Maxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts (R) total joint prostheses Part IV - Soft tissue response

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorColeta, K. E. D.
dc.creatorWolford, L. M.
dc.creatorGonçalves, João Roberto
dc.creatorSantos-Pinto, Ary dos
dc.creatorCassano, D. S.
dc.creatorGonçalves, Daniela Aparecida de Godoi
dc.date2013-09-30T18:31:22Z
dc.date2014-05-20T13:44:53Z
dc.date2016-10-25T16:59:00Z
dc.date2013-09-30T18:31:22Z
dc.date2014-05-20T13:44:53Z
dc.date2016-10-25T16:59:00Z
dc.date2009-06-01
dc.date.accessioned2017-04-05T20:50:33Z
dc.date.available2017-04-05T20:50:33Z
dc.identifierInternational Journal of Oral and Maxillofacial Surgery. Edinburgh: Churchill Livingstone, v. 38, n. 6, p. 637-646, 2009.
dc.identifier0901-5027
dc.identifierhttp://hdl.handle.net/11449/15747
dc.identifierhttp://acervodigital.unesp.br/handle/11449/15747
dc.identifier10.1016/j.ijom.2008.11.022
dc.identifierWOS:000267723800004
dc.identifier0000-0003-0588-2228
dc.identifierhttp://dx.doi.org/10.1016/j.ijom.2008.11.022
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/862677
dc.descriptionThe purpose of this Study was to evaluate Soft tissue response to rnaxillo-mandibular counter-clockwise rotation, with TMJ reconstruction and mandibular advancement using TMJ Concepts (R) total joint prostheses, and maxillary osteotomies in 44 females. All patients were operated at Baylor University Medical Center, Dallas TX, USA, by one Surgeon (Wolford). Eighteen patients had genioplasties with either porous block hydroxyapatite or hard tissue replacement implants (Group 2) 26 had no genioplasty (Group 1). Surgically, the maxilla moved forward and upward by counter-clockwise maxillo-mandibular rotation with greater horizontal movement in Group 2. Vertically, both groups showed diversity of maxillo-mandibular mean movement. Group I showed a consistent 1:0.97 ratio of hard to soft tissue advancement at pogonion; Group 2 results were less consistent, with ratios between 1:0.84 and 1:1.02. Horizontal changes in upper lip morphology after maxillary advancement/impaction, VY closure, and alar base cinch sutures showed greater movement in both groups, than observed in hard tissue. Counter-clockwise rotation of the maxillo-mandibular complex using TMJ Concepts total joint prostheses resulted in similar soft tissue response as previously reported for traditional maxillo-mandibular advancement without counter-clockwise rotation of the occlusal plane. The association of chin implants, in the present sample, showed higher variability of soft tissue response.
dc.languageeng
dc.publisherChurchill Livingstone
dc.relationInternational Journal of Oral and Maxillofacial Surgery
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectsoft tissue
dc.subjectorthognathic surgery
dc.subjectTMJ prostheses
dc.titleMaxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts (R) total joint prostheses Part IV - Soft tissue response
dc.typeOtro


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