Remodeling of the Glenoid Fossa in Patients with Skeletal Class III Malocclusion Following Bimaxillary Orthognathic Surgery: A Three-Dimensional Perspective
Main Article Content
Keywords
Stroke, young adults, bimaxillary orthognathic surgery, glenoid fossa, skeletal class III malocclusion, craniofacial morphology
Abstract
This study examines the pattern of stroke in young adults, with a focus on the three-dimensional bone remodeling of the glenoid fossa in patients with skeletal class III malocclusion following bimaxillary orthognathic surgery.
Aim: The aim of this research is to investigate the alterations in glenoid fossa morphology after orthognathic surgery and their potential association with the occurrence of stroke in young adults.
Methods: A cohort of 350 participants from the Dr. Ishrat-ul-ebad Khan Institute of Oral Health Sciences in Karachi was studied from February 2022 to October 2022. Three-dimensional imaging techniques were employed to analyze the bone remodeling in the glenoid fossa.
Results: Our findings reveal a significant correlation between skeletal class III malocclusion correction through orthognathic surgery and changes in glenoid fossa morphology. These changes may influence stroke risk in young adults.
Conclusion: The study underscores the importance of evaluating the long-term effects of orthognathic surgery on craniofacial structures and its potential implications for stroke risk in young adults.
References
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2. Gulcek, B. N., Ozbilen, E. O., & Biren, S. (2023). Changes in the condylar head after orthognathic surgery in Class III patients: a retrospective three-dimensional study. The Angle Orthodontist, 93(2), 168-175.
3. Trang, N. T., Ashikaga, Y., Matsushita, K., & Ohiro, Y. (2023). Investigating the relationship between the remodeling of TMJ bony structures and condylar rest position following orthognathic surgery in class II and class III skeletal malocclusions. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 35(4), 308-316.
4. Wang, Z., Shi, Y., Wang, Y., Chen, W., Jiang, H., & Cheng, J. (2023). Three-dimensional quantitative changes of condyle in patients with skeletal class III malocclusion after bimaxillary orthognathic surgery with 5-year follow-up. Clinical Oral Investigations, 1-11.
5. Shi, Q., Gu, Z., Lai, D., Dai, Q., & Yu, F. (2023). Three-dimensional evaluation of condylar morphology after orthodontic treatment in adult patients with Class II malocclusion by cone-beam computed tomography.
6. Holte, M. B., Sæderup, H., & Pinholt, E. M. (2023). A Semi-Automatic Approach for Holistic 3D Assessment of Temporomandibular Joint Changes. Journal of Personalized Medicine, 13(2), 343.
7. Gandhi, A., Rai, P., Tripathi, T., & Kanase, A. A. (2023). Evaluation of Effects of Bimaxillary Anchored Fixed Functional Appliance on Temporomandibular Joint and Maxillomandibular Complex in Late Adolescents: An MRI Study. Journal of Indian Orthodontic Society, 03015742231187698.
8. Lekroengsin, B., Tachiki, C., Takaki, T., & Nishii, Y. (2023). Relationship between Changes in Condylar Morphology and Masticatory Muscle Volume after Skeletal Class II Surgery. Journal of Clinical Medicine, 12(14), 4875.
9. Hupp, L. C., Verius, M., Bertram, A., Kolk, A., & Emshoff, R. (2023). Modeling the effect of bilateral sagittal split osteotomy on posterior, superior and medial space dimensions of the temporomandibular joint: a retrospective controlled cohort study. BMC Oral Health, 23(1), 302.
10. Chen, Y., Li, L., Li, Y., Luo, N., Dai, H., & Zhou, J. (2023). Comprehensive positional and morphological assessments of the temporomandibular joint in adolescents with skeletal Class III malocclusion: a retrospective CBCT study. BMC Oral Health, 23(1), 78.
11. Dvoranova, B., Vavro, M., Czako, L., & Hirjak, D. (2023). Does orthognathic surgery affect mandibular condyle position? A retrospective study. Oral and Maxillofacial Surgery, 1-5.
12. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
13. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
14. Matos, J., Travassos, R., Caramelo, F., Ribeiro, M. P., Marques, F., Marto, C. M., ... & Vale, F. (2023). Relapse after Orthodontic-Surgical Treatment: A Retrospective Longitudinal Study. Symmetry, 15(5), 1083.
15. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
16. Jiang, Y., Yang, Z., Qi, Y., Peng, J., Li, Z., Liu, X., ... & Jiang, R. (2023). Early and 1-year postsurgical stability and its factors in patients with complicated skeletal Class Ⅲ malocclusion treated by conventional and surgery-first approach: A prospective cohort study. American Journal of Orthodontics and Dentofacial Orthopedics.
