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Mandibular osteotomies in patients with juvenile rheumatoid arthritic disease
1Department of Oral Surgery and Oral Medicine, Dental Faculty, University of Oslo, Blindern, Oslo, Norway.
Objective:
This retrospective study evaluates the results after orthognathic surgery in a group of patients with juvenile rheumatoid arthritis.
Methods:
The material comprised sixteen patients where genioplasty with or without bilateral sagittal split (BSSO) had been performed during a 10-year period between 1991 and 2000. The patients were recalled for follow-up examination and the clinical records and radiographs of the patients were analysed.
Results:
All patients reported an improved facial esthetics. Sixty-two% reported altered neurosensory dysfunction in the inferior alveolar nerve, but no patients reported altered feelings to interfere with function. Two patients reported reduction in pain in the TMJ from a score 10 and 7 in the VAS-scale preoperatively, to 0 after the orthognathic surgery. Eight of the patients reported this to be less uncomfortable compared to other surgical procedures because of their JRA. Ninety-four% noted a positive social change after the operation.
Conclusion:
Orthognathic surgical treatment of the JRA patient improves the facial profile. The described procedures are safe and serious complications were not seen in our study.
