10.25241stomaeduj.2023.10(1-4).art.6.abstract

ORAL SURGERY

PLATE REMOVAL AFTER ORTHOGNATHIC SURGERY: A 5-YEAR RETROSPECTIVE ANALYSIS OF 1252 PATIENTS

DOI: https://doi.org/10.25241/stomaeduj.2023.10(1-4).art.6

Abstract

Introduction

The objectives of this 5-year retrospective study were to evaluate the indications and risk factors for the removal of titanium miniplates following osteosynthesis in orthognathic surgery.

Methodology

The records of 1252 consecutive patients (5779 plates) undergoing orthognathic surgery between January 2015 and July 2020 were reviewed. The risk factors considered in the study included age, sex, smoking habits, jaw movement and rotation, third molar removal at the time of the surgery, plate location and plate manufacturer.

Results

681 patients had bimaxillary surgery, 466 patients had a bilateral sagittal split osteotomy and 105 patients had a Le Fort I osteotomy. In total, 341 genioplasties were performed. 78 patients required plate removal (6,2% of all patients). A total of 107 plates were removed (1,9% of all plates). All patients had their plates removed within a year. Infection is the most important reason for plate removal in 71,8% of the patients (56 patients, 68 plates). 12 patients had their plates removed because of subjective complaints (15,4%, 20 plates). The average time between surgery and plate removal was 73 days.

Conclusion

Age, thirdmolarremovalduringsurgery, mandibleplatesandmandibularrotationweresignificant predictors for plate removal. These factors should be taken into consideration for every orthognathic patient. This study reports a low incidence of plate removal compared with previously published reports.

Keywords: Orthognathic Surgery; Titanium miniplates; Plate removal; Risk factors; Infection;

^TF4-1Abbreviations: BM = bimaxillary surgery; BSSO = bilateral sagittal split osteotomy; LF1 = Le Fort 1 osteotomy; G = genioplasty.

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STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a new international dental journal whose main purpose is to inform researchers, educators, graduates, postgraduates and practitioners about the latest trends in the field, which followed, would bring immediate and lasting benefits to the patients; and about opinions of the most authorized specialists on what is best in current practice, for the good of both, patient and dentist.
STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a peer-reviewed, open access international dental journal to be database indexed, meant to contribute to the development and completion of the medical training of practitioners as Dr. Greene Vardiman Black stated: “the professional man has no right to be other than a continual student”.
Open access journal, means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.