Schendel SA, Eisenfeld JH, Bell WH, Epker BN. Superior repositioning of the maxilla: stability and soft tissue osseous relations. American journal of orthodontics. 1976;70(6):663-74.
12. Steinhäuser S, Richter U, Richter F, Bill J, Rudzki-Janson I. Profile changes following maxillary impaction and autorotation of the mandible. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2008;69(1):31-41.
13. Sperry TP, Steinberg MJ, Gans BJ. Mandibular movement during autorotation as a result of maxillary impaction surgery. American journal of orthodontics. 1982;81(2):116-23.
14. Sasaki R, Rasse M. Mandibular reconstruction using ProPlan CMF: a review. Craniomaxillofacial Trauma & Reconstruction Open. 2017;1(1):s-0037-1606835.
15. Nadjmi N, Mommaerts MY, Abeloos JV, De Clercq CA. Prediction of mandibular autorotation. Journal of oral and maxillofacial surgery. 1998;56(11):1241-7.
16. Hosseinzadeh Nik T, Emdadian Razavi ES, Modarresi A. A Retrospective Cephalometric Evaluation on Location of Center of Mandibular Autorotation after Le Fort I Superior Repositioning Osteotomy. Iranian Journal of Orthodontics. 2014;9(1):37-42.
17. Watted N, Wieber M, Reuther J. Treatment of a Class II deformity with skeletal open bite and lateroocclusion. Clinical Orthodontics and Research. 2001;4(1):50-9.
18. Zarrinkelk HM, Throckmorton GS, Ellis III E, Sinn DP. Functional and morphologic alterations secondary to superior repositioning of the maxilla. Journal of oral and maxillofacial surgery. 1995;53(11):1258-67.
19. Hatcher JE. Effects of Surgical Orthodontic Treatment on Natural Head Posture and Position: Texas, UNITED STATES; 1988.
20. Mojdehi M, Buschang PH, English JD, Wolford LM. Postsurgical growth changes in the mandible of adolescents with vertical maxillary excess growth pattern. American Journal of Orthodontics and Dentofacial Orthopedics. 2001;119(2):106-16.
21. Epker BN, Fish LC. Surgical superior repositioning of the maxilla: what to do with the mandible? American Journal of Orthodontics. 1980;78(2):164-91.
22. Wessberg GA, Washburn MC, LaBanc JP, Epker BN. Autorotation of the mandible: Effect of surgical superior repositioning of the maxilla on mandibular resting posture. American journal of orthodontics. 1982;81(6):465-72.
23. Tanne K, Sachdeva R, Sakima T. Mandibular autorotation associated with Le Fort I total maxillary osteotomy. The Journal of Osaka University Dental School. 1987;27:21-30.
24. Peleg O, Mijiritsky E, Manor Y, Inchingolo F, Blinder D, Mortellaro C, et al. Predictability of mandibular autorotation after Le Fort I maxillary impaction in case of vertical maxillary excess. Journal of Craniofacial Surgery. 2019;30(4):1102-4.
25. Nattestad A, Vedtofte P. Mandibular autorotation in orthognathic surgery: a new method of locating the centre of mandibular rotation and determining its consequence in orthognathic surgery. Journal of cranio-maxillofacial surgery. 1992;20(4):163-70.
26. Nattestad A, Vedtofte P, Mosekilde E. The significance of an erroneous recording of the centre of mandibular rotation in orthognathic surgery. Journal of Cranio-Maxillofacial Surgery. 1991;19(6):254-9.
27. Bryan D. An investigation into the accuracy and validity of three points used in the assessment of autorotation in orthognathic surgery. British journal of oral and maxillofacial surgery. 1994;32(6):363-72.
28. Bell WH, Creekmore TD, Alexander R. Surgical correction of the long face syndrome. American journal of orthodontics. 1977;71(1):40-67.
29. Fish LC, Wolford LM, Epker BN. Surgical-orthodontic correction of vertical maxillary excess. American journal of orthodontics. 1978;73(3):241-57.
30. Lee D, Bailey L, Proffit W. Soft tissue changes after superior repositioning of the maxilla with Le Fort I osteotomy: 5-year follow-up. The International journal of adult orthodontics and orthognathic surgery. 1996;11(4):301-11.
31. Knoops P, Borghi A, Breakey R, Ong J, Jeelani N, Bruun R, et al. Three-dimensional soft tissue prediction in orthognathic surgery: a clinical comparison of Dolphin, ProPlan CMF, and probabilistic finite element modelling. International journal of oral and maxillofacial surgery. 2019;48(4):511-8.
32. Reddy SGK, Ibrahim HM, Bhardwaj S, Potdar S, Kumar A, Uppal A, et al. Autorotation of the mandible as sequelae to maxillary intrusion: A systematic review. Journal of Pharmacy and Bioallied Sciences. 2021;13(Suppl 2):S947-S51.
33. Baumrind S, Miller D, Molthen R. The reliability of head film measurements: 3. Tracing superimposition. American journal of orthodontics. 1976;70(6):617-44.
34. Sarver DM, Johnston MW, Matukas VJ. Video imaging for planning and counseling in orthognathic surgery. Journal of oral and maxillofacial surgery. 1988;46(11):939-45.
35. Brammer J, Finn R, WH B, Sinn D, Reisch J, Dana K. Stability after bimaxillary surgery to correct vertical maxillary excess and mandibular deficiency. 1980.
| Files | ||
| Issue | Vol 11, No 2 (Spring 2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v11i2.17030 | |
| Keywords | ||
| Maxillary posterior impaction Mandible autorotation Anterior open bite ProPlan CMF software. | ||
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How to Cite
1.
Mahmoudi H, Malek Hosseini N, Mohajeri Tehrani M, Samadi Zadeh S. Geometrically Investigating the Effect of Maxillary Posterior Impaction on Mandible Autorotation in Patients with Anterior Openbite Using Proplan CMF Software on Available CT Scans. J Craniomaxillofac Res. 2024;11(2):119-127.
