Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Mashkina A.A.

Central Research Institute of Dentistry and Maxillofacial Surgery

Romanovsky M.A.

Private practice, LLC “Klasko”

Journal: Stomatology. 2025;104(5): 73–78

Is it possible to prevent mandibular notching after bilateral sagittal splitting osteotomy. Clinical case

Authors:

Mashkina A.A., Romanovsky M.A.

More about the authors

DOI: 10.17116/stomat202510405173

Read: 1200 times

Download PDF
Download PDF (RU)
Contact the author
Table of contents

Open to cite this article

Is it possible to prevent mandibular notching after bilateral sagittal splitting osteotomy. Clinical case. Stomatology. 2025;104(5):73‑78. (In Russ., In Engl.).
https://doi.org/10.17116/stomat202510405173

Close metadata
Recommended articles:
Three-dimensional evaluation of stability of maxi­llary displacement after surgically assi­sted maxi­llary expa­nsion in adult patients with cleft lip and palate. Stomatology. 2025;(2):48-53
Treatment of adult patients with upper micrognathia after a series of surgeries for unilateral cleft lip and palate. Part 1. Stomatology. 2025;(3):26-32
The significance of using the method of shared deci­sion-making in preparing patients for orthognathic surgery. Stomatology. 2025;(4):26-32
Comparative morphometric analysis of the sizes of the body and branch of the mandible in adolescents with various forms of unde­rdevelopment of the mandible: deve­lopment of a classification of the degrees of unde­rdevelopment and an algo­rithm for choosing surgical tactics. Stomatology. 2025;(6-2):65-72
Electromyographic evaluation of the dyna­mic electroneurostimulation effe­ctiveness in skeletal class III patient reha­bilitation after orthognathic surgery. Stomatology. 2025;(6):43-48
Using digi­tal technologies and 3D cephalometric analysis in orthodontic treatment planning and facial aesthetics asse­ssment. Russian Journal of Stomatology. 2025;(4):12-19

The healing process at the osteotomy site can result in visible mandibular contour irregularities, compromising aesthetic outcomes and requiring secondary corrective procedures. This study provides a literature review on the risk factors for mandibular notching following bilateral sagittal split osteotomy (BSSO) while also proposing an original preventative technique.

Keywords:

orthognathic surgery
bilateral sagittal split osteotomy
mandibular lower border notching

Authors:

Mashkina A.A.

Central Research Institute of Dentistry and Maxillofacial Surgery

Romanovsky M.A.

Private practice, LLC “Klasko”

Received:

02.04.2025

Accepted:

08.07.2025

List of references:

  1. Verweij JP, van Rijssel JG, Fiocco M, Mensink G, Gooris PJJ, van Merkesteyn JPR. Are there risk factors for osseous mandibular inferior border defects after bilateral sagittal split osteotomy? J Craniomaxillofac Surg. 2017;45(4):483-489.  https://doi.org/10.1016/j.jcms.2016.12.015
  2. Masson A, Veyssiere A, Briant A, Weill P, Preud’homme R, Benateau H. Risk factors for lower border notching after bilateral mandibular sagittal ramus advancement: three-dimensional evaluation. Int J Oral Maxillofac Surg. 2023;52(5):577-583.  https://doi.org/10.1016/j.ijom.2022.12.008
  3. Agbaje JO, Gemels B, Salem AS, Anumendem D, Vrielinck L, Politis C. Modified mandibular inferior border sagittal split osteotomy reduces postoperative risk for developing inferior border defects. J Oral Maxillofac Surg. 2016;74(5):1062. https://doi.org/10.1016/j.joms.2016.01.005
  4. Wolford LM, Davis WM Jr. The mandibular inferior border split: a modification in the sagittal split osteotomy. J Oral Maxillofac Surg. 1990;48(1):92-94.  https://doi.org/10.1016/0278-2391(90)90190-D
  5. Agbaje JO, Sun Y, Vrielinck L, Schepers S, Lambrichts I, Politis C. Risk factors for the development of lower border defects after bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 2013;71(3):588-596.  https://doi.org/10.1016/j.joms.2012.07.003
  6. Trauner R, Obwegeser H. Zur Operationstechnik bei der Progenie und anderen Unterkieferanomalien. Dtsch Zahnarztl Mund Kieferheilkd. 1955;23:1-26. 
  7. Dal Pont G. L’osteotomia retromolare per la correzione della progenia. Minerva Chir. 1959;14:1138-1141.
  8. Epker BN, Wessberg GA. Mechanisms of early skeletal relapse following surgical advancement of the mandible. Br J Oral Surg. 1982;20(3):175-182.  https://doi.org/10.1016/0007-117X(82)90005-3
  9. Hunsuck EE. A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg. 1968;(4):250-253. 
  10. Loncle T, Bontemps P, Bénaïcha M. Modified technique used for sagittal splitting of the mandible. J Stomatol Oral Maxillofac Surg. 2017;118(3): 193-196.  https://doi.org/10.1016/j.jormas.2017.03.009
  11. Mont’Alverne ALF, Xavier FG, Meneses AM, Santos ES, Franco JMPL. Is bilateral sagittal split osteotomy of the mandible with no step possible? A modification in the technique. J Craniofac Surg. 2019;30(7):2275-2276. https://doi.org/10.1097/SCS.0000000000005679
  12. Swennen GRJ, Andriola F de O, Weinberg Y. Minimally invasive (MI) sagittal split osteotomy. In: Swennen GRJ, editor. Minimally Invasive (MI) Orthognathic Surgery: A Systematic Step-by-Step Approach. Cham (CH): Springer; 2023:127-144. 
  13. Raffaini M, Magri A, Giuntini V, Nieri M, Pantani C, Conti M. How to prevent mandibular lower border notching following bilateral sagittal split osteotomies for major advancements: analysis of 168 osteotomies. J Oral Maxillofac Surg. 2020;78(5):764-772.  https://doi.org/10.1016/j.joms.2019.11.022
  14. Trevisiol L, Nocini PF, Albanese M, Sbarbati A, D’Agostino A. Grafting of large mandibular advancement with a collagen-coated bovine bone (Bio-Oss Collagen) in orthognathic surgery. J Craniofac Surg. 2012;23(5):1343-1348. https://doi.org/10.1097/SCS.0b013e3182646c3a
  15. Elgali I, Omar O, Dahlin C, Thomsen P. Guided bone regeneration: materials and biological mechanisms revisited. Eur J Oral Sci. 2017;125(5):315-337.  https://doi.org/10.1111/eos.12364
  16. Wang HL, Boyapati L. “PASS” principles for predictable bone regeneration. Implant Dent. 2006 Mar;15(1):8-17.  https://doi.org/10.1097/01.id.0000204762.39826.0f
  17. Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg. 1988;81(5):672-676.  https://doi.org/10.1097/00006534-198805000-0000
Contact the author
Email
Message

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
E-mail
Password
Forgot Password?

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.