Affordable Access

Morphologic and functional implications of the surgical-orthodontic management of mandibular prognathism: A comprehensive review

American Journal of Orthodontics and Dentofacial Orthopedics
Publication Date
  • Medicine


Abstract The aim of this review is to present the various morphologic and functional implications of the surgical-orthondontic management of mandibular prognathism, thus providing a more complete determination of the efficacy of this modality of treatment. Major conclusions that can be drawn from the bibliography indicate that: (1) After treatment considerable improvement takes place on the soft tissue and dentoskeletal profile, occlusal tooth contacts, and temporomandibular joint function and pain; (2) Surgical management of mandibular prognathism can be associated with decreased maximum interincisal opening; (3) Although immediately after surgery there is a tendency for the condyles to be distracted downward and anteriorly from their preoperative position, in long-term postsurgery the condyles, on the average, regain their initial position; (4) Compensatory alterations in the pharyngeal, suprahyoid, and infrahyoid muscular regions take place postoperatively; (5) Skeletal changes after mandibular setback to correct mandibular prognathism occur frequently, but their magnitude and patterns exhibit variation and are not necessarily detrimental; and (6) Fulfillment of expectations toward surgical-orthodontic management of mandibular prognathism was reported to be frequent. (A M J O RTHOD D ENTOFAC O RTHOP 1993;103:439-47.)

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Morphologic and functional implications of the sur...

on American Journal of Orthodonti... Jan 01, 1993

Morphologic and functional implications of the sur...

on American Journal of Orthodonti... May 1993

Prognathism--orthodontic and surgical management.

on The New York state dental jour... October 1973

Surgical-orthodontic correction of mandibular prog...

on American Journal of Orthodonti... Jan 01, 1973
More articles like this..