機能と美のシンフォニー

  • 石川 博之
    福岡歯科大学成長発達歯学講座矯正歯科学分野
  • 梶井 貴史
    福岡歯科大学成長発達歯学講座矯正歯科学分野
  • 玉置 幸雄
    福岡歯科大学成長発達歯学講座矯正歯科学分野

書誌事項

タイトル別名
  • Symphony for Functions and Aesthetics in the Treatment of Jaw Deformity
  • —Prediction of Soft Tissue Profile of Mandibular Prognathism Patients after Orthognathic Surgery—
  • ―骨格性下顎前突患者の外科的矯正治療後における軟組織側貌の予測について―

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抄録

In surgical orthodontic treatment, it is necessary to evaluate the relationship between changes of hard tissue and those of soft tissue in order to predict the post-treatment soft tissue profiles of jaw deformity patients. Individual differences of patients influence the relationship between changes of hard and soft tissue. This review compares the influence of sagittal split ramus osteotomy (SSRO) with combined maxillary and mandibular ramus surgery in changes of post-treatment soft tissue profiles of skeletal mandibular prognathism. The review also compares the influence of different profile patterns in changes of post-treatment soft tissue profiles of mandibular prognathism.<br>Skeletal changes of SSRO influence soft tissue changes more than those of combined maxillary and mandibular ramus surgery because of differences in the postoperative tension generated in muscles and soft tissue attached to the mandible.<br>The post-treatment soft tissue B point was located more backwardly than the predicted point in the facial patterns with a high mandibular plane angle and a long lower anterior facial height. In the facial patterns with a low mandibular plane angle, the post-treatment line of the lower lip was positioned more inferiorly and backwardly than the predicted lower lip line.<br>The influence on the predictability of post-treatment soft tissue profiles might differ depending on the surgical methods and profile patterns in mandibular prognathism.

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