Migliorucci et al., 201788 Migliorucci RR, Passos DCBOF, Berretin-Felix G. Programa de terapia miofuncional orofacial para indivíduos submetidos à cirurgia ortognática. Rev CEFAC. 2017;19(2):277-88. DOI: http://dx.doi.org/10.1590/1982-021620171921317
http://dx.doi.org/10.1590/1982-021620171...
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To propose a myofunctional therapy program for individuals who underwent OS. |
3 distinct stages: 1) Preparation of an initial program from a literature review about the therapeutic process after surgery; 2) Implementation of the initial program in 21 patients which resulted in a second version of the program;
3) Content analysis by three speech therapists and new modifications were carried out. |
The program was developed based on 38 scientific publications. After the suggestions of specialists, the final version was composed of 12 sessions - Evaluation + 10 therapy sessions once a week (myofunctional exercises, sensory stimulation and functional training) + revaluation.
It was possible to develop a program of orofacial myofunctional therapy for patients who underwent OS. |
Lima et al., 201522 Lima JAS, Luna HB, Pessoa LSF, Alvez GAS. Ganhos funcionais mensurados pelo MBGR e impacto na qualidade de vida em sujeito submetido à cirurgia ortognática: relato de caso. Rev CEFAC. 2015;17(5):1722-30. DOI: http://dx.doi.org/10.1590/1982-021620151751015
http://dx.doi.org/10.1590/1982-021620151...
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To describe the case of a patient who underwent OS and the speech accompaniment in the preoperative and postoperative periods, as well as to evaluate the impact of the dentofacial deformity on quality of life. |
Case study of a patient with Class III malocclusion. The evaluation was performed by means of the MBGR Evaluation Protocol with
scores.
The speech intervention occurred in the preoperative period (three months) and postoperative beginning on the 20th postoperative day (for three months).
The impact of dentofacial deformity in the quality of life of the patient was assessed by means of Oral Health Impact Profile - reduced version. |
Improvement in muscular mobility, reduced pain on palpation, tonus balance, more efficient chewing, alternate bilateral, appropriation of the swallowing pattern and adequacy of speech production, and improvement in quality of life. |
Palomares, 201412 Lima JAS, Luna HB, Pessoa LSF, Alvez GAS. Ganhos funcionais mensurados pelo MBGR e impacto na qualidade de vida em sujeito submetido à cirurgia ortognática: relato de caso. Rev CEFAC. 2015;17(5):1722-30. DOI: http://dx.doi.org/10.1590/1982-021620151751015
http://dx.doi.org/10.1590/1982-021620151...
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- To evaluate the quality of life related to oral and specific health of ortho- surgical patients taking into consideration the following aspects:
esthetic self-perception of patients;
clinical characteristics of malocclusions;
gender, age, socioeconomic status. |
A total of 254 patients were divided into four groups, according to the stage of treatment: Initial (pretreatment), in orthodontic preparation for OS, in post- surgical orthodontic finalization and containment (after completion of treatment). They were interviewed in three major centers of Rio de Janeiro.
Quality of life was assessed by the OHIP-14 and OQLQ questionnaires. The severity of malocclusion and esthetic selfperception were assessed on the basis of the Index of Orthodontic Treatment Need (IOTN) and the Dental Esthetic Index (DAI). |
The patients who completed all the steps of orthosurgical treatment showed significant improvement in specific quality of life relating to oral health, compared to the other groups. The esthetic self-perception of the containment groups and the post-surgical procedure was more positive than in other groups. Clinical characteristics that can be correlated with negative impacts on quality of life: crowding, crossbite, open bite. Correlation between the OHIP- 14 and OQLQ instruments was moderate, confirming that they assess different aspects of oral health-related quality of life. OQLQ demonstrates greater sensitivity in detecting changes in the quality of life of ortho-surgical patients than OHIP-14. |
Alves e Silva et al., 201399 Alves e Silva AC, Carvalho RA, Santos Tde S, Rocha NS, Gomes AC, de Oliveira e Silva ED. Evaluation of life quality of patients submitted to orthognathic surgery. Dental Press J Orthod. 2013;18(5):107-14. DOI: http://dx.doi.org/10.1590/S2176-94512013000500018
http://dx.doi.org/10.1590/S2176-94512013...
