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Research Article

JCDR. 2021; 12(5): 69-73

Strategic Post Operative Evaluation of Anterior Maxillary Osteotomies performed for Repositioning of Anterior Dento- Osseous Segment: An Original Research Study

SachinKumar, Tanu Gupta, Prabhakar Gupta, AshishKumar Rai, Karan Sublok, VarunKumar Verma.


Aim:The exclusive aim of this study was to comprehensively evaluate the patients in their post operative phase
wherein repositioning of anterior dental-osseous segment was performed by anterior maxillary osteotomy. The study
was primarily targeted to assess possible post operative complications as related to anterior maxillary osteotomy
procedure in studied patients.Materials & Methods: Total thirty young patients were studied in detail. Simple
Random Sampling methodology was used to select patients from department. All thirty patients with surgically
repositioned anterior dental-osseous segment were selected. Three basic methodologies (for anterior maxillary
osteotomy) were used in surgery depending on the requirements and clinical conditions. Standard sterilization and
surgical protocols were followed during surgeries. Patients were evaluated for few predetermined post operative
complication in two months, four months and six months follow up phases. Data thus received was compiled in
table and subjected to basic statistical analysis. Statistical Analysis and Results: The primary data was subjected to
suitable statistical tests to obtain p values, mean, standard deviation, chi- square test, standard error and 95% CI. Out
of thirty patients, males were 22 and females were 8. Maximum nineteen patients were treated for skeletal anomalies
by anterior maxillary osteotomy procedures. P value was highly significant this. Maximum 6 patients were
recognized with bleeding as post operative complication. Moreover, p values were significant for Malposition,
Oronasal or Oroantral Fistulas, Inter-Dental Spacing Related, Airway Obliteration.95% coefficient interval was
noted maximum for Bleeding [1.96] and minimum for Necrosis [1.01]. Conclusion: Within the limitations of the
study, authors concluded that variouspost operative complications are related with anterior maxillary osteotomy
procedure however, they are mostly curable. Post operative complications related to bleeding, maxillary sinusitis
and inter-dental spacing were seen in about half of the studied patients.

Key words: Anterior Maxillary Osteotomy, Bleeding, Nonunion, Malposition, Palatal Tear, Hematoma

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