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Temporomandibular disorders and orthognathic surgery
Piero Cascone1, Carlo Di Paolo, Rosaria Leonardi
1Department of Maxillo-Facial Surgery, University of Rome La Sapienza, Rome, Italy.
The Journal of Craniofacial Surgery
|June 4, 2008
Summary
Temporomandibular dysfunctions (TMDs) are common in patients with maxillomandibular deformities requiring orthognathic surgery. Specific TMD treatment is necessary alongside surgical correction for these patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Temporomandibular Joint Disorders
Background:
- Temporomandibular dysfunctions (TMDs) and maxillomandibular malformations are frequently studied in conjunction.
- Orthognathic surgery is a common treatment for severe maxillomandibular deformities.
- The relationship between TMDs and the need for orthognathic surgery requires further clarification.
Purpose of the Study:
- To conduct a bibliographic review of the last 20 years on the relationship between TMDs and maxillomandibular malformations.
- To analyze the prevalence of TMDs in patients undergoing orthognathic surgery.
- To assess changes in TMDs following orthognathic surgical treatment.
Main Methods:
- Chronological analysis of medical literature from the past two decades.
- Review of studies examining TMD prevalence in patients with maxillomandibular deformities.
- Evaluation of studies reporting TMD changes after orthognathic surgery.
Main Results:
- Significant variation exists in reported TMD prevalence and post-surgical changes across studies.
- Inconsistent methodologies for TMD assessment and surgical procedures complicate direct comparisons.
- A consistent finding is the presence of TMD in a notable proportion of patients with maxillomandibular deformities.
Conclusions:
- A correlation between dysgnathia and TMDs is suggested.
- Patients with maxillomandibular deformities and co-existing TMDs require specific TMD treatment.
- Integrated treatment approaches addressing both skeletal malformations and TMDs are essential for optimal patient outcomes.
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