Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 3 , Pages 446-452 , March 2008

Postoperative Stability After Sagittal Split Ramus Osteotomies for a Mandibular Setback With Monocortical Plate Fixation or Bicortical Screw Fixation

This work was presented at the 2006 American Association of Oral and Maxillofacial Surgeons (AAOMS) 88th Annual Meeting Scientific Poster Session (Poster No. 16) on October 5, 2006.

  • Il-Hyuk Chung, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital, Seoul, Korea.
    • ,
  • Chung-Kyu Yoo, DDS

      Affiliations

    • Resident, Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital, Seoul, Korea.
    • ,
  • Eun-Kyung Lee, DDS

      Affiliations

    • Resident, Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital, Seoul, Korea.
    • ,
  • Jong-An Ihm, DDS

      Affiliations

    • Clinical Instructor, Department of Orthodontics, Seoul National University Dental Hospital, Seoul; Private Practice in Orthodontics, Il San, Kyung-Gi Province, Korea.
    • ,
  • Chang-Joo Park, DDS, PhD

      Affiliations

    • Clinical Instructor, Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, Seoul, Korea.
    • ,
  • Ji-Sun Lim, PhD

      Affiliations

    • Postdoctoral Fellow, Department of Applied Mathematics, University of Colorado, Boulder, CO.
    • ,
  • Kyung-Gyun Hwang, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, Seoul, Korea.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Hwang: Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, #17 Haengdang-dong, Seongdong-Ku, Seoul, 133-792, Korea

References 

  1. Spiessl B. Rigid internal fixation after sagittal split osteotomy of the ascending ramus. In:  Spissl B editors. New Concepts in Maxillofacial Bone Surgery. (ed 2). New York: Springer-Verlag; 1976;p. 115–122
  2. Reitzik M, Schoorl W. Bone repair in the mandible: A histologic and biometric comparison between rigid and semirigid fixation. J Oral Maxillofac Surg. 1983;41:215
  3. Van Sickle J, Flanary C. Stability associated with mandibular advancement treated by rigid osseous fixation. J Oral Maxillofac Surg. 1985;43:338
  4. Paulus GW, Steinhauser EW. A comparative study of wire osteosynthesis versus bone screws in the treatment of mandibular prognathism. Oral Surg Oral Med Oral Pathol. 1982;54:2
  5. Tharanon W. Comparison between the rigidity of bicortical screws and a miniplate for fixation of a mandibular setback after a simulated bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 1998;56:1055
  6. Anucul B, Waite PD, Lemons JE. In vitro strength analysis of sagittal split osteotomy fixation: Non compression monocortical plates versus bicortical position screws. J Oral Maxillofac Surg. 1992;50:1295
  7. Hammer B, Ettlin D, Rahn B, et al. Stabilization of the short sagittal split osteotomy: In vitro testing of different plate and screw configurations. J Craniomaxillofac Surg. 1995;23:321
  8. Righi E, Carta M, Bruzzone AA, et al. Experimental analysis of internal rigid fixation osteosynthesis performed with titanium bone screw and plate systems. J Craniomaxillofac Surg. 1996;24:53
  9. Fujioka M, Fujii T, Hirano A. Comparative study of mandibular stability after sagittal split osteotomies: Bicortical versus monocortical osteosynthesis. Cleft Palate Craniofac J. 2000;37:551
  10. Foley WL, Beckman TB. In vitro comparison of screw versus plate fixation in the sagittal split osteotomy. Int J Adult Orthodon Orthognath Surg. 1992;7:147
  11. Scheelinck JPO, Stoelinga PJW, Blijdorp PA, et al. Sagittal split advancement osteotomies stabilized with miniplates: A 2-5-year follow-up. Int J Oral Maxillofac Surg. 1994;23:127
  12. Johan A, Calix DC, Luc N. Skeletal stability following miniplate fixation after bilateral sagittal split osteotomy for mandibular advancement. J Oral Maxillofac Surg. 1993;51:366
  13. Shetty V, Freymiller E, McBreatry D, et al. Experimental analysis of functional stability of sagittal split ramus osteotomies secured by miniplates and position screws. J Oral Maxillofac Surg. 1996;54:1317
  14. Pancherz H, Hansen K. The nasion-sella reference line in cephalometry: A methodologic study. Am J Orthod. 1984;86:427
  15. Ghafari J, Engel FE, Laster L. Cephalometric superimposition on the cranial base: A review and comparison of four methods. Am J Orthod Dentofacial Orthop. 1987;91:403
  16. Choi BH, Min YS, Yi CK, et al. A comparison of the stability of miniplate with bicortical screw fixation after sagittal split setback. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:416
  17. Eggensperger N, Smolka W, Rabal A, et al. Skeletal relapse after mandibular advancement and setback in single-jaw surgery. J Oral Maxillofac Surg. 2004;62:1486
  18. Ueki K, Nakagawa K, Takatsuka S, et al. Plate fixation after mandibular osteotomy. Int J Oral Maxillofac Surg. 2001;30:490
  19. Rubens BC, Stoelinga PJW, Blijdop PA, et al. Skeletal stability following sagittal split osteotomy using monocortical miniplated internal fixation. Int J Oral Maxillofac Surg. 1988;17:371
  20. McDonald WR, Stoelinga PJ, Blijdorp PA, et al. Champy bone plate fixation in sagittal split osteotomies for mandibular advancement. Int J Adult Orthodon Orthognath Surg. 1987;2:89

PII: S0278-2391(07)01479-6

doi: 10.1016/j.joms.2007.06.643

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 3 , Pages 446-452 , March 2008

Article Tools

* Image Usage & Resolution