Factors affecting duration of post-surgical orthodontics in the Surgery First/Early Approach: A retrospective study.

Humans Retrospective Studies Malocclusion / diagnosis
Dento-skeletal malocclusion Post-surgical orthodontics Pre-surgical orthodontics Surgery first approach Unilateral condylar hyperplasia

Journal

Journal of stomatology, oral and maxillofacial surgery
ISSN: 2468-7855
Titre abrégé: J Stomatol Oral Maxillofac Surg
Pays: France
ID NLM: 101701089

Informations de publication

Date de publication:
02 2023
Historique:
received: 13 05 2022
revised: 22 10 2022
accepted: 28 10 2022
pubmed: 3 11 2022
medline: 15 2 2023
entrez: 2 11 2022
Statut: ppublish

Résumé

Surgery First Approach (SFA) and Surgery Early (SE) are considered promising alternatives, compared to the conventional three-stages orthodontic-surgical approach, for treatment of dento-maxillofacial deformities. However, many features need further study, like the role of the orthodontist. Aim of the study was to analyse the clinical characteristics of patients who underwent SFA and SE, and if differences in duration of orthodontics could be influenced by clinical features. A retrospective research was performed on patients who met the inclusion criteria for SFA (31) and SE (12), of the total of patients affected by dento-facial deformities in our Unit (191) in the period 2012-2017. After collection of clinical data, duration of orthodontics, age, pre-treatment PAR Index, ANB angle, amount of the curve of Spee were compared. A regression analysis evaluated if these clinical parameters, together with type of bracket and type of intervention, could influence the duration of post-surgical orthodontics. All patients who performed the SFA/SE were affected by class III, II and active Unilateral Condylar Hyperplasia (22% of total population). Pre-treatment mean differences of age (p = 0.0518), PAR Index (p = 0.0916), curve of Spee (p = 0.1006) between groups were not statistically significant. A statically significant difference was found for the overall duration of therapy, for the significant shorter duration of pre-surgical orthodontics, while the difference of post-surgical orthodontics duration was not significant (p = 0.4753). Type of bracket (rho=-0.19039, p = 0.266) and intervention performed (rho=-0.11522, p = 0.5034) were not correlated with duration of post-surgical orthodontics, as well as pre-treatment PAR Index, ANB angle and depth of the curve of Spee. Surgery First/Early Approach is a therapeutic choice that could be performed only in patients affected by specific malocclusions and who exactly meet indications. Protocol and post-surgical occlusal stability are factors that should influence the duration of therapy more than clinical characteristics.

Sections du résumé

BACKGROUND
Surgery First Approach (SFA) and Surgery Early (SE) are considered promising alternatives, compared to the conventional three-stages orthodontic-surgical approach, for treatment of dento-maxillofacial deformities. However, many features need further study, like the role of the orthodontist. Aim of the study was to analyse the clinical characteristics of patients who underwent SFA and SE, and if differences in duration of orthodontics could be influenced by clinical features.
METHODS
A retrospective research was performed on patients who met the inclusion criteria for SFA (31) and SE (12), of the total of patients affected by dento-facial deformities in our Unit (191) in the period 2012-2017. After collection of clinical data, duration of orthodontics, age, pre-treatment PAR Index, ANB angle, amount of the curve of Spee were compared. A regression analysis evaluated if these clinical parameters, together with type of bracket and type of intervention, could influence the duration of post-surgical orthodontics.
RESULTS
All patients who performed the SFA/SE were affected by class III, II and active Unilateral Condylar Hyperplasia (22% of total population). Pre-treatment mean differences of age (p = 0.0518), PAR Index (p = 0.0916), curve of Spee (p = 0.1006) between groups were not statistically significant. A statically significant difference was found for the overall duration of therapy, for the significant shorter duration of pre-surgical orthodontics, while the difference of post-surgical orthodontics duration was not significant (p = 0.4753). Type of bracket (rho=-0.19039, p = 0.266) and intervention performed (rho=-0.11522, p = 0.5034) were not correlated with duration of post-surgical orthodontics, as well as pre-treatment PAR Index, ANB angle and depth of the curve of Spee.
CONCLUSIONS
Surgery First/Early Approach is a therapeutic choice that could be performed only in patients affected by specific malocclusions and who exactly meet indications. Protocol and post-surgical occlusal stability are factors that should influence the duration of therapy more than clinical characteristics.

Identifiants

DOI: 10.1016/j.jormas.2022.10.022 PMID: 36323403
pubmed: 36323403
pii: S2468-7855(22)00338-X
doi: 10.1016/j.jormas.2022.10.022
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101323

Informations de copyright

Copyright © 2022 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Declarations of competing interest: none for all the Authors.

Auteurs

Roberto Antonio Vernucci (RA)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: robertovernucci@gmail.com.

Valentina Mazzoli (V)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: valentina.mazzoli@uniroma1.it.

Veronica Incisivo (V)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: veronicaincisivo@libero.it.

Rosanna Guarnieri (R)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: rosanna.guarnieri@gmail.com.

Piero Cascone (P)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: piero.cascone@uniroma1.it.

Ersilia Barbato (E)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: ersilia.barbato@uniroma1.it.

Alessandro Silvestri (A)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: alessandro.silvestri@uniroma1.it.

Gabriella Galluccio (G)

Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Via Caserta, 6 00161 Rome, Italy. Electronic address: gabriella.galluccio@uniroma1.it.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Factors affecting duration of post-surgical...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Factors affecting duration of post-surgical...
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Malocclusion dentaire › Factors affecting duration of post-surgical...