Objective: To compare the effect of canting correction in anterior maxillary transverse occlusal planes (AMTOP) and posterior maxillary transverse occlusal planes (PMTOP) on the change of lip canting (LC) in two-jaw surgery (TJS) cases.

 Materials and Methods: The samples consisted of eight young adult patients (three males and five females, mean age = 24.1 ± 4.5 years) who had skeletal Class III malocclusion (CIII), facial asymmetry (FA), and LC and who underwent TJS. Two-dimensional lateral and posteroanterior cephalograms and three-dimensional facial scanning taken 1 week before (T1) and 6 months after TJS (T2) were combined using the Morpheus 3D program. Six linear and angular variables were measured and statistically analyzed.

 Results: When comparing the values of the linear and angular variables at the T1 and T2 stages there was significant canting correction of AMTOP (1.7 mm vs −0.3 mm 3.0° vs 0.1°), PMTOP (3.5 mm vs 0.1 mm, 3.3° vs −0.1°), and LC (3.0 mm vs 0.7 mm, 4.7° vs 2.1°) (all P < .05). Although the angular change ratios (ΔLC/ΔAMTOP and ΔLC/ΔPMTOP) did not exhibit a significant difference (0.99 vs 0.83), the linear change ratio of ΔLC/ΔAMTOP was significantly higher than that of ΔLC/ΔPMTOP (1.67 vs 0.74, P < .05). The angular change of ΔLC showed a significant correlation with ΔAMTOP (r2 = 0.64 P < .05). However, the linear change of ΔLC was significantly correlated with both the angular and linear changes of ΔAMTOP (r2  =  0.62 and 0.66 both P < .05). Therefore, the amount of LC change was more related to the canting correction of AMTOP than to that of PMTOP.

 Conclusion: In TJS cases with CIII, FA, and LC, the amount of canting correction of the AMTOP should be considered to predict the actual LC change.

 Source: Angle Orthodontists

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