Postsurgical stability following sagittal split ramus osteotomy with biodegradable Poly-L-lactide bone mini plate fixation

  • Satoh Kazuro
    Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University
  • Murata Junichiro
    Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University
  • Tomioka Munehiro
    Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University
  • Seino Yukio
    Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University
  • Yokota Mitsumasa
    Department of Dentistry and Oral Surgery, Iwate Prefectural Central Hospital
  • Mizuki Harumi
    Division of Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • Miura Hiroyuki
    Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University

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Other Title
  • 下顎枝矢状分割術における生体内吸収性ポリ-L-乳酸骨接合ミニプレート固定の術後安定性について

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Abstract

We studied the postsurgical stability of the mandible using biodegradable Poly-L-lactide bone mini plate fixation undergone sagittal split ramus osteotomy. The forty patients with mandibular prognathism without facial asymmetry (17 males and 23 females) operated from March 2003 to March 2009, were divided into two groups based on the types of osteosynthesis used. 22 patients (9 males and 13 females) using the PLLA mini-plate (PLLA plate group), and 18 patients (8 males and 10 females) using the titanium mini-plate (titanium plate group) were examined. Lateral cephalograms were taken immediately before the surgery, one month, and one year after surgery. Changes in position of the mandible were examined. As a result of this study, remarkable relapses were not recognized at one year after operation for males and females in both groups. It is thought the PLLA mini-plate fixation to the mandible without facial asymmetry setback doesn't present as many problems from the viewpoint of postsurgical stability compared with the titanium mini-plate fixation, and it is profitable that we avoided the plate removal operation. We can select the PLLA or the titanium mini-plate from a comprehensive standpoint.

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