Are large movements a risk factor for subsequent plate removal in bilateral sagittal split osteotomy?

Background: Metal plate removal is a common complication of mandibular osteotomy with up to 27.5% of patients requiring removal of some or all of their hardware. However, little is known about the risk factors for removal. We hypothesised that large advances and setbacks may result in stretching of overlying soft tissues which could increase risk of dehiscence and infection, and hence plate removal.

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