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A longitudinal study of changes in masticatory performance of patients undergoing orthognathic surgery

Identifieur interne : 000A40 ( Istex/Curation ); précédent : 000A39; suivant : 000A41

A longitudinal study of changes in masticatory performance of patients undergoing orthognathic surgery

Auteurs : Hooman M. Zarrinkelk ; Gaylord S. Throckmorton ; Edward Ellis Iii ; Douglas P. Sinn

Source :

RBID : ISTEX:14E66B2095AFD6C86499E728FF8A07E7F90AEC43

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English descriptors

Abstract

Abstract: Purpose: Individuals with developmental deformities of the jaws may be less efficient at chewing food. Previous studies have reported masticatory deficiency in patients with such deformities. This study was designed to detect any changes in masticatory performance that accompany orthognathic surgery. Materials and Methods: Masticatory performance was tested in 18 patients with various jaw deformities before application of orthodontic appliances and 2 to 3 years after surgical correction of their malocclusion. A control group was tested at three 6-month intervals. The subjects chewed carrots and masticatory performance was measured using a standard sieve technique. The Rosin-Rammler equation was used to calculate the median particle size and broadness index of each set of carrots. The number of chewing cycles required for each subject to swallow one piece of carrot was also recorded. Results: A statistically significant difference in median particle size between patients and controls was found both preoperatively and postoperatively (P < .05), but no difference in median particle size or broadness index was seen between trials for controls or patients (P > .05). Conclusion: It was concluded that before surgery patients have a lower level of performance than controls and surgical correction of the malocclusion does not significantly enhance performance.

Url:
DOI: 10.1016/0278-2391(95)90331-3

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ISTEX:14E66B2095AFD6C86499E728FF8A07E7F90AEC43

Le document en format XML

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<name sortKey="Ellis Iii, Edward" sort="Ellis Iii, Edward" uniqKey="Ellis Iii E" first="Edward" last="Ellis Iii">Edward Ellis Iii</name>
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<term>Broadness indices</term>
<term>Carrot</term>
<term>Carrot fragments</term>
<term>Congenital misalignment</term>
<term>Control group</term>
<term>Control subjects</term>
<term>Controls patients figure</term>
<term>Deformity</term>
<term>Dentoskeletal deformities</term>
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<term>First trial</term>
<term>Formula method</term>
<term>Graph method</term>
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<term>Longitudinal study</term>
<term>Lower level</term>
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<term>Maxillofacial surgery</term>
<term>Median</term>
<term>Median particle size</term>
<term>Median particle size values</term>
<term>Medical center</term>
<term>Muscle activity</term>
<term>Normal control values</term>
<term>Occlusal contact</term>
<term>Oral maxillofac surg</term>
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<term>Orthodontic appliances</term>
<term>Orthodontic treatment</term>
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<term>Orthognathic surgery</term>
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<term>Particle size</term>
<term>Particle sizes</term>
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<term>Patients preoperatively</term>
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<term>Presurgical orthodontics</term>
<term>Previous studies</term>
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<term>Carrot fragments</term>
<term>Congenital misalignment</term>
<term>Control group</term>
<term>Control subjects</term>
<term>Controls patients figure</term>
<term>Deformity</term>
<term>Dentoskeletal deformities</term>
<term>Error bars</term>
<term>First trial</term>
<term>Formula method</term>
<term>Graph method</term>
<term>Last trials</term>
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<term>Longitudinal study</term>
<term>Lower level</term>
<term>Mandibular</term>
<term>Mandibular movement</term>
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<term>Mastication</term>
<term>Masticatory</term>
<term>Masticatory efficiency</term>
<term>Masticatory function</term>
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<term>Masticatory performance</term>
<term>Masticatory performance testing</term>
<term>Masticatory process</term>
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<term>Maxillofacial surgery</term>
<term>Median</term>
<term>Median particle size</term>
<term>Median particle size values</term>
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<term>Muscle activity</term>
<term>Normal control values</term>
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<term>Orthodontic appliances</term>
<term>Orthodontic treatment</term>
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<term>Orthognathic surgery</term>
<term>Other hand</term>
<term>Particle size</term>
<term>Particle sizes</term>
<term>Patient group</term>
<term>Patients preoperatively</term>
<term>Postsurgical orthodontics</term>
<term>Presurgical orthodontics</term>
<term>Previous studies</term>
<term>Prognathism</term>
<term>Sagittal ramus split osteotomy</term>
<term>Seasonal changes</term>
<term>Sieve</term>
<term>Significant difference</term>
<term>Significant differences</term>
<term>Significant improvement</term>
<term>Single type</term>
<term>Sixth disc</term>
<term>Standard deviation</term>
<term>Statistical analysis</term>
<term>Surg</term>
<term>Surgery</term>
<term>Surgery patients</term>
<term>Surgical</term>
<term>Surgical correction</term>
<term>Surgical procedures</term>
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<div type="abstract" xml:lang="en">Abstract: Purpose: Individuals with developmental deformities of the jaws may be less efficient at chewing food. Previous studies have reported masticatory deficiency in patients with such deformities. This study was designed to detect any changes in masticatory performance that accompany orthognathic surgery. Materials and Methods: Masticatory performance was tested in 18 patients with various jaw deformities before application of orthodontic appliances and 2 to 3 years after surgical correction of their malocclusion. A control group was tested at three 6-month intervals. The subjects chewed carrots and masticatory performance was measured using a standard sieve technique. The Rosin-Rammler equation was used to calculate the median particle size and broadness index of each set of carrots. The number of chewing cycles required for each subject to swallow one piece of carrot was also recorded. Results: A statistically significant difference in median particle size between patients and controls was found both preoperatively and postoperatively (P < .05), but no difference in median particle size or broadness index was seen between trials for controls or patients (P > .05). Conclusion: It was concluded that before surgery patients have a lower level of performance than controls and surgical correction of the malocclusion does not significantly enhance performance.</div>
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