Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy

(1) Background: This study explored the effects of modified anterior maxillary subapical osteotomy (AMSO) on facial profile changes in patients with bimaxillary protrusion. (2) Methods: Cephalograms of patients were collected preoperatively and over 2 months postoperatively. The following landmarks...

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Main Authors: Chun-Ming Chen, Szu-Ting Chou, Shih-Chieh Chen, Chin-Yun Pan, Kun-Jung Hsu, Yu-Chuan Tseng
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/3/508
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author Chun-Ming Chen
Szu-Ting Chou
Shih-Chieh Chen
Chin-Yun Pan
Kun-Jung Hsu
Yu-Chuan Tseng
author_facet Chun-Ming Chen
Szu-Ting Chou
Shih-Chieh Chen
Chin-Yun Pan
Kun-Jung Hsu
Yu-Chuan Tseng
author_sort Chun-Ming Chen
collection DOAJ
description (1) Background: This study explored the effects of modified anterior maxillary subapical osteotomy (AMSO) on facial profile changes in patients with bimaxillary protrusion. (2) Methods: Cephalograms of patients were collected preoperatively and over 2 months postoperatively. The following landmarks were recorded: pronasale (Prn), subnasale (Sn), labrale superius (Ls), anterior nasal spine (ANS), and incisor superius (Is). The following distances and angles were measured: ANS–Prn, ANS–Sn, ANS–Ls, Is–Sn, Is–Ls, SNA angle, and nasolabial (NLA) angle. (3) Results: Is and ANS were significantly retracted by 7.3 and 2.3 mm, respectively. Soft tissue landmarks (Prn, Sn, and Ls) were significantly retracted (1.2, 1.6, 4.4 mm, respectively). Postoperative changes in soft/hard tissue ratios were 0.54, 0.72, 0.31, and 0.60 for Prn/ANS, Sn/ANS, ANS/Is, and Ls/Is, respectively. The NLA angle was increased significantly by 7.1°. (4) Conclusions: The horizontal soft/hard tissue ratios of Sn/Is, ANS/Is, and Ls/Is were 0.22, 0.31, and 0.60, respectively. The NLA angle was increased significantly by 7.1°. The modified AMSO provides an increased blood supply, allows for direct vision, and results in fewer complications than other AMSO methods.
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spelling doaj.art-c473dfcd7d7f4f16b8b7ecac899f844b2023-11-30T21:09:27ZengMDPI AGJournal of Personalized Medicine2075-44262022-03-0112350810.3390/jpm12030508Changes in Facial Profile after Modified Anterior Maxillary Subapical OsteotomyChun-Ming Chen0Szu-Ting Chou1Shih-Chieh Chen2Chin-Yun Pan3Kun-Jung Hsu4Yu-Chuan Tseng5Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University, Kaohsiung 80708, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan(1) Background: This study explored the effects of modified anterior maxillary subapical osteotomy (AMSO) on facial profile changes in patients with bimaxillary protrusion. (2) Methods: Cephalograms of patients were collected preoperatively and over 2 months postoperatively. The following landmarks were recorded: pronasale (Prn), subnasale (Sn), labrale superius (Ls), anterior nasal spine (ANS), and incisor superius (Is). The following distances and angles were measured: ANS–Prn, ANS–Sn, ANS–Ls, Is–Sn, Is–Ls, SNA angle, and nasolabial (NLA) angle. (3) Results: Is and ANS were significantly retracted by 7.3 and 2.3 mm, respectively. Soft tissue landmarks (Prn, Sn, and Ls) were significantly retracted (1.2, 1.6, 4.4 mm, respectively). Postoperative changes in soft/hard tissue ratios were 0.54, 0.72, 0.31, and 0.60 for Prn/ANS, Sn/ANS, ANS/Is, and Ls/Is, respectively. The NLA angle was increased significantly by 7.1°. (4) Conclusions: The horizontal soft/hard tissue ratios of Sn/Is, ANS/Is, and Ls/Is were 0.22, 0.31, and 0.60, respectively. The NLA angle was increased significantly by 7.1°. The modified AMSO provides an increased blood supply, allows for direct vision, and results in fewer complications than other AMSO methods.https://www.mdpi.com/2075-4426/12/3/508bimaxillary protrusionanterior maxillary subapical osteotomyfacial profilesoft–hard tissue ratioWassmund techniqueWunderer technique
spellingShingle Chun-Ming Chen
Szu-Ting Chou
Shih-Chieh Chen
Chin-Yun Pan
Kun-Jung Hsu
Yu-Chuan Tseng
Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
Journal of Personalized Medicine
bimaxillary protrusion
anterior maxillary subapical osteotomy
facial profile
soft–hard tissue ratio
Wassmund technique
Wunderer technique
title Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
title_full Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
title_fullStr Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
title_full_unstemmed Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
title_short Changes in Facial Profile after Modified Anterior Maxillary Subapical Osteotomy
title_sort changes in facial profile after modified anterior maxillary subapical osteotomy
topic bimaxillary protrusion
anterior maxillary subapical osteotomy
facial profile
soft–hard tissue ratio
Wassmund technique
Wunderer technique
url https://www.mdpi.com/2075-4426/12/3/508
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AT chinyunpan changesinfacialprofileaftermodifiedanteriormaxillarysubapicalosteotomy
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