Document Detail


Surgical Class III treatment: long-term stability and patient perceptions of treatment outcome.
MedLine Citation:
PMID:  9558534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To evaluate long-term changes after surgical correction of skeletal Class III deformity, postoperative cephalometric radiographs at 1 year and 2 or more years postsurgery were digitized for 92 patients who had received either a bilateral sagittal split osteotomy for mandibular setback, Le Fort I maxillary advancement, or a combination of the two procedures. Patients' perceptions of treatment were determined by four self-administered questionnaires: satisfaction, postsurgical perception of occlusion and function, problems with facial sensation, and postsurgical perceptions. From 1 year to longest follow-up, there were almost no mean changes in landmark positions for the maxillary advancement group and minimal mean changes in the mandibular setback and two-jaw groups. In all three groups, more than 90% of the patients showed no clinically significant long-term changes, which suggests that long-term changes are less likely after Class III than Class II treatment. At long-term recall, 89% of the patients expressed satisfaction with their treatment and would recommend it to others, 74% reported improved social interaction, and 63% said their appearance changed as they expected. The predominant problems reported were altered facial sensation for 67% of the patients and surprise at the length of recovery for 52%.
Authors:
L J Bailey; H L Duong; W R Proffit
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The International journal of adult orthodontics and orthognathic surgery     Volume:  13     ISSN:  0742-1931     ISO Abbreviation:  Int J Adult Orthodon Orthognath Surg     Publication Date:  1998  
Date Detail:
Created Date:  1998-06-23     Completed Date:  1998-06-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8610335     Medline TA:  Int J Adult Orthodon Orthognath Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  35-44     Citation Subset:  D    
Affiliation:
Department of Orthodontics, University of North Carolina School of Dentistry, Chapel Hill 27599-7450, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude to Health
Cephalometry / statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Malocclusion, Angle Class III / diagnosis,  psychology*,  surgery*
Osteotomy / methods
Patient Satisfaction*
Postoperative Complications / epidemiology,  psychology
Questionnaires
Treatment Outcome
Grant Support
ID/Acronym/Agency:
DE-05215/DE/NIDCR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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