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Related Concept Videos

Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a short...

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Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
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Condylar repositioning in bilateral sagittal split ramus osteotomy with centric relation bite.

Seung-Min Oh1, Chang-Yoen Lee, Ju-Won Kim

  • 1From the Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Anyang, South Korea.

The Journal of Craniofacial Surgery
|September 17, 2013
PubMed
Summary

This study presents a simple condylar repositioning method for bilateral sagittal split ramus osteotomy (BSSO) that effectively achieves centric relation bite without special equipment, reducing relapse risk.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Temporomandibular Joint Disorders

Background:

  • Bilateral sagittal split ramus osteotomy (BSSO) can lead to condylar position changes, potentially causing dysfunction and relapse.
  • Achieving stable condylar positioning is crucial for successful BSSO outcomes.
  • Current methods may involve complex procedures or prefabricated devices.

Purpose of the Study:

  • To evaluate a straightforward condylar repositioning technique for BSSO.
  • To assess the efficacy of this method in rapidly achieving centric relation (CR) bite.
  • To determine if this approach eliminates the need for prefabricated equipment.

Main Methods:

  • Bilateral sagittal split ramus osteotomy (BSSO) performed on 9 patients.
  • Condylar repositioning guided by the patient's centric relation (CR) bite.
  • Radiographic assessment using lateral cephalometric radiographs.

Main Results:

  • No significant changes in condylar position were observed post-surgery.
  • Temporomandibular joint symptom scores (sound, pain, limited opening) showed no increase.
  • The condylar-repositioning method was completed within standard operating times.

Conclusions:

  • The described condylar-repositioning method is effective for BSSO.
  • This technique simplifies the process of achieving CR bite.
  • The method is efficient, requires no additional devices, and may reduce complications.