Orthognathic surgery in class II patients: criteria to be evaluated for indication

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36309

Keywords:

Orthognathic surgery; Malocclusion, Angle class II; Orthognathic surgical procedures.

Abstract

A large percentage of patients who present themselves to dental professionals are carriers of dentofacial deformities that fit into the Angle Class II pattern but are unaware of or have never been informed of their alterations. This can be explained by the lack of knowledge by professionals about the dental occlusion patterns, as well as the correct treatment indications for such problems or the indication of surgery only associated with aesthetic factors. This paper provides an analysis of this problem, showing other criteria, not only aesthetic, for the indication of orthognathic surgery in patients with dentofacial deformities, classified as Angle's class II, based on aesthetic, morphofunctional and semiological principles, with the purpose of showing that surgeries are viable alternatives for the correction of these deformities. This study fits the research design, descriptive literature review with integrative and qualitative-exploratory analysis based on the main research platforms, searching for the terms: "Orthognatic Surgery, Angle Class II", "Orthognathic surgery in class II patients", " angle class II surgical correction". The time interval was from 2012 to 2022 in English, Portuguese and Spanish language with a n of 13 articles. It was clear that orthognathic surgery is a very valid tool in the correction of Angle class II deformities, since the procedure brings improvements in the morphological, physiological and psychosocial conditions of the individuals who choose to do so.

References

Almeida, P. (2021). Classe II Subdivisão: Estudo Epidemiológico e Morfométrico (Publication No. 29009980.) [Doctoral dissertation, Universidade de Lisboa (Portugal) ]. ProQuest Dissertations Publishing. https://www.proquest.com/openview/4bb3bfcf343354331e1457781d62a1af/1?pq-origsite=gscholar&cbl=2026366&diss=y

Al-Moraissi, E. A., Wolford, L. M., Perez, D., Laskin, D. M., & Ellis, E., 3rd (2017). Does Orthognathic Surgery Cause or Cure Temporomandibular Disorders? A Systematic Review and Meta-Analysis. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 75(9), 1835–1847. https://doi.org/10.1016/j.joms.2017.03.029

Angle, e. (1907). Treatment of malocclusion of teeth (7th ed.). S.S. White Dental Manufacturing Co.

Angle, Edward H., Classificação de má oclusão. Dental Cosmos 41 (1899):248-264, 350-357., p. 262

Baherimoghaddam, T., Oshagh, M., Naseri, N., Nasrbadi, N. I., & Torkan, S. (2014). Changes in cephalometric variables after orthognathic surgery and their relationship to patients' quality of life and satisfaction. Journal of oral & maxillofacial research, 5(4), e6. https://doi.org/10.5037/jomr.2014.5406

Bariani, R., Guimarães, C. H., Moura, W. S., Ortolani, C., Henriques, J., & Pereira-Bellini, S. A. (2018). Treatment of class II malocclusion and unerupted upper canines with self-ligating appliance. Indian journal of dental research : official publication of Indian Society for Dental Research, 29(3), 391–395. https://doi.org/10.4103/ijdr.IJDR_231_15

Bentes, G. da S. B., de Oliveira, H. S. L., Martins, K. M., & Pimenta, Y. da S. (2021). A influência da cirurgia ortognática no âmbito psicossocial em pacientes com deformidades dentofaciais: Revisão de literatura / The association of orthognathic surgery in the psychosocial contex in patients with dentofacial deformities: Literature review. Brazilian Journal of Development, 7(11), 108267–108277. https://doi.org/10.34117/bjdv7n11-449

Borzabadi-Farahani, A., Eslamipour, F., & Shahmoradi, M. (2016). Functional needs of subjects with dentofacial deformities: A study using the index of orthognathic functional treatment need (IOFTN). Journal of plastic, reconstructive & aesthetic surgery: JPRAS, 69(6), 796–801. https://doi.org/10.1016/j.bjps.2016.03.008

Chen, Y. F., Liao, Y. F., Chen, Y. A., & Chen, Y. R. (2019). Surgical-orthodontic treatment for class II asymmetry: outcome and influencing factors. Scientific reports, 9(1), 17956. https://doi.org/10.1038/s41598-019-54317-5

Chhibber, A., Upadhyay, M., Uribe, F., & Nanda, R. (2015). Long-term surgical versus functional Class II correction: a comparison of identical twins. The Angle orthodontist, 85(1), 142–156. https://doi.org/10.2319/011314-46.1

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Filiaci, F., Ramieri, V., Fatone, F. M., Gennaro, P., Arangio, P., Rinna, C., Vellone, V., Agrillo, A., Ungari, C., & Cascone, P. (2012). New parameter for the evaluation of disgnathic patient's surgical planning: a preliminary report. European review for medical and pharmacological sciences, 16(10), 1430–1432.

