Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy

Objective:This preliminary study was planned to provide information about preoperative mandibular canal (MC) position and the postoperative positional changes of MC and length in three dimensions, with the purpose of providing some assistance in reducing inferior alveolar neurosensory disturbance (I...

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Main Authors: Duygu İşcan, Melih Motro, Ahu Acar
Format: Article
Language:English
Published: Galenos Yayinevi 2017-12-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/postoperative-positional-and-dimensional-changes-o/53478
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author Duygu İşcan
Melih Motro
Ahu Acar
author_facet Duygu İşcan
Melih Motro
Ahu Acar
author_sort Duygu İşcan
collection DOAJ
description Objective:This preliminary study was planned to provide information about preoperative mandibular canal (MC) position and the postoperative positional changes of MC and length in three dimensions, with the purpose of providing some assistance in reducing inferior alveolar neurosensory disturbance (IAND).Methods:MC was examined on CBCT data using SimPlant Pro Standalone 13.0. MC locations were measured in all dimensions, with respect to mandibular bony borders.Results:The results showed that MC is frequently located in the midthird of the ramus anteroposteriorly and superoinferiorly and in the midthird of the corpus superoinferiorly. Postoperatively, ramus width was increased, ramus length was decreased significantly, and MC was repositioned laterally and inferiorly. MC length was decreased on both sides, non-correlated with the set-back amounts.Conclusion:Preoperative results may be beneficial for the prediction of MC position for surgeons, and postoperative results will be used for the following studies to correlate postoperative positional changes with IAND.
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spelling doaj.art-7067bad3f1a9432ea231922200048b572023-08-01T11:04:04ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052017-12-0130411011710.5152/TurkJOrthod.2017.1701713049054Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back OsteotomyDuygu İşcan0Melih Motro1Ahu Acar2 Private Practice, İstanbul, Turkey Department of Orthodontics and Dentofacial Orthopedics, Boston University School of Dental Medicine, MA, USA Department of Orthodontics, Marmara University School of Dentistry, İstanbul, Turkey Objective:This preliminary study was planned to provide information about preoperative mandibular canal (MC) position and the postoperative positional changes of MC and length in three dimensions, with the purpose of providing some assistance in reducing inferior alveolar neurosensory disturbance (IAND).Methods:MC was examined on CBCT data using SimPlant Pro Standalone 13.0. MC locations were measured in all dimensions, with respect to mandibular bony borders.Results:The results showed that MC is frequently located in the midthird of the ramus anteroposteriorly and superoinferiorly and in the midthird of the corpus superoinferiorly. Postoperatively, ramus width was increased, ramus length was decreased significantly, and MC was repositioned laterally and inferiorly. MC length was decreased on both sides, non-correlated with the set-back amounts.Conclusion:Preoperative results may be beneficial for the prediction of MC position for surgeons, and postoperative results will be used for the following studies to correlate postoperative positional changes with IAND. http://www.turkjorthod.org/archives/archive-detail/article-preview/postoperative-positional-and-dimensional-changes-o/53478 orthognatic surgerymandibular canalbilateral sagittal split osteotomyset-back surgerycone-beam computed tomography3d imaging
spellingShingle Duygu İşcan
Melih Motro
Ahu Acar
Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
Turkish Journal of Orthodontics
orthognatic surgery
mandibular canal
bilateral sagittal split osteotomy
set-back surgery
cone-beam computed tomography
3d imaging
title Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
title_full Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
title_fullStr Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
title_full_unstemmed Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
title_short Postoperative Positional and Dimensional Changes of Mandibular Canal after Bilateral Sagittal Split Set-Back Osteotomy
title_sort postoperative positional and dimensional changes of mandibular canal after bilateral sagittal split set back osteotomy
topic orthognatic surgery
mandibular canal
bilateral sagittal split osteotomy
set-back surgery
cone-beam computed tomography
3d imaging
url http://www.turkjorthod.org/archives/archive-detail/article-preview/postoperative-positional-and-dimensional-changes-o/53478
work_keys_str_mv AT duyguiscan postoperativepositionalanddimensionalchangesofmandibularcanalafterbilateralsagittalsplitsetbackosteotomy
AT melihmotro postoperativepositionalanddimensionalchangesofmandibularcanalafterbilateralsagittalsplitsetbackosteotomy
AT ahuacar postoperativepositionalanddimensionalchangesofmandibularcanalafterbilateralsagittalsplitsetbackosteotomy