The Prevention of Periodontal Bone Loss at the Osteotomy Site After Anterior Segmental and Dento-Osseous Osteotomy

Ueki, Koichiro; Marukawa, Kohei; Shimada, Mayumi; Alam, Shamiul; Nakagawa, Kiyomasa; Yamamoto, Etsuhide

doi:10.1016/j.joms.2005.10.036

« Previous Next »Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 10 , Pages 1526-1531, October 2006

The Prevention of Periodontal Bone Loss at the Osteotomy Site After Anterior Segmental and Dento-Osseous Osteotomy

Koichiro Ueki, DDS, PhD
- Clinical Fellow, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
- Address correspondence and reprint requests to Dr Ueki: Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Japan
Kohei Marukawa, DDS, PhD
- Clinical Fellow, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
Mayumi Shimada, DDS, PhD
- Clinical Fellow, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
Shamiul Alam, BDS
- Graduate Student, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
Kiyomasa Nakagawa, DDS, PhD
- Associate Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
Etsuhide Yamamoto, DDS, PhD
- Chief Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.

Purpose

Degeneration of the gingival margin and periodontal bone loss between segments can occur in various segmental osteotomies. However, treatment and management of these problems have not yet been resolved; improvement of the conventional method is necessary. The purpose of this retrospective study is to evaluate the usefulness and advantage of orthodontic devices in osteotomies.

Patients and Methods

Forty Japanese adults presented with jaw deformities diagnosed as mandibular prognathism with maxillary protrusion, bimaxillary protrusion, and anterior crowding. Of these 40 patients, 20 (group 1) underwent anterior segmental osteotomy or dento-osseous osteotomy along with our original orthodontic periodontal management. The remaining 20 (group 2) patients underwent conventional procedures. After surgery, pocket depth and periodontal bone loss at the osteotomy site were evaluated.

Results

In all cases of patients who underwent our original technique, degeneration of the gingival marginal and periodontal defects at the osteotomy site were not found. The rate of alveolar bone height in group 1 significantly increased and that in group 2 significantly decreased after maxillary osteotomy (P < .05).