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To compare the changes related to self-esteem and satisfaction with the appearance between pre and postoperative phases in patients submitted to OS and evaluate the quality of life of these patients six months after the surgery. |
A study was conducted on 15 patients, randomly selected, with dentofacial deformities, who underwent OS in the Oswaldo Cruz University Hospital of the University of Pernambuco. The study had a follow-up period of six months, with two stages: 1) Preoperative (day of hospitalization): application of a questionnaire to assess patients’ satisfaction with their appearance and social relations; and 2) in the postoperative period (six months after surgery), using application Form I which evaluated the same variables of the pre and the WHOQOL-bref. |
The results showed that 13.3% of the patients had improvement of esteem, especially in relation to the satisfaction of appearance. Improvements were also observed in social, professionals and family relations. With regard the assessment of the quality of life, and in accordance with the questionnaire of the World Health Organization, the lowest average improvements corresponded to environmental control. |
Jakobsone et al., 20131010 Jakobsone G, Stenvik A, Espeland L. Soft tissue response after Class II bimaxillary surgery. Angle Orthod. 2013;83(3):533-9. DOI: http://dx.doi.org/10.2319/043012-356.1
http://dx.doi.org/10.2319/043012-356.1...
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To analyze changes in facial profile of the soft tissue after bimaxillary surgery of Class III correction, with the objective of determining if a decrease or increase in the height of the face affects the changes in profile, with an emphasis in the anteroposterior direction. |
Sample comprised 84 operated patients with Le Fort I osteotomy + bilateral sagittal osteotomy with rigid fixation.
The surgery was performed in Oslo University Hospital, Ullevaal, between 1990 and 2003.
The patients were monitored over 3 years - T1: one week before surgery; T2 one week after surgery; T3, T4 and T5: 2, 6 and 12 months after surgery, and T6: 3 years after surgery.
Cephalometry of 81 patients (55 men and 26 women were evaluated.
The patients were divided into three subgroups according to the change in the anterior facial height during surgery (1 = no change group - less than 2 mm shift in the in the anterior face height; 2 = decrease group - decrease of 2 mm or more in the anterior face height; 3 = increase group - increase of 2 mm or more in the anterior facial height. Calculations of soft and hard tissue ratios were based on long-term soft tissue response to surgical repositioning. |
The soft and hard tissues followed the same pattern of changes in male and female patients, with the exception of point B in soft tissues. The horizontal surgical repositioning varied, depending on whether the anterior facial height was increased or decreased. For the prominence of the upper lip, the pattern of long-term change was the same regardless of changes in facial height.
In all groups, the thickness of the upper lip decreased in both the short- and long-terms, particularly in patients with surgical increase in facial height.
The inferior thickness of the lips increased in the short term, but decreased during the follow-up period. There were significant associations between tissues and the corresponding changes in hard tissues, with the exception of point A of the soft tissue and the upper lip, when the facial height increased.
The proportions were higher for mandibular variables than for maxillary variables, particularly at point B and pogonion when the height of the anterior face reduced.
The different changes in the patterns of soft tissue should be taken into consideration during the planning of the degree to which maxillary advances and mandibular recesses would be made. |
Rustemeyer & Martin, 20131111 Rustemeyer J, Martin A. Soft tissue response in orthognathic surgery patients treated by bimaxillary osteotomy: cephalometry compared with 2-D photogrammetry. Oral Maxillofac Surg. 2013;17(1):33-41. DOI: http://dx.doi.org/10.1007/s10006-012-0330-0
http://dx.doi.org/10.1007/s10006-012-033...
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To evaluate the response of facial tissues in patients with Class II and III facial pattern treated with bimaxillary OS, evaluated cephalometrically and by 2-D photogrammetry;
To compare the capacity of the exams to predict postoperative results. |
28 patients who underwent bimaxillary surgery for a correction of Class II, and 33 patients who underwent bimaxillary surgery for the correction of Class III.
The lateral cephalogram and a lateral photogram were analyzed in two moments - before the dental treatment and after 9 months of the surgery. |
No significant differences were found between men and women, in the results of cephalometry or photogrammetry.
