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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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Orthognathic Surgery and Relapse: A Systematic Review.

Angelo Michele Inchingolo¹, Assunta Patano¹, Fabio Piras¹

¹Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.

Bioengineering (Basel, Switzerland)

|September 28, 2023

Summary

Relapse after orthognathic surgery is common, as indicated by cephalometric examinations and digital models. Future research should focus on long-term clinical trials with larger sample sizes to better understand this phenomenon.

Keywords:

class III skeletal malocclusions orthognathic surgery prognathic mandible recurrence relapse

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Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Craniofacial Surgery

Background:

Orthognathic surgery aims to correct jaw and facial deformities.
Post-surgical relapse is a significant concern affecting treatment outcomes.

Purpose of the Study:

To systematically review and analyze the incidence and patterns of relapse following orthognathic surgery.
To identify factors influencing relapse in patients undergoing orthognathic procedures.

Main Methods:

A comprehensive literature search was conducted across PubMed, Scopus, and Web of Science databases.
Inclusion criteria focused on human, open-access studies correlating orthognathic surgery and relapse from 2012 to 2022.
Studies involving animal or in vitro research, reviews, or non-English articles were excluded.

Main Results:

The review included 14 studies after rigorous screening of 482 initial results.
Cephalometric examinations and digital study models were the primary tools used in the analyzed studies.
Relapse following orthognathic surgery was found to be a frequent occurrence in the majority of cases.

Conclusions:

Relapse is a common event after orthognathic surgery, as evidenced by current literature.
Limitations include the retrospective nature and small sample sizes of most included studies.
Future research should prioritize large-scale, long-term clinical trials to provide more robust evidence on orthognathic surgery relapse.