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[TMJ-function following orthognathic surgery].

M Sostmann1, J Meyer, J L Berten

  • 1Poliklinik für Kieferorthopädie der Medizinischen Hochschule Hannover.

Deutsche Stomatologie (Berlin, Germany : 1990)
|January 1, 1991
PubMed
Summary

Orthognathic surgery may improve temporomandibular joint (TMJ) pain symptoms in patients with dentofacial anomalies. However, pre-operative prediction of clinical signs and symptoms relief remains challenging.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Temporomandibular Joint Disorders

Context:

  • Dentofacial anomalies often require orthognathic surgery for correction.
  • The stomatognathic system's function can be affected by these anomalies and their surgical treatment.
  • Evaluating post-surgical outcomes is crucial for patient management.

Purpose:

  • To assess the signs and symptoms of the stomatognathic system in patients following orthognathic surgery.
  • To correlate clinical findings with patient-reported outcomes using the Helkimo index.

Summary:

  • 86 patients with dentofacial anomalies were evaluated post-orthognathic surgery.
  • Mouth opening restriction impacted the anamnestic dysfunction index, but pain and TMJ sounds decreased.
  • No correlation was found between TMJ pain-dysfunction and specific surgical or patient factors.

Impact:

  • Surgical correction may offer benefits for certain TMJ pain symptoms.
  • Predicting the precise impact on clinical signs and symptoms preoperatively is not feasible.
  • This study highlights the complex interplay between orthognathic surgery and stomatognathic function.

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