Angles of hard tissues changed significantly in the comparison between the pre- and postoperative periods in Class II and Class III surgical procedures. The pre- and post-operative measures of soft tissues did not differ between the methods of evaluation.
This study revealed that cephalometry and 2-D photogrammetry provide additional information to improve the accuracy in predicting changes in the tissues in orthosurgical surgery, especially in skeletal Class II patients. |
Chen et al., 20121212 Chen CM, Lai S, Lee HE, Chen KK, Hsu KJ. Soft-tissue profile changes after orthognathic surgery of mandibular prognathism. Kaohsiung J Med Sci. 2012;28(4):216-9. DOI: http://dx.doi.org/10.1016/j.kjms.2011.10.018
http://dx.doi.org/10.1016/j.kjms.2011.10...
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To assess changes in facial profile after osteotomy in the vertical branch to correct mandibular prognathism. |
30 patients (20 females and 10 males, with an average age of 20.7 years) who needed surgical correction for mandibular prognathism were treated at the Kaohsiung Medical University Hospital from January 1993 to December 1998.
The average time of follow-up of these patients was 27.2 months (12 and 102 months).
To evaluate the changes in the profile after surgery, two periods of cephalometry registration - pre-operative T1 and T2 were done one year after the surgical procedure, in which markings were performed, and the same were compared. |
Significant horizontal changes were observed in relation to T1 and T2.
The mean horizontal retreat of the pogonion point (Pog) was 11.7 mm. The ratio of the retreat of the lower labial (Li) / lower incisor (Li), labiomental (Si) / B-point, and soft tissue (PogS) / pogonion points were 0.98, 0.99 and 0.95, respectively.
No differences were identified in relation to sex.
A satisfactory treatment plan for people with mandibular prognathism not only corrects malocclusion but also considers facial improvement. |
Bergamo et al., 20111313 Bergamo AZ, Andrucioli MC, Romano FL, Ferreira JT, Matsumoto MA. Orthodontic-surgical treatment of Class III malocclusion with mandibular asymmetry. Braz Dental J. 2011;22(2):151-6. DOI: http://dx.doi.org/10.1590/S0103-64402011000200011
http://dx.doi.org/10.1590/S0103-64402011...
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To present the treatment of skeletal malocclusion Class III with transversal alteration and facial asymmetry, whose magnitude required orthodontic and surgical treatment. |
A male patient with 15:1 years, was brought into the orthodontic clinic of Ribeirão Preto School of Dentistry, USP, with the main complaint of occlusal changes. Facial analysis indicated sharp facial asymmetry, slightly concave facial bones, maxillary hypoplasia, increase of the lower third of the face, Class III, narrow maxilla, posterior open bite, deviation of mean line of maxilla to the right. |
At the end of the treatment functional occlusion, overjet, overbite and adequate intercuspation were observed. Mandibular prognathism and facial asymmetry were eliminated.
In the case presented, the ortho- surgical treatment was well indicated, promoting adequate masticatory function and adequate facial esthetics. |
Gornic et al., 20111414 Gornic C, Nascimento PP, Melgaço CA, Ruellas ACO, Medeiros PJD, Sant’Anna EF. Análise cefalométrica das vias aéreas superiores de pacientes Classe III submetidos a tratamento ortocirúrgico. Dental Press J Orthod. 2011;16(5):82-8. DOI: http://dx.doi.org/10.1590/S2176-94512011000500013
http://dx.doi.org/10.1590/S2176-94512011...
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To evaluate and quantify, through cephalometry, changes caused in the airways due to the OS involving mandibular setback. |
17 patients submitted to ortho- surgical treatment for Class III correction were selected.
Among the patients evaluated, 14 underwent combined OS of maxillary advancement and mandibular indentation; while in the others, mandibular setback was performed alone. Preoperative cephalometric profile radiographs were evaluated, up to 7 months before surgery, and immediate post-operative radiographs, up to one week after surgery. |
The mean setback of the mandible was 7.32 mm after the surgery. The impact on the airspace was evidenced by an average reduction of 0.97 mm at the level of the oropharynx and 3.41 mm at the level of the hypopharynx as the initial mean diameter of these spaces was 16.88 mm and 13.05 mm, respectively. This reduction was statistically significant only in the region of the hypopharynx (p = 0.025). |
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