The Influence of Mandibular Advancement Surgery on Oral Function in Retrognathic Patients: A 5-Year Follow-Up Study

van den Braber, Willem; van der Bilt, Andries; van der Glas, Hilbert; Rosenberg, Toine; Koole, Ron

doi:10.1016/j.joms.2006.04.019

« Previous Next »Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 8 , Pages 1237-1240, August 2006

The Influence of Mandibular Advancement Surgery on Oral Function in Retrognathic Patients: A 5-Year Follow-Up Study

Willem van den Braber, DDS, PhD
- Associate Professor, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Andries van der Bilt, PhD
- Associate Professor, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, The Netherlands.
- Address correspondence and reprint requests to Dr van der Bilt: Department of Head and Neck, Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Str. 4.115, PO Box 85060, 3508 AB Utrecht, The Netherlands
Hilbert van der Glas, PhD
- Associate Professor, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Toine Rosenberg, MD, DDS, PhD
- Associate Professor, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Ron Koole, MD, DDS, PhD
- Professor, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, Utrecht, The Netherlands.

Purpose

Previous studies have shown that patients with mandibular retrognathism who were scheduled for orthognathic surgery have a lower maximum bite force and an impaired chewing performance. Surgical correction of this deformity is supposed to lead to an improvement of these oral functions. One year after surgery, no significant changes could be shown in these patients. However, a longer follow-up might demonstrate an improvement after all.

Patients and Methods

Maximum bite force and chewing performance were determined in 12 patients with a mandibular retrognathism before mandibular advancement surgery and at least 5 years after surgery. Chewing performance (median particle size) was determined with a sieving method after chewing 15 strokes on an artificial test food. Maximum bite force was recorded bilaterally at the level of the first molars.

Results

Five years after surgery, chewing performance was improved, especially in patients with a poor performance before treatment. An increase of the maximum bite force could not be shown.

Conclusion

Surgical correction of mandibular retrognathism had a positive effect on oral function 5 years after surgery, although it could not be detected 1 year after surgery. However, the function of the masticatory system was still impaired when compared with controls.