How common is relapse in Jaw Surgery?

[Dropdown666]

How common is relapse in Jaw Surgery?

Are there ways to prevent it (maybe some special plates / fixation)?

Is bigger advancement indicated with a higher chance of relapse?

Imagine taking out a loan and working your ass of to get a BIMAX and then you relapse.

 

[lepo2317]

wtf is relapse?

 

[Tallooksmaxxer]

its just couple of mms at worst.

 

[Dropdown666]

wtf is relapse?

Jaw moves back to the position where it was before

 

[lepo2317]

Jaw moves back to the position where it was before

So if you cut bone, it fuses, how the fuck it can go back to the place it was before?

 

[Deleted member 20631]

So if you cut bone, it fuses, how the fuck it can go back to the place it was before?

It takes 3 months for bone to completely consolidate, surgeon can make mistakes when installing the titanium plates leading them to be too loose. Also the bigger your movement the more soft tissue and muscle is stretched creating tension that’s trying to pull your jaws back

 

[lepo2317]

It takes 3 months for bone to completely consolidate, surgeon can make mistakes when installing the titanium plates leading them to be too loose. Also the bigger your movement the more soft tissue and muscle is stretched creating tension that’s trying to pull your jaws back

Thanks, now it seems possible. Damn, that's sad honestly.

 

[Deleted member 20631]

Thanks, now it seems possible. Damn, that's sad honestly.

It isn’t that common and I’m pretty sure only becomes an issue once you advance past 10mm. Even then it’s not that likely to occur, this shouldn’t be something to worry about

 

[lepo2317]

It isn’t that common and I’m pretty sure only becomes an issue once you advance past 10mm. Even then it’s not that likely to occur, this shouldn’t be something to worry about

Yeah, I just read and it is vast majority because of surgeons mistake. If you go to good clinic there is literally no possibility of it happening.

 

[Mr.Proper]

"Based on the articles evaluating stability, patients undergoing BSSO or DO with an advancement or lengthening of between 6 and 10 mm showed similar mean skeletal relapse of 15.0% and 17.1%, respectively, within postoperative months 6 to 12. Greater skeletal relapse was reported for BSSO patients with high mandibular plane angles compared with normal mandibular plane angle patients (29.6% vs. 11.3%). The authors concluded that both BSSO and DO showed similar relapse rates for mandibular advancements between 6 and 10 mm. Both techniques may also share similar risk factors for skeletal relapse."
It's for Class II Malocclusion: Mandible Moved Forward with Mandibular Plane Maintained or Rotated Clockwise

 

[Dropdown666]

"Based on the articles evaluating stability, patients undergoing BSSO or DO with an advancement or lengthening of between 6 and 10 mm showed similar mean skeletal relapse of 15.0% and 17.1%, respectively, within postoperative months 6 to 12. Greater skeletal relapse was reported for BSSO patients with high mandibular plane angles compared with normal mandibular plane angle patients (29.6% vs. 11.3%). The authors concluded that both BSSO and DO showed similar relapse rates for mandibular advancements between 6 and 10 mm. Both techniques may also share similar risk factors for skeletal relapse."
It's for Class II Malocclusion: Mandible Moved Forward with Mandibular Plane Maintained or Rotated Clockwise

Thanks. I also found this study.

Conclusion: The majority of patients exhibited stable treatment outcomes. Maxillary advancement procedures were found to be less susceptible to relapse-resulting in more stable outcomes-and mandibular setback distances correlated positively with the degree of the relapse. No statistically significant differences were observed between the procedures conducted in both jaws versus in the lower jaw only, or in the extent of upper-jaw repositioning.

 

[Mr.Proper]

Thanks. I also found this study.

Conclusion: The majority of patients exhibited stable treatment outcomes. Maxillary advancement procedures were found to be less susceptible to relapse-resulting in more stable outcomes-and mandibular setback distances correlated positively with the degree of the relapse. No statistically significant differences were observed between the procedures conducted in both jaws versus in the lower jaw only, or in the extent of upper-jaw repositioning.

Wonder if relapse rates are lower when using distractors