This study examined long-term changes in bite force, occlusal contact area, and mean bite pressure in prognathic patients after orthognathic treatment as assessed with the use of a pressure-sensitive sheet (Dental-Prescale, Fuji Photo Film Co.).
One hundred ten prognathic patients were examined. Bite force, occlusal contact area, and mean bite pressure were measured just before surgery and 2 weeks, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years after surgery. Fourteen untreated prognathic subjects with skeletal class DI malocclusion and 40 control healthy subjects with normal occlusion were also studied.
The bite force and occlusal contact area of the untreated subjects were significantly less than those of the control subjects. The bite force and occlusal contact area of the patients did not differ significantly from those of the control subjects 3 years, 4 years, or 5 years after operation. However, the mean values of bite force and occlusal contact area in the patients were about 80% of those in the control subjects 3 to 5 years after surgery. Mean bite pressure of the patients was significantly higher than that of the control subjects 2 weeks, 6 months, 1 year, and 2 years postoperatively. However, by 3 years after surgery, mean bite pressure of the patients had decreased to the control level, and there were no significant differences between the mean bite pressure of the patients and that of the control subjects 3 to 5 years postoperatively.
In conclusion, there were no significant differences between the levels of the patients and control subjects 3 to 5 years after surgery. These results suggest that orthognathic treatment improves the occlusal function of prognathic patients. However, the mean values of bite force and occlusal contact area in the patients did not reach those in the control subjects even 5 years postoperatively. Longer than 5 years after surgery may be required for postoperative occlusal function in prognathic patients to reach the level of healthy subjects. Facet formation and increased facet number caused by attrition after orthognathic treatment may be the factors allowing postoperative occlusal function in prognathic patients to reach the level of healthy subjects.
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