17Jul 2017

THE EFFECT OF ANTERIOR MAXILLARY SEGMENTAL OSTEOTOMY ON FACIAL SOFT TISSUE PROFILE: A SYSTEMATIC REVIEW.

  • Postgraduate PhD Student, Department of Oral and Maxillofacial Surgery , Faculty of Oral and Dental Medicine Cairo University, Researcher Associate Orodental Genetic department, National Research Center
  • Professor of Oral and Maxillofacial Surgery , Faculty of Oral and Dental Medicine Cairo University
  • Associate Professor of Oral and Maxillofacial Surgery , Faculty of Oral and Dental Medicine Cairo University
  • Researcher of Orthodontic, Orodental Genetic department, National Research Center, 33 El Behooth St., Dokki, Giza, Egypt.
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Introduction: Maxillary protrusion correction is usually by anterior maxillary segmental osteotomies. Evaluation of Changes occurring in facial soft tissues after anterior maxillary segmental osteotomy without mandibular surgery is needed. In this systematic review, we analyzed soft tissue changes and soft-to-hard tissue ratios regarding anterior maxillary segmental osteotomy. Methods: electronic databases were used for collecting the articles that meet the inclusion and exclusion criteria and its references searched manually for additional relevant articles. The details and outcome data from each study were collected for comparison with each other using spreadsheets. The methodological quality of each study was assessed. Results: three studies and two additional article were found in the reference that met the inclusion and exclusion criteria were collected. A reduction of the labial prominence with an increase in the nasolabial angle was noticed subsequent to anterior maxillary segmental osteotomies in all studies. Conclusion: The magnitude of the reported soft tissue changes and their ratios corresponding to the osseous movements varied among studies. To predict the soft tissue changes in response to anterior maxillary segmental osteotomies, more prospective studies with sound methodology, larger samples and three dimensional evaluation are required with considering confounding factors such as age, sex, race and osteotomy technique.


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[Usama Hellal, Nabila Fayed, Rehab Elsharkawy and Mostafa Abd Elrahmen. (2017); THE EFFECT OF ANTERIOR MAXILLARY SEGMENTAL OSTEOTOMY ON FACIAL SOFT TISSUE PROFILE: A SYSTEMATIC REVIEW. Int. J. of Adv. Res. 5 (Jul). 66-76] (ISSN 2320-5407). www.journalijar.com


Usama Hellal
BDS MSD Ph.D , Department of Oral and Maxillofacial Surgery , Faculty of Oral and Dental Medicine Cairo University, Researcher Associate Orodental Genetic department, National research center

DOI:


Article DOI: 10.21474/IJAR01/4694      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4694