17. Matos, J., Travassos, R., Caramelo, F., Ribeiro, M. P., Marques, F., Marto, C. M., ... & Vale, F. (2023). Relapse after Orthodontic-Surgical Treatment: A Retrospective Longitudinal Study. Symmetry, 15(5), 1083.
18. Cao, J., Shen, S., Liu, Z., Wu, J., Shi, J., Zhang, L., ... & Wang, X. (2023). Reconstruction of Dentomaxillofacial Deformity Secondary to Mandibular Defect Using Concomitant Orthognathic Surgery and Fibula Free Flap. Plastic and Reconstructive Surgery, 151(1), 179-183.
19. P Sequeira, J. (2023). A Comparative Radiological Evaluation of the Condylar Position in Pre and Post Bilateral Sagittal Split Osteotomy. Asian Journal of Dental Sciences, 6(3), 13-21.
20. Nelke, K., Łuczak, K., Pawlak, W., Janeczek, M., Pasicka, E., Morawska-Kochman, M., ... & Dobrzyński, M. (2023). Unilateral Condylar Hyperplasia in Surgeons’ Perspective—A Narrative Review. Applied Sciences, 13(3), 1839.
21. Shah, B. (2023). Overview and Perspective of TMJ Surgery in Skeletal Malocclusion. In Surgically Facilitated Orthodontic Therapy: An Interdisciplinary Approach (pp. 653-694). Cham: Springer International Publishing.
22. Madhav Chandran, B., Daniel, J. J., Abraham, N., & Cherian, R. A. Fixed Functional Appliances-A Clinician’s Perspective.
23. Wong, R. C. W., Yong, C. W., Chen, M. W. J., Sng, T. J. H., Tan, K. H., & Lim, R. (2023). The virtual patient model for correction of facial deformity and accuracy of simulation and surgical guide construction. In Digital Human Modeling and Medicine (pp. 783-803). Academic Press.
24. Nitzan, D. W. (2023). ‘Adaptable condylectomy’for acquired facial asymmetry and malocclusion caused by temporomandibular joint condylar hyperplasia. International Journal of Oral and Maxillofacial Surgery.
25. Chen, H., Li, Y., Sun, Y., Chen, X., Pu, Y., & Sun, G. (2023). Changes in condylar position and morphology after mandibular reconstruction by vascularized fibular free flap with condyle preservation. Clinical Oral Investigations, 1-13.
2. Gulcek, B. N., Ozbilen, E. O., & Biren, S. (2023). Changes in the condylar head after orthognathic surgery in Class III patients: a retrospective three-dimensional study. The Angle Orthodontist, 93(2), 168-175.
3. Trang, N. T., Ashikaga, Y., Matsushita, K., & Ohiro, Y. (2023). Investigating the relationship between the remodeling of TMJ bony structures and condylar rest position following orthognathic surgery in class II and class III skeletal malocclusions. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 35(4), 308-316.
4. Wang, Z., Shi, Y., Wang, Y., Chen, W., Jiang, H., & Cheng, J. (2023). Three-dimensional quantitative changes of condyle in patients with skeletal class III malocclusion after bimaxillary orthognathic surgery with 5-year follow-up. Clinical Oral Investigations, 1-11.
5. Shi, Q., Gu, Z., Lai, D., Dai, Q., & Yu, F. (2023). Three-dimensional evaluation of condylar morphology after orthodontic treatment in adult patients with Class II malocclusion by cone-beam computed tomography.
6. Holte, M. B., Sæderup, H., & Pinholt, E. M. (2023). A Semi-Automatic Approach for Holistic 3D Assessment of Temporomandibular Joint Changes. Journal of Personalized Medicine, 13(2), 343.
7. Gandhi, A., Rai, P., Tripathi, T., & Kanase, A. A. (2023). Evaluation of Effects of Bimaxillary Anchored Fixed Functional Appliance on Temporomandibular Joint and Maxillomandibular Complex in Late Adolescents: An MRI Study. Journal of Indian Orthodontic Society, 03015742231187698.
8. Lekroengsin, B., Tachiki, C., Takaki, T., & Nishii, Y. (2023). Relationship between Changes in Condylar Morphology and Masticatory Muscle Volume after Skeletal Class II Surgery. Journal of Clinical Medicine, 12(14), 4875.
9. Hupp, L. C., Verius, M., Bertram, A., Kolk, A., & Emshoff, R. (2023). Modeling the effect of bilateral sagittal split osteotomy on posterior, superior and medial space dimensions of the temporomandibular joint: a retrospective controlled cohort study. BMC Oral Health, 23(1), 302.
