多分割 Le Fort I 型骨切り術を併用した上下顎移動術 −ガミースマイルと上顎歯列狭窄を伴った上顎前突および下顎後退症への応用
A 21-year-old woman presented with maxillary protrusion and a gummy smile along with mandibular retrognathism. Moreover, an arch width discrepancy was observed between the maxilla and the mandible. After 10 months of presurgical orthodontic treatment using a multibracket appliance, multi-segment Le...
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| Published in | 日本口腔外科学会雑誌 Vol. 60; no. 6; pp. 375 - 379 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.06.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.60.375 |
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| Abstract | A 21-year-old woman presented with maxillary protrusion and a gummy smile along with mandibular retrognathism. Moreover, an arch width discrepancy was observed between the maxilla and the mandible. After 10 months of presurgical orthodontic treatment using a multibracket appliance, multi-segment Le Fort I osteotomy and sagittal split ramus osteotomy were performed. In the maxilla, the upper first premolars were extracted, and subsequently the upper arch was divided with a piezoelectric device into 4 segments after a down fracture. The anterior maxillary segment was moved distally to close the space, and the posterior maxillary segments were moved laterally to correct the excessively narrow maxilla. After 3 months of postsurgical orthodontic treatment, a favorable facial profile and occlusal relationship were obtained. The total treatment period was 13 months. A multi-segment Le Fort I osteotomy greatly contributed to shortening the duration of therapy for arch width discrepancy between the maxilla and the mandible. These results suggest that piezosurgery might be effective and safe for multi-segment Le Fort I osteotomy. |
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| AbstractList | A 21-year-old woman presented with maxillary protrusion and a gummy smile along with mandibular retrognathism. Moreover, an arch width discrepancy was observed between the maxilla and the mandible. After 10 months of presurgical orthodontic treatment using a multibracket appliance, multi-segment Le Fort I osteotomy and sagittal split ramus osteotomy were performed. In the maxilla, the upper first premolars were extracted, and subsequently the upper arch was divided with a piezoelectric device into 4 segments after a down fracture. The anterior maxillary segment was moved distally to close the space, and the posterior maxillary segments were moved laterally to correct the excessively narrow maxilla. After 3 months of postsurgical orthodontic treatment, a favorable facial profile and occlusal relationship were obtained. The total treatment period was 13 months. A multi-segment Le Fort I osteotomy greatly contributed to shortening the duration of therapy for arch width discrepancy between the maxilla and the mandible. These results suggest that piezosurgery might be effective and safe for multi-segment Le Fort I osteotomy. |
| Author | 黒柳, 範雄 宮地, 斉 神谷, 昇 落合, 栄樹 下郷, 和雄 |
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| References | 4) Liou EJ, Chen PH, et al : Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg 69: 771-80, 2011. 10) 飯塚哲夫：歯科矯正．初版， クインテッセンス出版， 東京， 1989, 25-26頁 22) Robiony M, Polini F, et al : Piezoelectric bone cutting in multipiece maxillary osteotomies. J Oral Maxillofac Surg 62: 759-761, 2004. 9) Proffit WR, Turvey TA, et al : Orthognathic surgery: a hierarchy of stability. Int Adult Orthodon Orthognath Surgery 3: 191-204, 1996. 19) Vandersea BA, Ruvo AT, et al : Maxillary transverse deficiency-Surgical alternatives to management. Oral Maxillfac Surg Clin North AM 19: 351-368, 2007. 