Stability of bicortical screw versus plate fixation after mandibular setback with the bilateral sagittal split osteotomy

A systematic review and meta-analysis

E. A M Al-Moraissi, Edward Ellis

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The purpose of this study was to test the hypothesis that there is no difference in skeletal stability between bicortical screw and miniplate fixation after mandibular setback surgery with the bilateral sagittal split osteotomy (BSSO). A systematic and electronic search of several databases with specific key words, a reference search, and a manual search through September 2014 was performed. The inclusion criteria encompassed clinical human studies, including randomized controlled trials (RCTs), controlled clinical trials (CCTs), and retrospective studies, with the aim of comparing bicortical screw fixation to miniplate fixation after mandibular setback with the BSSO. Changes in both linear (horizontal and vertical) and angular measurements (SNB and mandibular plane) were analyzed. The initial PubMed search identified 317 studies, of which seven met the inclusion criteria - one RCT, four CCTs, and two retrospective studies. Bicortical screw fixation was found to provide slightly better skeletal stability than miniplate fixation after setback with the BSSO, but the difference was not statistically significant. The results of this meta-analysis support the hypothesis that there is no statistically significant difference in skeletal stability between bicortical screw fixation and plate fixation of the BSSO when used for mandibular setback.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume45
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Osteotomy
Meta-Analysis
Controlled Clinical Trials
Randomized Controlled Trials
Retrospective Studies
PubMed
Databases
Clinical Studies

Keywords

  • bicortical screw
  • BSSO
  • mandibular setback meta-analysis
  • plate fixation
  • relapse
  • skeletal stability

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

@article{20200f8f5bc34e46bb76fd2eb1510909,
title = "Stability of bicortical screw versus plate fixation after mandibular setback with the bilateral sagittal split osteotomy: A systematic review and meta-analysis",
abstract = "The purpose of this study was to test the hypothesis that there is no difference in skeletal stability between bicortical screw and miniplate fixation after mandibular setback surgery with the bilateral sagittal split osteotomy (BSSO). A systematic and electronic search of several databases with specific key words, a reference search, and a manual search through September 2014 was performed. The inclusion criteria encompassed clinical human studies, including randomized controlled trials (RCTs), controlled clinical trials (CCTs), and retrospective studies, with the aim of comparing bicortical screw fixation to miniplate fixation after mandibular setback with the BSSO. Changes in both linear (horizontal and vertical) and angular measurements (SNB and mandibular plane) were analyzed. The initial PubMed search identified 317 studies, of which seven met the inclusion criteria - one RCT, four CCTs, and two retrospective studies. Bicortical screw fixation was found to provide slightly better skeletal stability than miniplate fixation after setback with the BSSO, but the difference was not statistically significant. The results of this meta-analysis support the hypothesis that there is no statistically significant difference in skeletal stability between bicortical screw fixation and plate fixation of the BSSO when used for mandibular setback.",
keywords = "bicortical screw, BSSO, mandibular setback meta-analysis, plate fixation, relapse, skeletal stability",
author = "Al-Moraissi, {E. A M} and Edward Ellis",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.ijom.2015.09.017",
language = "English (US)",
volume = "45",
pages = "1--7",
journal = "International Journal of Oral and Maxillofacial Surgery",
issn = "0901-5027",
publisher = "Churchill Livingstone",
number = "1",

}

TY - JOUR

T1 - Stability of bicortical screw versus plate fixation after mandibular setback with the bilateral sagittal split osteotomy

T2 - A systematic review and meta-analysis

AU - Al-Moraissi, E. A M

AU - Ellis, Edward

PY - 2016/1/1

Y1 - 2016/1/1

N2 - The purpose of this study was to test the hypothesis that there is no difference in skeletal stability between bicortical screw and miniplate fixation after mandibular setback surgery with the bilateral sagittal split osteotomy (BSSO). A systematic and electronic search of several databases with specific key words, a reference search, and a manual search through September 2014 was performed. The inclusion criteria encompassed clinical human studies, including randomized controlled trials (RCTs), controlled clinical trials (CCTs), and retrospective studies, with the aim of comparing bicortical screw fixation to miniplate fixation after mandibular setback with the BSSO. Changes in both linear (horizontal and vertical) and angular measurements (SNB and mandibular plane) were analyzed. The initial PubMed search identified 317 studies, of which seven met the inclusion criteria - one RCT, four CCTs, and two retrospective studies. Bicortical screw fixation was found to provide slightly better skeletal stability than miniplate fixation after setback with the BSSO, but the difference was not statistically significant. The results of this meta-analysis support the hypothesis that there is no statistically significant difference in skeletal stability between bicortical screw fixation and plate fixation of the BSSO when used for mandibular setback.

AB - The purpose of this study was to test the hypothesis that there is no difference in skeletal stability between bicortical screw and miniplate fixation after mandibular setback surgery with the bilateral sagittal split osteotomy (BSSO). A systematic and electronic search of several databases with specific key words, a reference search, and a manual search through September 2014 was performed. The inclusion criteria encompassed clinical human studies, including randomized controlled trials (RCTs), controlled clinical trials (CCTs), and retrospective studies, with the aim of comparing bicortical screw fixation to miniplate fixation after mandibular setback with the BSSO. Changes in both linear (horizontal and vertical) and angular measurements (SNB and mandibular plane) were analyzed. The initial PubMed search identified 317 studies, of which seven met the inclusion criteria - one RCT, four CCTs, and two retrospective studies. Bicortical screw fixation was found to provide slightly better skeletal stability than miniplate fixation after setback with the BSSO, but the difference was not statistically significant. The results of this meta-analysis support the hypothesis that there is no statistically significant difference in skeletal stability between bicortical screw fixation and plate fixation of the BSSO when used for mandibular setback.

KW - bicortical screw

KW - BSSO

KW - mandibular setback meta-analysis

KW - plate fixation

KW - relapse

KW - skeletal stability

UR - http://www.scopus.com/inward/record.url?scp=84951798784&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84951798784&partnerID=8YFLogxK

U2 - 10.1016/j.ijom.2015.09.017

DO - 10.1016/j.ijom.2015.09.017

M3 - Article

VL - 45

SP - 1

EP - 7

JO - International Journal of Oral and Maxillofacial Surgery

JF - International Journal of Oral and Maxillofacial Surgery

SN - 0901-5027

IS - 1

ER -