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Long-term effects of segmental alveolar osteotomy
International Journal of Oral Surgery
|October 1, 1979
Summary
Long-term segmental alveolar osteotomy shows sustained tooth vitality and low complication rates. Most osteotomy sites healed clinically, with stable occlusion in most patients, indicating a successful surgical outcome.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Periodontology
Background:
- Segmental alveolar osteotomy is a surgical procedure used in orthodontics.
- Understanding its long-term effects on dental and bone healing is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the long-term effects of segmental alveolar osteotomy.
- To assess dental vitality, periodontal health, bone healing, and occlusal stability after surgery.
Main Methods:
- Follow-up of 13 patients 5-9 years post-operation.
- Clinical and radiographic investigations of teeth, supporting structures, and osteotomy sites.
- Assessment of tooth vitality using ethyl chloride.
Main Results:
- Teeth vital at 1 year remained vital long-term; some teeth non-vital at 3 years recovered vitality later.
- Low incidence of periodontal pocketing, non-vital teeth, and tooth mobility.
- Radiographic evidence of osteotomy sites in over half of cases, with complete clinical union in all.
- Stable occlusion in most cases, except one Class II div. 2 treated with lower segmental osteotomy only, which relapsed.
Conclusions:
- Segmental alveolar osteotomy demonstrates favorable long-term dental vitality and periodontal health.
- Clinical union is consistently achieved, though radiographic evidence of osteotomy may persist.
- Occlusal stability is generally good, but specific cases may require further management.