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Criteria and limitations for selecting a sagittal split ramus osteotomy for patients with skeletal mandibular
Izumi Yoshioka1, Tatsurou Tanaka, Manabu Habu
1Division of Oral and Maxillofacial Surgery, Department of Sensory and Motor Organs, Faculty of Medicine, Miyazaki University, Miyazaki, Japan.
Purpose:
The purpose of this study is to elucidate the criteria and limitations for selecting a sagittal split ramus osteotomy (SSRO) alone for patients with skeletal mandibular prognathism and open bite.
Study Design:
The relationship between the mandibular relapse after 1 year and the extent of vertical movement following SSRO alone was investigated for patients with skeletal mandibular prognathism and open bite and the criteria were determined.
Results:
The limitation in SSRO alone was found to be 3-mm vertical movement at the gonion. There was a significant difference in the mandibular relapse between the patients with >3-mm change and <3-mm change.
Conclusions:
For patients with skeletal mandibular prognathism and open bite, if the vertical movement at the gonion is <3 mm, SSRO alone could be an effective treatment. However, if the movement is >3 mm, SSRO alone should be avoided and bimaxillary osteotomies may be a preferable treatment.