Galvão, T. F., Pansani, T. S. D. A., & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde, 24(2), 335-342. https://doi.org/10.5123/S1679-49742015000200017

Gimenez, C. M. M., Bertoz, A. P., & Bertoz, F. A. (2007). Tratamento da má oclusão de Classe II, divisão 1 de Angle, com protrusão maxilar utilizando-se recursos ortopédicos. Rev. Dent. Press Ortodon. Ortop. Facial, 12(6) 85-100. https://doi.org/10.1590/S1415-54192007000600010

Johnston, C., Hunt, O., Burden, D., Stevenson, M., & Hepper, P. (2010). Self-perception of dentofacial attractiveness among patients requiring orthognathic surgery. The Angle orthodontist, 80(2), 361–366. https://doi.org/10.2319/051209-252.1

Kim, M., Hwang, CJ, Cha, JY, Lee, SH, Kim, YJ e Yu, HS (2022). Análise da correlação entre as alterações tridimensionais do espaço aéreo faríngeo e as alterações esqueléticas em pacientes com má oclusão esquelética de classe II após cirurgia ortognática. BioMed research international, 3995690. https://doi.org/10.1155/2022/3995690

Miguel, J. A. M., Palomares, N. B., & Feu, D. (2014). Qualidade de vida de pacientes de cirurgia ortognática: a busca por um diagnóstico integral. Revista Dental Press de Ortodontia, 19(01)123-137. https://doi.org/10.1590/2176-9451.19.1.123-137.sar

Panissa, C., Morawski, R., Tonietto, L., Silveira, V. S., Gulinell, J. L., & Calcagnotto, T. (2018). Cirurgia ortognática para tratamento da síndrome de apneia obstrutiva do sono: relato de caso. Revista da Faculdade de Odontologia - UPF, 22(3), 337-341. https://doi.org/10.5335/rfo.v22i3.7650

Pereira, J. B. A., & Bianchini, E. M. G. (2012). Caracterização das funções estomatognáticas e disfunções temporomandibulares pré e pós cirurgia ortognática e reabilitação fonoaudiológica da deformidade dentofacial classe II esquelética. Revista CEFAC, 13(6), 1086-1094. https://doi.org/10.1590/S1516-18462011000600015

Ribas, M. d. O., Reis, L. F. G., França, B. H. S., & Lima, A. A. S. d. (2005). Cirurgia ortognática: orientações legais aos ortodontistas e cirurgiões bucofaciais. Revista Dental Press de Ortodontia e Ortopedia Facial, 10 (6)75-83. https://doi.org/10.1590/S1415-54192005000600009

Santana, S. I., Santana, B. de S. P.., Rocha, F. S., & Rodrigues, Átila R. (2022). Prótese Dentária Implanto-suportada e Cirurgia Ortognática para Reabilitação de Pacientes com Apneia Obstrutiva do Sono. Medicina (Ribeirão Preto), 55(1), e-180437. https://doi.org/10.11606/issn.2176-7262.rmrp.2022.180437

Souza, C., Paulo, C., Luiz, C., & Silvio, O. (2016). Prevalência de maloclusão Classe I, II e III de Angle em um Curso de Especialização em Ortodontia da Cidade de AnápolisSci. Invest Dent, 21(1) 2317-2835. http://dx.doi.org/10.29232/2317-2835.2016v21i1

Souza, M. T, Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. einstein (São Paulo), 8(1), 102-106. https://doi.org/10.1590/s1679-45082010rw1134

Torgersbråten, N., Stenvik, A., & Espeland, L. (2021). Patient satisfaction after orthognathic surgery: a 3 year follow-up of 60 high-angle Class II individuals. European journal of orthodontics, 43(2), 215–221. https://doi.org/10.1093/ejo/cjaa038

Wang, H., Xue, C., Luo, E., Dai, W., & Shu, R. (2021). Three-dimensional surgical guide approach to correcting skeletal Class II malocclusion with idiopathic condylar resorption. The Angle orthodontist, 91(3), 399–415. https://doi.org/10.2319/050320-383.1

Published

28/10/2022

How to Cite

MELO, M. V. F. .; CORRÊA, M. T. R. .; ANDRADE, R. S. de .; SILVA, D. L. M. .; SILVA, I. A. P. S. . Orthognathic surgery in class II patients: criteria to be evaluated for indication . Research, Society and Development, [S. l.], v. 11, n. 14, p. e328111436309, 2022. DOI: 10.33448/rsd-v11i14.36309. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36309. Acesso em: 8 dec. 2022.

Issue

Section

Health Sciences