Orthognathic surgery in class II patients: criteria to be evaluated for indication
DOI:
https://doi.org/10.33448/rsd-v11i14.36309Keywords:
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Marcus Vinicius Ferreira Melo; Mariana Tamila Ribeiro Corrêa; Rodrigo Soares de Andrade; Dayviddy Lucas Magalhães Silva; Ivânia Aparecida Pimenta Santos Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
