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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Is there any difference in the condylar position and angulation after asymmetric mandibular setback?
Seung-Hak Baek1, Tae-Kyung Kim, Myung-Jin Kim
1Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.
Objective:
This study was performed to compare the condylar position and angulation on 3-dimensional (3D) views between greater setback side (GSS) and lesser setback side (LSS) after asymmetric mandibular setback (AMS) using computed tomography.
Study Design:
The sample consisted of 12 Korean skeletal class III malocclusion patients with mandibular prognathism and facial asymmetry, who underwent sagittal split ramus osteotomy (SSRO) with rigid fixation. Tomographs were taken 1 month before (T1) and 6 months after surgery (T2). Position and angulation of the condyles were measured.
Results:
At T1 stage, the condylar head in GSS showed more forward inclination on the sagittal view (P < .05) than that of LSS. Although there were significant inward and backward rotations of the condylar head in GSS (P < .01) and significant backward rotation in LSS at T2 stage (P < .05), 3D positions of the condyle in GSS and LSS were not changed after AMS.
Conclusion:
SSRO might be effective to stabilize the condylar position for AMS.

