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Published in: Oral and Maxillofacial Surgery 1/2024

14-06-2023 | Review

Changes in occlusion after orthognathic surgery: a systematic review and meta-analysis

Authors: Feras AlMofreh AlQahtani, Sudhir Rama Varma, Sam Thomas Kuriadom, Basma AlMaghlouth, Nasser AlAsseri

Published in: Oral and Maxillofacial Surgery | Issue 1/2024

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Abstract

Purpose

This study aims to systematically review and identify the changes of occlusion in patients after orthognathic surgery.

Methods

The protocol was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) and was registered to the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42021253129. Studies included were Original articles only, Additionally, studies were included if the outcome of occlusal force was measured pre- and postoperatively and if occlusal forces resulted from a long follow-up of a minimum of 1 year following orthognathic surgery using adequate measurement tools. Non-English articles, case reports, case series, and non-original articles, including systematic reviews and literature reviews, were excluded.

Results

The search strategy yielded a total of 978 articles. Of the 978 articles, 285 were duplicates. After reading the titles and abstracts, 649 articles were excluded, and full-text articles of the remaining 47 studies were reviewed independently by two authors for eligibility wherein 33 articles were excluded, because they did not meet the inclusion criteria. Finally, a total of 14 studies were processed for critical review.

Conclusion

The occlusal force increased after orthognathic surgery, although not to the level of the control group; however, the maximal bite force remained unchanged. Immediately after orthognathic surgery, chewing and swallowing forces increased. Significant reductions in the postoperative occlusal contact pressure areas was also observed.
Literature
2.
go back to reference Hagberg C (1987) Assessment of bite force: a review. J Craniomandib Disord 1:162–169PubMed Hagberg C (1987) Assessment of bite force: a review. J Craniomandib Disord 1:162–169PubMed
10.
go back to reference Finn RA, Throckmorton GS, Bell WH, Legan HL (1980) Biomechanical considerations in the surgical correction of mandibular deficiency. J Oral Surg 38:257–264PubMed Finn RA, Throckmorton GS, Bell WH, Legan HL (1980) Biomechanical considerations in the surgical correction of mandibular deficiency. J Oral Surg 38:257–264PubMed
12.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71’CrossRefPubMedPubMedCentral Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://​doi.​org/​10.​1136/​bmj.​n71’CrossRefPubMedPubMedCentral
29.
go back to reference Lyons MF, Sharkey SW, Lamey PJ (1992) An evaluation of the T-scan computerised occlusal analysis system. Int J Prosthodont 5:166–172PubMed Lyons MF, Sharkey SW, Lamey PJ (1992) An evaluation of the T-scan computerised occlusal analysis system. Int J Prosthodont 5:166–172PubMed
30.
go back to reference Mizui M, Nabeshima F, Tosa J, Tanaka M, Kawazoe T (1994) Quantitative analysis of occlusal balance in intercuspal position using the T-scan system. Int J Prosthodont 7:62–71PubMed Mizui M, Nabeshima F, Tosa J, Tanaka M, Kawazoe T (1994) Quantitative analysis of occlusal balance in intercuspal position using the T-scan system. Int J Prosthodont 7:62–71PubMed
34.
go back to reference Kobayashi et al (1993) Masticatory function in patients with mandibular prognathism before and after orthognathic surgery. J Oral Maxillofac Surg 51(9):997–1001CrossRefPubMed Kobayashi et al (1993) Masticatory function in patients with mandibular prognathism before and after orthognathic surgery. J Oral Maxillofac Surg 51(9):997–1001CrossRefPubMed
35.
go back to reference Abrahamsson et al (2015) Masticatory function in patients with dentofacial deformities before and after orthognathic treatment—a prospective, longitudinal, and controlled study. Eur J Orthod 37(1):67–72CrossRefPubMed Abrahamsson et al (2015) Masticatory function in patients with dentofacial deformities before and after orthognathic treatment—a prospective, longitudinal, and controlled study. Eur J Orthod 37(1):67–72CrossRefPubMed
Metadata
Title
Changes in occlusion after orthognathic surgery: a systematic review and meta-analysis
Authors
Feras AlMofreh AlQahtani
Sudhir Rama Varma
Sam Thomas Kuriadom
Basma AlMaghlouth
Nasser AlAsseri
Publication date
14-06-2023
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 1/2024
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-023-01165-3

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