18) Kretschmer WB, Baciut G, et al : Transverse stability of 3-piece le fort I osteotomies. J Oral Maxillofac Surg 69: 861-869, 2011. 8) Obwegeser HL : Orthognathic surgery and a tale of how three procedures came to be: a letter to the next generations of surgeons. Clin Plast Surg 34: 331-355, 2007. 23) Ochiai S, Kuroyanagi N, et al : Endoscopic-assisted resection of peripheral osteoma using piezosurgery. Oral Surg Oral Med Oral Pathol Oral Radiol 115: 16-20, 2012. 24) Robiony M, Polini F, et al : Ultrasonic bone cutting for surgically assisted rapid maxillary expansion （SARPE） under local anaesthesia. Int J Oral Maxillofac Surg 36: 267-269, 2007. 25) Vercellotti T, Nevins ML, et al : Osseous response following resective therapy with piezosurgery. Int J Periodontics Restorative Dent 25: 543-549, 2005. 15) Chen YR and Yeow VK : Multiple-segment osteotomy in maxillofacial surgery. Plast Reconstr Surg 2: 381-388, 1999. 3) Morgan TA and Fridrich KL : Effect of the multiplepiece maxillary osteotomy on the periodontium. Int J Adult Orthod Orthognath Surg 16: 255-265, 2001. 16) Haymond CS, Stoelinga PJ , et al : Surgical orthodontic treatment of anterior skeletal open bites. Int J Oral and Maxillofac Surg 20: 223-227, 1991. 5) Nagasaka H, Sugawara J, et al :“ Surgery first” skeletal class III correction using the skeletal anchorage system. J Clin Orthod 43: 97-105, 2009. 14) Koudstaal MJ, Poort LJ, et al : Surgically assisted rapid maxillary expansion: a review of the literature. Int J Oral and Maxillofac Surg 34: 709-714. 2005. 11) Vanmdersdall RL : Non surgical rapid maxillary alveolar expansion in adults: a clinical evaluation. Angle Orthod 67: 306-308, 1997. 21) Lanigan DT, Hey JH, et al : Aseptic necrosis following maxillary osteotomies: Report of 36 cases. J oral Maxillofac Surg 48: 142-156, 1990. 7) Chu YM, Bergeron L, et al : Bimaxillary protrusion: an overview of the surgical-orthodontic treatment. Semin Plast Surg 23: 32-39, 2009. 12) Timmes DJ and Vero D : The relationship of rapid maxillary expansion to surgery with special reference to mid palatal synostosis. Br J Oral Surg 19: 180-196, 1981. 2) Schulters G, Gaggle A, et al : Periodontal disease associated with interdental osteotomies after orthognathic surgery. J Oral Maxillofac Surg 56: 417-419, 1998. 20) Betts NJ, Vanarsdall RL, et al : Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg 10: 75, 1995. 1) Luther F, Morris DO, et al : Orthodontic preparation for orthognathic surgery: how long does it take and why? retrospective study. Br J Oral Maxillofac Surg 41: 401-406, 2003. 6) Yu CC, Bergeron L, et al : Single-splint technique in orthognathic surgery: intraoperative checkpoints to control facial symmetry. Plast Reconstr Surg 124: 879-86, 2009. 13) Lang G, Alfter G, et al : Retention and stability-taking various treatment parameters into account. J orofac Orthop 1: 26-41, 2002. 17) Marchetti C, Pironi M, et al : Surgically assisted rapid expansion vs. segmental le fort I osteotomy: transverse stability over a 2-year period. J Craniomaxillofac Surg 37: 74-78, 2009. |
| References_xml | – reference: 20) Betts NJ, Vanarsdall RL, et al : Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg 10: 75, 1995. – reference: 25) Vercellotti T, Nevins ML, et al : Osseous response following resective therapy with piezosurgery. Int J Periodontics Restorative Dent 25: 543-549, 2005. – reference: 5) Nagasaka H, Sugawara J, et al :“ Surgery first” skeletal class III correction using the skeletal anchorage system. J Clin Orthod 43: 97-105, 2009. – reference: 1) Luther F, Morris DO, et al : Orthodontic preparation for orthognathic surgery: