Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner

Abstract Background To evaluate the three-dimensional (3D) changes after mandibular setback surgery (MSS) in skeletal Class III malocclusion using cone-beam computed tomography (CBCT) and a structured light-based scanner. Methods Twenty-eight adult Korean patients with skeletal Class III malocclusio...

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Main Authors: Kyung-A Kim, Ye-Jin Chang, Su-Hyun Lee, Hyun-Joon An, Ki-Ho Park
Format: Article
Language:English
Published: SpringerOpen 2019-07-01
Series:Progress in Orthodontics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40510-019-0282-0
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author Kyung-A Kim
Ye-Jin Chang
Su-Hyun Lee
Hyun-Joon An
Ki-Ho Park
author_facet Kyung-A Kim
Ye-Jin Chang
Su-Hyun Lee
Hyun-Joon An
Ki-Ho Park
author_sort Kyung-A Kim
collection DOAJ
description Abstract Background To evaluate the three-dimensional (3D) changes after mandibular setback surgery (MSS) in skeletal Class III malocclusion using cone-beam computed tomography (CBCT) and a structured light-based scanner. Methods Twenty-eight adult Korean patients with skeletal Class III malocclusion treated by MSS were evaluated. CBCT and facial scan images were recorded one week before and six months after surgery. To use an identical 3D coordinate system, superimposition was performed, and nine skeletal and 18 soft tissue landmarks were identified. Changes in the landmarks and correlation coefficients and ratios between hard and soft tissue changes were evaluated. Paired t test and Pearson’s correlation test were performed. Results After MSS, the amount of transverse correction was 2.45 mm; mandibular setback, 5.80 mm; and vertical reduction, 1.64 mm at the menton, on average. In the transverse axis, there were significant changes and correlations in the lips and chin and an increasing gradient of ratios from the lower lip to the chin. In the anteroposterior axis, the lower lip and chin moved backward significantly and showed notable correlation with hard tissue movement. In the vertical axis, significant upward movement was observed in the landmarks related to the chin, but only lower facial height was significantly decreased. Conclusions Soft tissue changes according to hard tissue movement after MSS exhibited a distinct pattern of an increasing gradient from the lips to the chin in a transverse aspect.
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spelling doaj.art-ca84e0bf65c74eeb907d1a6d0a18fe322022-12-21T18:52:51ZengSpringerOpenProgress in Orthodontics2196-10422019-07-0120111210.1186/s40510-019-0282-0Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scannerKyung-A Kim0Ye-Jin Chang1Su-Hyun Lee2Hyun-Joon An3Ki-Ho Park4Department of Orthodontics, School of Dentistry, Kyung Hee UniversityDepartment of Orthodontics, Graduate School, Kyung Hee UniversityDepartment of Orthodontics, Graduate School, Kyung Hee UniversityDepartment of Orthodontics, Graduate School, Kyung Hee UniversityDepartment of Orthodontics, School of Dentistry, Kyung Hee UniversityAbstract Background To evaluate the three-dimensional (3D) changes after mandibular setback surgery (MSS) in skeletal Class III malocclusion using cone-beam computed tomography (CBCT) and a structured light-based scanner. Methods Twenty-eight adult Korean patients with skeletal Class III malocclusion treated by MSS were evaluated. CBCT and facial scan images were recorded one week before and six months after surgery. To use an identical 3D coordinate system, superimposition was performed, and nine skeletal and 18 soft tissue landmarks were identified. Changes in the landmarks and correlation coefficients and ratios between hard and soft tissue changes were evaluated. Paired t test and Pearson’s correlation test were performed. Results After MSS, the amount of transverse correction was 2.45 mm; mandibular setback, 5.80 mm; and vertical reduction, 1.64 mm at the menton, on average. In the transverse axis, there were significant changes and correlations in the lips and chin and an increasing gradient of ratios from the lower lip to the chin. In the anteroposterior axis, the lower lip and chin moved backward significantly and showed notable correlation with hard tissue movement. In the vertical axis, significant upward movement was observed in the landmarks related to the chin, but only lower facial height was significantly decreased. Conclusions Soft tissue changes according to hard tissue movement after MSS exhibited a distinct pattern of an increasing gradient from the lips to the chin in a transverse aspect.http://link.springer.com/article/10.1186/s40510-019-0282-03D soft tissue changeMandibular setback surgeryClass IIICBCTFacial scan imageStructured light scanner
spellingShingle Kyung-A Kim
Ye-Jin Chang
Su-Hyun Lee
Hyun-Joon An
Ki-Ho Park
Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
Progress in Orthodontics
3D soft tissue change
Mandibular setback surgery
Class III
CBCT
Facial scan image
Structured light scanner
title Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
title_full Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
title_fullStr Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
title_full_unstemmed Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
title_short Three-dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone-beam computed tomography and a structured light scanner
title_sort three dimensional soft tissue changes according to skeletal changes after mandibular setback surgery by using cone beam computed tomography and a structured light scanner
topic 3D soft tissue change
Mandibular setback surgery
Class III
CBCT
Facial scan image
Structured light scanner
url http://link.springer.com/article/10.1186/s40510-019-0282-0
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