| Title | Effects of orthognathic surgery on temporomandibular joint dysfunction. A controlled prospective 4-year follow-up study. | | Author(s) | Panula K, Somppi M, Finne K, Oikarinen K | | Institution | Department of Oral and Maxillofacial Surgery, Vaasa Central Hospital, Finland. | | Source | Int J Oral Maxillofac Surg 2000 Jun; 29(3):183-7. | | MeSH | Adolescent
Adult
Female
Follow-Up Studies
Headache
Humans
Male
Malocclusion, Angle Class II
Middle Aged
Prospective Studies
Questionnaires
Statistics, Nonparametric
Temporomandibular Joint Dysfunction Syndrome
Treatment Outcome
| | Abstract | A prospective follow-up study was performed to examine the influence of contemporary orthognathic treatment on signs and symptoms of TMJ dysfunction. Sixty consecutive patients were examined once preoperatively and twice postoperatively, and Helkimo's Anamnestic and Dysfunction Indices (Ai and Di) were determined. The prevalence of headache was also assessed. The average follow-up was 4 years from the initial examination. A group of 20 patients with a similar type and grade of dentofacial deformity, who did not wish to have surgery or other occlusal therapy, served as a control group. The majority (73.3%) of the patients had signs and symptoms of TMJ dysfunction (TMD) in the initial phase. At final examination the prevalence of TMD had been reduced to 60% (P=0.013). There was a dramatic improvement in headache: initially 38 (63%) patients reported that they suffered from headache, but at the final visit only 15 (25%) did so. It is concluded that functional status can be significantly improved and pain levels reduced with orthognathic treatment. The risk for new TMD is extremely low. No association, however, could be shown between TMD and the specific type or magnitude of dentofacial deformity. | | Language | eng | | Pub Type(s) | Clinical Trial
Controlled Clinical Trial
Journal Article
| | PubMed ID | 10970079 |
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