Evidence map›Paper›PMID 40665278›Full record

ArticleBMC oral health2025

Mandibular ramus remodeling after vertical osteotomy: a three-dimensional quantitative and qualitative assessment with sequential segmental-marrow superimposition.

Sang-Hwy Lee, Bong Chul Kim, Hoon Cho, Nam-Kyoo Kim, Jong-Ki Huh, Hyung Seog Yu, Sang-Hoon Kang

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sang-Hwy Lee(previous) Oral Science Research Center, Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Republic of Korea. sanghwy@yuhs.ac.
Bong Chul KimDepartment of Oral and Maxillofacial Surgery, Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Republic of Korea. bck@wku.ac.kr.
Hoon ChoDepartment of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Nam-Kyoo KimDepartment of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Jong-Ki HuhDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Hyung Seog YuDepartment of Orthodontics, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Sang-Hoon KangDepartment of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.

Funding

National Research Foundation of Korea RS-2024-00451221
6 · The paper itself

Abstract

backgroundThe intraoral vertical ramus osteotomy (IVRO) is a surgical technique for prognathic or asymmetric mandible. We wanted to quantitatively and qualitatively analyze the three-dimensional (3D) remodeling pattern of the mandibular ramus one year after IVRO.

methodsWe reconstructed 3D mandibular models using 3D CT data from 108 IVRO hemi-mandibles of 54 subjects. The immediate postoperative (Imm) proximal and distal segments were separated and individually superimposed to one-year postoperative (Post) mandible by employing a direct segmental-isolated marrow superimposition.

resultsAnalysis showed extensive regional bone resorption and apposition resulting in a remodeled Post ramus; the more overlapping patterns of group of A (lateral type) and B (lateral/proximal type) suffered resorption-dominant remodeling compared with the less-overlapped group C (proximal type) and D (gap type), while the level of apposition was similar for all groups. Post ramus showed different levels of sigmoid notch filling with newly-formed bones and various shapes of new bony projections at the posterior border of the medial ramus. Bone resorption in group A was significantly and negatively correlated with protrusion delta (the difference between the postoperative and preoperative protrusive mandibular movement ranges), and bone apposition was positive with amount of postoperative maximum opening.

conclusionAll results indicate dynamic remodeling of the Imm ramus after IVRO in relation to the segmental overlapping pattern to form a smooth and continuous skeletal surface. The new superimposition method of direct segmental overlapping could detect the detailed remodeling pattern.

Indexed as

Bone RemodelingImaging, Three-DimensionalMandibleMandibular OsteotomyAdolescentAdultBone ResorptionFemaleHumansMalePrognathismTomography, X-Ray ComputedYoung AdultBone remodelingCortical boneMandibleSuperimpositionVertical osteotomy

Identifiers

PMID40665278
PMCPMC12265317

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.