Influence of orthognathic surgery for symptoms of temporomandibular dysfunction

Sebastiani, Aline Monise; Baratto‐Filho, Flares; Bonotto, Daniel; Klüppel, Leandro Eduardo; Rebellato, Nelson Luís Barbosa; Costa, Delson João da; Scariot, Rafaela

doi:10.1016/j.oooo.2015.08.012

Cited by 34 publications

(28 citation statements)

References 16 publications

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“…The pre‐existing condition in all patients in this study was mandibular retrognathia with Class II dental relationship, which, based on several studies, may associate with TMD . In the present study, 64% of the operated patients showed at least one DC‐TMC Axis I sub‐diagnosis, whereas the corresponding proportion was 82% in Group 2.…”

Section: Discussionsupporting

confidence: 47%

“…Several studies have investigated the association between malocclusions and TMDs and have shown controversial findings. Untreated skeletal malocclusions, such as Class III, anterior open or deep bite, crossbite, large overjet and crowding of teeth have been reported to be related with TMD . On the other hand, some studies have shown, when comparing a group of treated malocclusion patients to untreated controls, that the treated group had only fractionally lower prevalence of TMD .…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have indicated a reduction of TMD after treatment of severe malocclusion with orthognathic surgery . In some patients, however, TMD symptoms can worsen after surgery .…”

Section: Introductionmentioning

confidence: 99%

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Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non‐treated patients

Paunonen

Helminen

Sipilä

et al. 2019

J of Oral Rehabilitation

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Summary Background Severe malocclusions may cause functional and aesthetic problems and symptoms of temporomandibular disorders (TMD). Studies have investigated association between malocclusions and TMDs and shown controversial findings. Objective Purpose of this investigation was to examine the prevalence of TMD sub‐diagnoses, using Diagnostic Criteria for the TMD (DC/TMD), in patients with Class II malocclusion and retrognathic mandible who had undergone mandibular advancement surgery 4‐8 years previously, and to compare their frequencies with non‐treated patients with a similar pre‐existing condition. Methods Study cohort comprised 151 patients who had orthognathic treatment due to mandibular retrognathia in 2007‐2011. Seventy‐seven (51%) participated in the study (Group 1). Group 2 comprised 22 patients who were planned for orthognathic treatment but had not started their treatment. Patients filled in the Finnish version of the DC/TMD Symptom Questionnaire and were examined using to the DC/TMD Axis I. DC/TMD Symptom Questionnaire were inquired by phone from 24 of the 74 patients who did not participate in the study. Results Results showed that Group 2 had more myalgia (13% vs 50%, P < 0.001) and arthralgia (18% vs 65%, P < 0.001) sub‐diagnoses than Group 1. A tendency was noted that Group 2 had more pain‐related TMD symptoms than Group 1. No differences were found between Groups 1 and 3 in gender and age distribution or frequency TMD symptoms. Conclusion Prevalence of especially pain‐related TMD diagnoses was higher in Group 2 compared to Group 1, thus indicating a possible beneficial effect of this treatment for TMD.

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Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

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Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non‐treated patients

Paunonen

Helminen

Sipilä

et al. 2019

J of Oral Rehabilitation

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“…The importance of occlusion and its relationship with cause or maintenance of TMD cases has been widely discussed in the literature, especially in individuals with DFD (1,2,8) . Recently, all accepted theories about the multifactorial etiology of TMD place less emphasis on occlusion as a predictive factor (18) .…”

Section: Discussionmentioning

confidence: 99%

“…Masticatory function is one of the most impaired functions of the stomatognathic system, since individuals with DFD present occlusal disorders that alter the masticatory performance and consequently the bite force (5,6) . The dento-occlusal imbalance may be associated with temporomandibular dysfunction (TMD) (7,8) , which corresponds to the generic term to a clinical range of signs and symptoms involving the masticatory muscles, the joint itself and associated structures (9) . Different authors observed predominance of signs and symptoms of TMD in individuals with DFD during presurgical orthodontic treatment compared to a control group (10,11,12) .…”

Section: Introductionmentioning

confidence: 99%

A influência de sintomas da disfunção temporomandibular na força máxima de mordida em indivíduos com deformidade dentofacial

Passos¹,

Prado²,

Nary-Filho

et al. 2017

Audiol., Commun. Res.

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Introduction: Individuals with dentofacial deformity (DFD) show impairment in dental occlusion, which may alter the masticatory performance and, consequently, the bite force. No research was found on the relationship between temporomandibular disorders (TMD) and bite force for this population. Purpose: To determine if the presence of TMD symptoms influence the maximum bite force (MBF) in individuals with DFD. Methods: Sixty individuals were evaluated, 30 with DFD (GDFD) and 30 with normal occlusion (CG). The TMD was assessed by an anamnesis questionnaire (AQ) containing 10 questions that allow classification of the presence and degree of signs and symptoms of TMD. MBF was assessed using a mandibular force sensor, of the EMG System 810c electromyograph. Three records of bite force were obtained, with 10-second duration each. The Spearman correlation coefficient was used, at a significance level of 5%. Results: The results of AQ showed higher prevalence of TMD symptoms in GDFD in relation to CG. Also, lower MBF was observed in subjects with DFD compared to CG. In addition, negative and significant correlations were found between scores obtained in the application of AQ and the MBF; therefore, the higher the severity of TMD symptoms, the lower the bite force. Conclusion: The presence and severity of TMD symptoms influenced the MBF in individuals with DFD, demonstrating the importance for interdisciplinary intervention during all stages of surgical-orthodontic treatment.

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Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients

Song

Yap

2019

Clin Oral Invest

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Influence of orthognathic surgery for symptoms of temporomandibular dysfunction

Cited by 34 publications

References 16 publications

Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non‐treated patients

Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non‐treated patients

A influência de sintomas da disfunção temporomandibular na força máxima de mordida em indivíduos com deformidade dentofacial

Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients

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