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Evaluating Post-surgical Stability and Relapse in Orthognathic Surgery: A Comprehensive Review
Hanan A Alrashidi1, Mohammed H Almutairi2, Sarah M Almohaimeed3
1General Dentistry, Ministry of Health, Riyadh, SAU.
Cureus
|November 25, 2024
Summary
Orthognathic surgery corrects jaw asymmetry but can relapse. This review examines factors influencing instability in surgical procedures like Le Fort I and BSSO, aiming for better long-term stability and patient satisfaction.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Skeletal Biology
Background:
- Orthognathic surgery addresses jaw asymmetry unresolved by conventional treatments.
- It requires a multidisciplinary approach involving orthodontics and surgery.
- Skeletal discrepancies necessitate surgical intervention like Le Fort I and bilateral split sagittal osteotomy (BSSO).
Purpose of the Study:
- To review factors causing instability and relapse in orthognathic surgery.
- To compare literature on surgical procedures across sagittal, vertical, and transverse planes.
- To highlight advancements and new technologies in the field.
Main Methods:
- Narrative literature review.
- Comparison of studies on surgical stability and relapse.
- Analysis of factors affecting outcomes in different surgical planes.
Main Results:
- Identified key factors contributing to instability and relapse in orthognathic surgery.
- Compared outcomes of different osteotomies (Le Fort I, BSSO) across three planes.
- Highlighted emerging trends and technologies impacting surgical stability.
Conclusions:
- Understanding instability factors is crucial for improving orthognathic surgery outcomes.
- Long-term stability can be enhanced through informed surgical approaches and modern technology.
- Optimizing surgical techniques leads to greater patient and practitioner satisfaction.