10. Chen, Y., Li, L., Li, Y., Luo, N., Dai, H., & Zhou, J. (2023). Comprehensive positional and morphological assessments of the temporomandibular joint in adolescents with skeletal Class III malocclusion: a retrospective CBCT study. BMC Oral Health, 23(1), 78.
11. Dvoranova, B., Vavro, M., Czako, L., & Hirjak, D. (2023). Does orthognathic surgery affect mandibular condyle position? A retrospective study. Oral and Maxillofacial Surgery, 1-5.
12. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
13. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
14. Matos, J., Travassos, R., Caramelo, F., Ribeiro, M. P., Marques, F., Marto, C. M., ... & Vale, F. (2023). Relapse after Orthodontic-Surgical Treatment: A Retrospective Longitudinal Study. Symmetry, 15(5), 1083.
15. Rajeswaran, S. A., Krishna, V., Thenmozhi Thirumavalavan, D. G. A. S., & Rajeswaran, S. A. (2023). Changes In Condylar Position In Relation To Articular Eminence In Patients Who Have Undergone Orthognathic Surgery. Journal of Biomedical Engineering, 40(3), 195-200.
16. Jiang, Y., Yang, Z., Qi, Y., Peng, J., Li, Z., Liu, X., ... & Jiang, R. (2023). Early and 1-year postsurgical stability and its factors in patients with complicated skeletal Class Ⅲ malocclusion treated by conventional and surgery-first approach: A prospective cohort study. American Journal of Orthodontics and Dentofacial Orthopedics.
17. Matos, J., Travassos, R., Caramelo, F., Ribeiro, M. P., Marques, F., Marto, C. M., ... & Vale, F. (2023). Relapse after Orthodontic-Surgical Treatment: A Retrospective Longitudinal Study. Symmetry, 15(5), 1083.
18. Cao, J., Shen, S., Liu, Z., Wu, J., Shi, J., Zhang, L., ... & Wang, X. (2023). Reconstruction of Dentomaxillofacial Deformity Secondary to Mandibular Defect Using Concomitant Orthognathic Surgery and Fibula Free Flap. Plastic and Reconstructive Surgery, 151(1), 179-183.
19. P Sequeira, J. (2023). A Comparative Radiological Evaluation of the Condylar Position in Pre and Post Bilateral Sagittal Split Osteotomy. Asian Journal of Dental Sciences, 6(3), 13-21.
20. Nelke, K., Łuczak, K., Pawlak, W., Janeczek, M., Pasicka, E., Morawska-Kochman, M., ... & Dobrzyński, M. (2023). Unilateral Condylar Hyperplasia in Surgeons’ Perspective—A Narrative Review. Applied Sciences, 13(3), 1839.
21. Shah, B. (2023). Overview and Perspective of TMJ Surgery in Skeletal Malocclusion. In Surgically Facilitated Orthodontic Therapy: An Interdisciplinary Approach (pp. 653-694). Cham: Springer International Publishing.
22. Madhav Chandran, B., Daniel, J. J., Abraham, N., & Cherian, R. A. Fixed Functional Appliances-A Clinician’s Perspective.
23. Wong, R. C. W., Yong, C. W., Chen, M. W. J., Sng, T. J. H., Tan, K. H., & Lim, R. (2023). The virtual patient model for correction of facial deformity and accuracy of simulation and surgical guide construction. In Digital Human Modeling and Medicine (pp. 783-803). Academic Press.
24. Nitzan, D. W. (2023). ‘Adaptable condylectomy’for acquired facial asymmetry and malocclusion caused by temporomandibular joint condylar hyperplasia. International Journal of Oral and Maxillofacial Surgery.
25. Chen, H., Li, Y., Sun, Y., Chen, X., Pu, Y., & Sun, G. (2023). Changes in condylar position and morphology after mandibular reconstruction by vascularized fibular free flap with condyle preservation. Clinical Oral Investigations, 1-13.
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Published
Nov 3, 2023
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How to Cite
Ibtihag Siddig Elnaem Mohamed-Nour, Dr Madiha Shaikh, Dr Gamal Eldin Mohamed Osman Elhussein, Mwahib Mohammed Ahmed, Dr Fehaid Muqbil Alshammari, Firas A.Azeeh, Dr Tariq Ginawi, Azzam Nasri Al Yacoub, Dr Abeer Hassan Elhaj, Dr Fahmida Khatoon. (2023). Remodeling of the Glenoid Fossa in Patients with Skeletal Class III Malocclusion Following Bimaxillary Orthognathic Surgery: A Three-Dimensional Perspective. Journal of Population Therapeutics and Clinical Pharmacology, 30(14), 413–421. Retrieved from https://jptcp.com/index.php/jptcp/article/view/3314
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