Staff View: Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review

Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review

Objective The present systematic review aimed to determine cephalometric values that may be used as a guide in deciding between orthodontic camouflage and orthognathic surgery to treat a Class III malocclusion in adults. In addition, a secondary aim was to identify treatment complications and aesthe...

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Main Authors:	Sivarajan, Saritha, Zakaria, Nor Nadia, Azmily, Noor Asyikin, Wey, Mang Chek, Abd El-Ghafour, Mohamed, Fayed, Mona M. Salah
Format:	Article
Published:	Sciendo 2022
Subjects:	RK Dentistry Oral surger
Online Access:	http://eprints.um.edu.my/42101/
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spelling	my.um.eprints.421012023-10-16T07:44:31Z http://eprints.um.edu.my/42101/ Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review Sivarajan, Saritha Zakaria, Nor Nadia Azmily, Noor Asyikin Wey, Mang Chek Abd El-Ghafour, Mohamed Fayed, Mona M. Salah RK Dentistry Oral surger Objective The present systematic review aimed to determine cephalometric values that may be used as a guide in deciding between orthodontic camouflage and orthognathic surgery to treat a Class III malocclusion in adults. In addition, a secondary aim was to identify treatment complications and aesthetic perceptions by laypersons/orthodontists. Methods Without a language restriction, an electronic search of six databases and a hand search of three orthodontic journals were performed until September 2021. All studies comparing orthodontic camouflage and orthognathic surgery in Class III malocclusion patients, were included. Data extraction was carried out independently by two authors with disagreement resolved by a third author. The risk of bias related to individual studies was appraised using a modified version of the STROBE checklist. The results were summarised qualitatively, and no meta-analysis was undertaken due to the high heterogeneity between the studies. Results With the quality of evidence ranging from moderate to high, six retrospective studies were included. A cephalometric analysis comprising the Holdaway angle, overjet, the Wits appraisal, lower incisor inclination, the maxillary-mandibular ratio, overbite, gonial angle and an additional combination were used as a guide. No treatment complications were reported. One study examined the perception of facial profile attractiveness in borderline surgical Class III malocclusions and found no difference in outcome and significant improvements in both camouflage and surgical groups. Conclusion The existing evidence is insufficient to identify a cephalometric parameter threshold in deciding between orthodontic camouflage and orthognathic surgery. PROSPERO database protocol no. CRD42020165164. Sciendo 2022-01-01 Article PeerReviewed Sivarajan, Saritha and Zakaria, Nor Nadia and Azmily, Noor Asyikin and Wey, Mang Chek and Abd El-Ghafour, Mohamed and Fayed, Mona M. Salah (2022) Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review. Australasian Orthodontic Journal, 38 (2). pp. 183-193. ISSN 2207-7472, DOI https://doi.org/10.2478/aoj-2022-0021 <https://doi.org/10.2478/aoj-2022-0021>. 10.2478/aoj-2022-0021
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	RK Dentistry Oral surger
spellingShingle	RK Dentistry Oral surger Sivarajan, Saritha Zakaria, Nor Nadia Azmily, Noor Asyikin Wey, Mang Chek Abd El-Ghafour, Mohamed Fayed, Mona M. Salah Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
description	Objective The present systematic review aimed to determine cephalometric values that may be used as a guide in deciding between orthodontic camouflage and orthognathic surgery to treat a Class III malocclusion in adults. In addition, a secondary aim was to identify treatment complications and aesthetic perceptions by laypersons/orthodontists. Methods Without a language restriction, an electronic search of six databases and a hand search of three orthodontic journals were performed until September 2021. All studies comparing orthodontic camouflage and orthognathic surgery in Class III malocclusion patients, were included. Data extraction was carried out independently by two authors with disagreement resolved by a third author. The risk of bias related to individual studies was appraised using a modified version of the STROBE checklist. The results were summarised qualitatively, and no meta-analysis was undertaken due to the high heterogeneity between the studies. Results With the quality of evidence ranging from moderate to high, six retrospective studies were included. A cephalometric analysis comprising the Holdaway angle, overjet, the Wits appraisal, lower incisor inclination, the maxillary-mandibular ratio, overbite, gonial angle and an additional combination were used as a guide. No treatment complications were reported. One study examined the perception of facial profile attractiveness in borderline surgical Class III malocclusions and found no difference in outcome and significant improvements in both camouflage and surgical groups. Conclusion The existing evidence is insufficient to identify a cephalometric parameter threshold in deciding between orthodontic camouflage and orthognathic surgery. PROSPERO database protocol no. CRD42020165164.
format	Article
author	Sivarajan, Saritha Zakaria, Nor Nadia Azmily, Noor Asyikin Wey, Mang Chek Abd El-Ghafour, Mohamed Fayed, Mona M. Salah
author_facet	Sivarajan, Saritha Zakaria, Nor Nadia Azmily, Noor Asyikin Wey, Mang Chek Abd El-Ghafour, Mohamed Fayed, Mona M. Salah
author_sort	Sivarajan, Saritha
title	Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
title_short	Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
title_full	Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
title_fullStr	Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
title_full_unstemmed	Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review
title_sort	determination of treatment options for class iii malocclusions in adult patients based on cephalometric values: a systematic review
publisher	Sciendo
publishDate	2022
url	http://eprints.um.edu.my/42101/
_version_	1781704595266863104
score	13.211869

Determination of treatment options for Class III malocclusions in adult patients based on cephalometric values: A systematic review

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