ArticleScientific reports2025
Epidemiologic trends and increasing inequalities in orthognathic surgery in Germany: a nationwide analysis 2005-2022.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The impact of clockwise and counterclockwise Le Fort I movements combined with bilateral sagittal split osteotomy on nasal morphology.Oral and maxillofacial surgery · 2026Article
- Comparison of automated algorithm-based versus manual dental landmark placement for model analysis and evaluation of orthodontic quality indices.European journal of orthodontics · 2026Article
- Digital evaluation with ABO eCRE of treatment quality and efficiency with completely customized lingual and prefabricated vestibular appliances in combined orthodontic-orthognathic therapy: a retrospective cohort study.Progress in orthodontics · 2026Article
- Revealing mandibular asymmetry in orthognathic surgery patients via Bonwill triangle morphology: a retrospective cross-sectional study.BMC oral health · 2026Article
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5 authors.
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Abstract
Orthognathic surgery (OS) has become a widely used treatment option for moderate to severe dento-skeletal malocclusions. The aim of this study was to analyze the incidence and time trends of OS and potential influencing factors in the German healthcare system. Nationwide data regarding the national diagnosis-related-group (DRG) inpatient billing system was received from the German Federal Statistical Office. We estimated age-gender standardized incidence of OS-associated procedures between 2005 and 2022 and evaluated age- and gender-adjusted time trends using Poisson regression analysis. The total standardized incidence rate of OS-associated procedures in the observational period 2005-2022 was 11.1 (♀13.0; ♂ 9.2) per 100,000 person years. A significant increase of 61.8% (♀+48.7%; ♂+82.9%) in OS-associated procedures was observed within the observational period, mainly due to the increase of the procedures in the age groups 15-34 years (+ 53.6%), 35-59 years (+ 66.7%) and 60-79 years (+ 20.0%). Mandibular procedures increased by 45.0%, while maxillary procedures increased by 88.2%. There were significant differences of the incidence of OS-associated procedures between the various federal states in Germany, indicating a higher incidence and stronger increase in more affluent regions. The age- and gender-standardized incidence of OS-associated procedures increased among all genders and the most relevant age groups in Germany in the last two decades. There is an ongoing trend to implement maxillary and combined procedures. These effects are limited to more affluent regions only, reflecting the impact of socioeconomic and regional factors on healthcare accessibility.
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