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Updated: May 11, 2026

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
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Condylar repositioning using centric relation bite in bimaxillary surgery.

Chang-Youn Lee1, Chang-Su Jang, Ju-Won Kim

  • 1Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hallym University College of Medicine, Anyang, Korea.

Korean Journal of Orthodontics
|May 15, 2013
PubMed
Summary
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This study found that a condylar-repositioning device used in orthognathic surgery did not significantly alter temporomandibular joint (TMJ) spaces or sounds. However, TMJ pain and locking symptoms significantly decreased post-surgery.

Area of Science:

  • Orthognathic surgery
  • Temporomandibular joint (TMJ) disorders
  • Craniofacial reconstruction

Background:

  • Orthognathic surgery aims to correct significant skeletal discrepancies.
  • Mandibular condyle displacement is a potential complication.
  • Effective methods for condyle repositioning are crucial for surgical outcomes.

Purpose of the Study:

  • To evaluate mandibular condyle displacement after orthognathic surgery.
  • To assess the efficacy of a specific condylar-repositioning device.
  • To analyze the impact on temporomandibular joint (TMJ) function.

Main Methods:

  • Bimaxillary surgery performed on 20 adult patients.
  • Pre- and postoperative tomographic analysis for condylar displacement.
Keywords:
Centric relationOrthognathic surgeryTemporomandibular joint

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  • Assessment of TMJ symptoms including sound, pain, and locking via surveys.
  • Main Results:

    • No significant changes in TMJ anterior, superior, or posterior joint spaces (p > 0.05).
    • No significant alteration in TMJ sound post-surgery (p > 0.05).
    • Significant reduction in TMJ pain and locking symptoms (p < 0.05).

    Conclusions:

    • The condylar-repositioning device demonstrated feasibility and utility.
    • The method may be beneficial for condyle repositioning in orthognathic procedures.
    • Improved TMJ symptomology suggests positive functional outcomes.