how long does it take and why? retrospective study. Br J Oral Maxillofac Surg 41: 401-406, 2003. – reference: 2) Schulters G, Gaggle A, et al : Periodontal disease associated with interdental osteotomies after orthognathic surgery. J Oral Maxillofac Surg 56: 417-419, 1998. – reference: 19) Vandersea BA, Ruvo AT, et al : Maxillary transverse deficiency-Surgical alternatives to management. Oral Maxillfac Surg Clin North AM 19: 351-368, 2007. – reference: 7) Chu YM, Bergeron L, et al : Bimaxillary protrusion: an overview of the surgical-orthodontic treatment. Semin Plast Surg 23: 32-39, 2009. – reference: 10) 飯塚哲夫：歯科矯正．初版， クインテッセンス出版， 東京， 1989, 25-26頁． – reference: 12) Timmes DJ and Vero D : The relationship of rapid maxillary expansion to surgery with special reference to mid palatal synostosis. Br J Oral Surg 19: 180-196, 1981. – reference: 6) Yu CC, Bergeron L, et al : Single-splint technique in orthognathic surgery: intraoperative checkpoints to control facial symmetry. Plast Reconstr Surg 124: 879-86, 2009. – reference: 8) Obwegeser HL : Orthognathic surgery and a tale of how three procedures came to be: a letter to the next generations of surgeons. Clin Plast Surg 34: 331-355, 2007. – reference: 13) Lang G, Alfter G, et al : Retention and stability-taking various treatment parameters into account. J orofac Orthop 1: 26-41, 2002. – reference: 3) Morgan TA and Fridrich KL : Effect of the multiplepiece maxillary osteotomy on the periodontium. Int J Adult Orthod Orthognath Surg 16: 255-265, 2001. – reference: 9) Proffit WR, Turvey TA, et al : Orthognathic surgery: a hierarchy of stability. Int Adult Orthodon Orthognath Surgery 3: 191-204, 1996. – reference: 21) Lanigan DT, Hey JH, et al : Aseptic necrosis following maxillary osteotomies: Report of 36 cases. J oral Maxillofac Surg 48: 142-156, 1990. – reference: 4) Liou EJ, Chen PH, et al : Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg 69: 771-80, 2011. – reference: 24) Robiony M, Polini F, et al : Ultrasonic bone cutting for surgically assisted rapid maxillary expansion （SARPE） under local anaesthesia. Int J Oral Maxillofac Surg 36: 267-269, 2007. – reference: 22) Robiony M, Polini F, et al : Piezoelectric bone cutting in multipiece maxillary osteotomies. J Oral Maxillofac Surg 62: 759-761, 2004. – reference: 11) Vanmdersdall RL : Non surgical rapid maxillary alveolar expansion in adults: a clinical evaluation. Angle Orthod 67: 306-308, 1997. – reference: 15) Chen YR and Yeow VK : Multiple-segment osteotomy in maxillofacial surgery. Plast Reconstr Surg 2: 381-388, 1999. – reference: 16) Haymond CS, Stoelinga PJ , et al : Surgical orthodontic treatment of anterior skeletal open bites. Int J Oral and Maxillofac Surg 20: 223-227, 1991. – reference: 23) Ochiai S, Kuroyanagi N, et al : Endoscopic-assisted resection of peripheral osteoma using piezosurgery. Oral Surg Oral Med Oral Pathol Oral Radiol 115: 16-20, 2012. – reference: 17) Marchetti C, Pironi M, et al : Surgically assisted rapid expansion vs. segmental le fort I osteotomy: transverse stability over a 2-year period. J Craniomaxillofac Surg 37: 74-78, 2009. – reference: 18) Kretschmer WB, Baciut G, et al : Transverse stability of 3-piece le fort I osteotomies. J Oral Maxillofac Surg 69: 861-869, 2011. – reference: 14) Koudstaal MJ, Poort LJ, et al : Surgically assisted rapid maxillary expansion: a review of the literature. Int J Oral and Maxillofac Surg 34: 709-714. 2005. |
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| SubjectTerms | Le Fort I 型骨切り術 多分割骨切り術 超音波切削器具 |
| Title | 多分割 Le Fort I 型骨切り術を併用した上下顎移動術 −ガミースマイルと上顎歯列狭窄を伴った上顎前突および下顎後退症への応用 |
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