Evaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class III two-jaw orthognathic surgery

摘要

Objective: To compare the effect of canting correction in anterior maxillary transverse occlusal planes (AMTOP) and posterior maxillary transverse occlusal planes (PMTOP) on the change of lip canting (LC) in two-jaw surgery (TJS) cases. Materials and Methods: The samples consisted of eight young adult patients (three males and five females, mean age = 24.1 ± 4.5 years) who had skeletal Class III malocclusion (CIII), facial asymmetry (FA), and LC and who underwent TJS. Two-dimensional lateral and posteroanterior cephalograms and three-dimensional facial scanning taken 1 week before (T1) and 6 months after TJS (T2) were combined using the Morpheus 3D program. Six linear and angular variables were measured and statistically analyzed. Results: When comparing the values of the linear and angular variables at the T1 and T2 stages there was significant canting correction of AMTOP (1.7 mm vs -0.3 mm; 3.0° vs 0.1°), PMTOP (3.5 mm vs 0.1 mm, 3.3° vs -0.1°), and LC (3.0 mm vs 0.7 mm, 4.7° vs 2.1°) (all P .05). Although the angular change ratios (ΔLC/ΔAMTOP and ΔLC/ΔPMTOP) did not exhibit a significant difference (0.99 vs 0.83), the linear change ratio of ΔLC/ΔAMTOP was significantly higher than that of ΔLC/ΔPMTOP (1.67 vs 0.74, P .05). The angular change of ΔLC showed a significant correlation with ΔAMTOP (r2 = 0.64; P .05). However, the linear change of ΔLC was significantly correlated with both the angular and linear changes of ΔAMTOP (r 2 = 0.62 and 0.66; both P .05). Therefore, the amount of LC change was more related to the canting correction of AMTOP than to that of PMTOP. Conclusion: In TJS cases with CIII, FA, and LC, the amount of canting correction of the AMTOP should be considered to predict the actual LC change.