Bree Whiteoak, Samantha L Dawson, Leonie Callaway, Susan de Jersey, Victoria Eley, Joanna Evans, Alka Kothari, Severine Navarro, Danielle Gallegos
Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study
Nutrients
background bilateral orthognathic surgery one unique challenging orthognathic surgeries gained popularity numerous modifications techniques using linear equipment inside oral cavity might lead malalignment structural weakness due incorrect placement making ramus osteotomy difficult directly positioning instrument perpendicularly mandibular ramus region rightangle drill help promote ergonomic approach objectives primary objective compare efficacy rightangle screwdriver conventional screwdriver orthognathic surgery using clinical parameters second objective assess ease fixation ease osteotomy time taken surgery groups methods prospective observational study comparing effectiveness conventional rightangle screwdrivers orthognathic surgery carried 12 patients splitmouth design chosen 12 patients rightangle screwdriver used secure right mandibular plate screw traditional straight handpiece used fix left plate screw clinical parameters ease osteotomy ease fixation time taken fixation postoperative angulation screw relation bone cone beam computed tomography evaluated procedure communicated patients followed obtaining written informed consent result statistical analysis done using descriptive inferential statistics using independent sample ttest unpaired ttest ibm spss statistics windows version 260 released 2019 ibm corp armonk ny usa used level significance set pvalue 005 compared conventional screwdriver rightangle screwdriver made osteotomies fixations easier 12 patients also required less surgical time statistically shown ease fixation statistically significant difference among rightangled conventional screwdrivers pvalue 0001 whereas time taken insignificant difference pvalue 013 angulation screw fixation right angle showed consistent result fixation perpendicular bone compared conventional screwdrivers providing stable fixation statistically significant pvalue 0001 conclusion compared conventional screwdriver used orthognathic procedures rightangle screwdriver ensures solid fixation eliminates challenges encountered drilling screwing posteriorly positioned screws