Relapse after rigid fixation of mandibular advancement

J. E. Van Sickels, Ann Larsen, W. J. Thrash

Research output: Contribution to journalArticle

115 Citations (Scopus)

Abstract

In 19 subjects rigid fixation of bilateral sagittal split osteotomies was used for mandibular advancement. Five angles and four linear measurements were determined cephalometrically for two time intervals: before surgery to immediately after surgery (T1-T2), and immediately after surgery to six months to one year after surgery (T2-TL). A multiple regression analysis with a backward stepping procedure was used to determine relationships between relapse, as defined by the position of pogonion at T2-TL (PgT2) and B point during this same time interval (BT2). The only significant predictor of PgT2 was PgT1 (P < 0.001) (amount of advancement of pogonion during the time interval T1-T2). When BT2 was examined, both the change in position of B point at T1-T2 (P < 0.001) and the change in anterior facial height at T1-T2 (P < 0.02) were significant predictors of relapse. There were no other predictors of relapse. Advancements of 6 to 7 mm or greater as measured at B or Pg deserve special attention as they were more prdedisposed to relapse. Methods for preventing relapse are discussed.

Original languageEnglish (US)
Pages (from-to)698-702
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Volume44
Issue number9
StatePublished - 1986

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Mandibular Advancement
Recurrence
Osteotomy
Regression Analysis

ASJC Scopus subject areas

  • Surgery
  • Dentistry(all)

Cite this

Van Sickels, J. E., Larsen, A., & Thrash, W. J. (1986). Relapse after rigid fixation of mandibular advancement. Journal of Oral and Maxillofacial Surgery, 44(9), 698-702.

Relapse after rigid fixation of mandibular advancement. / Van Sickels, J. E.; Larsen, Ann; Thrash, W. J.

In: Journal of Oral and Maxillofacial Surgery, Vol. 44, No. 9, 1986, p. 698-702.

Research output: Contribution to journalArticle

Van Sickels, JE, Larsen, A & Thrash, WJ 1986, 'Relapse after rigid fixation of mandibular advancement', Journal of Oral and Maxillofacial Surgery, vol. 44, no. 9, pp. 698-702.
Van Sickels, J. E. ; Larsen, Ann ; Thrash, W. J. / Relapse after rigid fixation of mandibular advancement. In: Journal of Oral and Maxillofacial Surgery. 1986 ; Vol. 44, No. 9. pp. 698-702.
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