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[Total osteotomy for maxillary setback. Indications, technique, results].

F Chouet-Girard1, J Mercier

  • 1Clinique de Stomatologie et de Chirurgie Maxillo-Faciale, Centre Hospitalier Universitaire de Nantes, 1, place Alexis Ricordeau, 44093 Nantes 1. FrChouet-Girard@chu-angers.fr

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|February 18, 2004
PubMed
Summary
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Posterior repositioning of the maxilla effectively treats maxillary protrusion and vertical excess, improving facial aesthetics and molar relationships. This surgical approach offers good stability and healing for patients.

Area of Science:

  • Maxillofacial Surgery
  • Orthodontics
  • Cephalometric Analysis

Context:

  • Traditional treatments for maxillary skeletal protrusion often yield unsatisfactory esthetic results.
  • Existing methods fail to address associated vertical maxillary excess and Class II molar relationships.

Purpose:

  • To evaluate the efficacy of posterior maxillary repositioning for treating maxillary protrusion with vertical excess.
  • To assess hard and soft tissue changes, bony stability, and esthetic outcomes.

Summary:

  • A retrospective study of 11 patients undergoing posterior maxillary repositioning between 1986 and 2001.
  • Surgical indication based on clinical and cephalometric criteria.
  • Patient evaluation included bony stability, hard/soft tissue changes, and cephalometric analysis pre- and post-surgery.

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Impact:

  • Achieved restoration of Class I molar relationships and improved facial harmony.
  • Demonstrated good healing and bony stability with a low relapse rate.
  • Offers a recommended surgical solution for maxillary protrusion combined with vertical maxillary excess.