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Volume 67, Issue 1, Pages 67-72 (January 2009)


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Changes in the Duration of the Chewing Cycle in Patients With Skeletal Class III With and Without Asymmetry Before and After Orthognathic Surgery

Koichiro Ueki, DDS, PhDCorresponding Author Informationemail address, Kohei Marukawa, DDS, PhD, Yukari Hashiba, DDS, Kiyomasa Nakagawa, DDS, PhD§, Kagan Degerliyurt, DDS, Etsuhide Yamamoto, DDS, PhD

Purpose

The purpose of this study was to examine the changes in the chewing rhythm before and after mandibular ramus osteotomy in patients with prognathism with and without asymmetry.

Patients and Methods

We divided 12 men and 22 women with mandibular prognathism into groups on the basis of symmetry and osteotomy procedure. The duration of the chewing cycle was recorded preoperatively and postoperatively. The duration of the chewing cycle and coefficient of variation were compared between groups, and the differences were analyzed statistically.

Results

No significant differences in each of 3 phases of the chewing cycle and total duration were found between groups on the basis of symmetry or osteotomy procedure. However, there were significant differences between the preoperative and postoperative coefficients of variation for the undeviated side in the asymmetry group (P = .0037) and in the group undergoing sagittal split ramus osteotomy (P = .0166).

Conclusion

This study suggests that surgical orthodontic treatment does not significantly change the duration of the chewing cycle.

 Assistant Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

 Clinical Instructor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

 Graduate Student, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

§ Associate Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

 Research Fellow, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

 Professor and Head, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

Corresponding Author InformationAddress 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

PII: S0278-2391(08)01046-X

doi:10.1016/j.joms.2008.06.018


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