A New Approach to Set the Absolute Midsagittal Plane of the Mandible Using a Similarity Index in Skeletal Class III Patients with Facial Asymmetry

Autor: Kee Joon Lee, Yun-Hoa Jung, Woo-Jin Han, Bong-Hae Cho, Hyung Seog Yu, Sung Hwan Choi, Jae Joon Hwang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Applied Sciences
Volume 10
Issue 23
Applied Sciences, Vol 10, Iss 8550, p 8550 (2020)
ISSN: 2076-3417
DOI: 10.3390/app10238550
Popis: This study sought to test the feasibility of a newly developed plane called computed modified absolute mandibular midsagittal plane (cmAMP) based on the similarity index (SI) for evaluating the stereoscopical symmetry of the mandible by comparison with other proposed midsagittal planes. This study involved 29 adult patients (15 men, 14 women
average age, 23.1 ±
6.9 years) with skeletal Class III facial asymmetry who underwent bimaxillary orthognathic surgery. Using cone-beam computed tomography images taken before and 1 year after surgery, cmAMP with the highest SI value between the two anterior segments of the hemi-mandible was set by a computer algorithm. Results show that the SI using cmAMP had the highest value (0.83 ±
0.04) before surgery compared to the other midsagittal planes, and was not significantly different from the SI (0.80 ±
0.05) using a facial midsagittal plane (MSP) after surgery. The distance (1.15 ±
0.74 mm) and angle (2.02 ±
0.82°
) between MSP and cmAMP after surgery were significantly smaller than those between MSP and other midsagittal planes. In conclusion, the cmAMP plane best matches the two anterior segments of hemi-mandible symmetrically and is the closest to MSP after orthognathic surgery in skeletal Class III patients with facial asymmetry.
Databáze: OpenAIRE