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Mandibular anterior segmental subapical osteotomy for incisor axis correction
T Sahin1, E Garreau1, Y Komakli2
1Department of oral and maxillofacial surgery, université Lille Nord de France, CHU de Lille, rue Emile-Laine, 59037 Lille, France; Université Lille Nord de France, UDSL, 1, rue Lefèvre, 59000 Lille, France.
Journal of Stomatology, Oral and Maxillofacial Surgery
|June 24, 2017
Summary
Mandibular anterior segmental subapical osteotomy (MASSO) effectively corrects mandibular incisor axis in orthodontic patients. This safe surgical procedure offers significant improvements without complications or relapse.
Area of Science:
- Orthodontics and Maxillofacial Surgery
- Dental and Craniofacial Mechanics
Background:
- Correcting mandibular incisor axis is complex in non-extraction orthodontics.
- Mandibular anterior segmental subapical osteotomy (MASSO) offers a surgical solution.
- MASSO can improve occlusal function and soft tissue profile.
Purpose of the Study:
- To evaluate the efficacy of MASSO for mandibular incisor axis correction.
- To assess the stability and safety of MASSO in orthognathic surgery.
Main Methods:
- Retrospective analysis of 28 patients undergoing MASSO for Class II deformity.
- Lateral cephalograms analyzed pre- and post-orthodontic treatment.
- Follow-up averaged 31 months post-treatment completion.
Main Results:
- Significant correction of mandibular incisor axis achieved (mean angle change from 109° to 95°).
- No dentoskeletal complications or relapse detected during follow-up.
- Mean patient age was 22.6 years.
Conclusions:
- MASSO is an efficient surgical technique for incisor axis correction.
- The procedure is safe and provides stable results.

