Chair side measuring instrument for quantification of the extent of a transverse maxillary occlusal plane cant

Maxillofacial Plastic and Reconstructive Surgery

Ashraf Messiha¹  Farhad B. Naini²  Daljit S. Gill³ 

[1] 0000 0000 8546 682X, grid.264200.2, Maxillofacial Unit, St George’s Hospital Medical School, Blackshaw Road, SW17 0QT, London, UK;Kingston and St George’s Hospitals and St George’s Medical School, London, UK;0000 0000 8546 682X, grid.264200.2, Maxillofacial Unit, St George’s Hospital Medical School, Blackshaw Road, SW17 0QT, London, UK;grid.420468.c, Department of Orthodontics, Great Ormond Street Hospital & Eastman Dental Hospital, London, UK;

关键词: Transverse cant;    Occlusal plane;    Orthognathic surgery;    Symmetry;   

DOI  :  10.1186/s40902-019-0204-6

来源: publisher

【 摘 要 】

BackgroundTreatment planning the correction of a transverse maxillary occlusal plane cant often involves a degree of qualitative “eyeballing”, with the attendant possibility of error in the estimated judgement. A simple chair side technique permits quantification of the extent of asymmetry and thereby quantitative measurements for the correction of the occlusal plane cant.MethodsA measuring instrument may be constructed by soldering the edge of a stainless steel dental ruler at 90° to the flat surface of a similar ruler. With the patient either standing in natural head position, or alternatively seated upright in the dental chair, and a dental photographic retractor in situ, the flat under-surface of the horizontal part of this measuring instrument is placed on a unilateral segment of a bilateral structure, e.g. the higher maxillary canine orthodontic bracket hook. The vertical ruler is held next to the contralateral canine tooth, and the vertical distance measured directly from the canine bracket to the flat under-surface of the horizontal part of the measuring instrument.ResultsThis vertical distance quantifies the overall extent of movement required to level the maxillary occlusal plane.ConclusionsThis measuring instrument and simple chair side technique helps to quantify the overall extent of surgical levelling required and may be a useful additional technique in our clinical diagnostic armamentarium.

【 授权许可】

CC BY