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Surgery Versus Nonsurgery Option for Scissors Bite Treatment.

Kyung A Kim1, Jae-Jung Yu, Yu Chen

  • 1*Department of Orthodontics, School of Dentistry, Kyung Hee University †Department of Oral and Maxillofacial Radiology, Kangdong Sacred Heart Hospital, Hallym Medical Center, Seoul, Republic of Korea ‡Division of Orthodontics, Department of Orofacial Science, University of California San Francisco, San Francisco, CA.

The Journal of Craniofacial Surgery
|November 24, 2015
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Summary
This summary is machine-generated.

This study compared temporary skeletal anchorage devices (TSADs) and orthognathic surgery for correcting scissors bites. Both methods successfully resolved scissors bites, with TSADs offering a non-surgical alternative.

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Area of Science:

  • Orthodontics and Maxillofacial Surgery
  • Dental Implantology

Background:

  • Scissors bite, a malocclusion, presents challenges in orthodontic treatment.
  • Treatment options include orthognathic surgery or innovative non-surgical approaches.

Purpose of the Study:

  • To compare the efficacy of temporary skeletal anchorage devices (TSADs) versus orthognathic surgery in correcting scissors bites.
  • To present case studies illustrating both treatment modalities.

Main Methods:

  • Non-surgical correction involved placing a cross-type titanium miniplate with miniscrews in the midpalatal area and a single miniscrew buccally.
  • Surgical correction utilized a 3-piece Le Fort osteotomy for transverse and sagittal maxillary adjustments, stabilized with L-shaped and straight plates.

Main Results:

  • The non-surgical case achieved scissors bite resolution in 15 months using TSADs, maxillary arch width reduction, and molar uprighting.
  • The surgical case resolved bilateral scissors bite and facial asymmetry in 24 months, improving facial profile and molar occlusion to Class II.

Conclusions:

  • Accurate diagnosis is crucial for selecting between orthognathic surgery and TSADs for scissors bite correction.
  • Treatment planning should consider basal arch width, skeletal asymmetry, mandibular position, posterior tooth angulation, and the extent of the malocclusion.