Relationship between Preoperative Maxillomandibular Transverse Discrepancy and Post-Surgical Stability in Class II Malocclusion

Abstract

The aim of this study was to examine the relationship between the presurgical maxillomandibular transverse index and post-surgical stability one year after mandibular advancement. For the material and methods, twenty-two subjects who were treated with mandibular advancement were enrolled in this study. Postsurgical stability was defined as the horizontal mandibular position change of <2 mm in lateral cephalogram 1 year after surgery. Subjects were divided into two groups according to the maintenance of postsurgical stability: a stable group (group S) and a less stable group (group LS). Presurgical maxillomandibular transverse index was determined as Yonsei transverse index (YTI) one month before surgery. A logistic analysis was performed on the postsurgical stability according to the YTI value. The presurgical, post-expansion target YTI value was obtained using receiver operating characteristic (ROC) curve. There were no notable differences in the baseline characteristics of the two groups except for vertical positions of point A, B, and gender distribution. Before surgery, however, there was a significant difference in YTI at both the fossa and CR level between the groups. The amount of mandibular advancement did not show a significant difference. The odds ratio for YTI was 0.35 (p = 0.024). The prediction of stability of presurgical YTI yielded an area under the ROC curve of 0.88. The cut-off value for YTI was 1.45 mm. It can thus be concluded that presurgical transverse index showed a correlation with postsurgical stability, and correcting it in the presurgical phase to a certain level appears to aid in securing postsurgical stability.