Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review

Neeraj, ..; Reddy, Srinivas Gosla; Dixit, Ashutosh; Agarwal, Padmanidhi; Chowdhry, Rebecca; Chug, Ashi

doi:10.1016/j.jobcr.2021.06.003

Cited by 12 publications

(8 citation statements)

References 44 publications

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“…9,7 The impact of OS on the TMJ and the surrounding structures is still controversial. 6,10,12,13 Studies report a significant reduction in TMD symptoms and facial pain after OS. [5][6][7][8][9][10] However, there is also a risk of developing TMD following OS.…”

Section: Introductionmentioning

confidence: 99%

“…18 Thus, a holistic approach with the use of validated self-reported measures, 11 reliable clinical objective measures, a matched control group, a large sample size and a long follow-up are distinct advantages. 1,2,7,12 This study aimed to investigate the relationship between TMD, jaw function, pain, ME and MVBF in OS patients compared to ageand gender-matched controls. The hypothesis was that patients with DFD have jaw function limitation, poor masticatory efficiency, decreased bite force and higher prevalence of TMD and pain before OS treatment compared to age-and gender-matched controls.…”

Section: Introductionmentioning

confidence: 99%

“…Painful TMD is more common and shows an association with jaw function limitation 9,7 . The impact of OS on the TMJ and the surrounding structures is still controversial 6,10,12,13 . Studies report a significant reduction in TMD symptoms and facial pain after OS 5–10 .…”

Section: Introductionmentioning

confidence: 99%

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Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Madhan

Nascimento

Ingerslev

et al. 2023

J of Oral Rehabilitation

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Background and objective: Patients with dentofacial deformity often present with impaired masticatory function, orofacial pain and temporomandibular disorders (TMD). This study investigates the relationship between TMD, pain, jaw and masticatory function at different stages of orthognathic surgical (OS) treatment.Methods: A total of 120 OS patients were prospectively recruited and grouped as pre-orthodontic (group 1), pre-surgery (group 2), 4-month post-surgery (group 3), 24month post-surgery (group 4), in addition to 30 controls (group 0). Outcomes were assessed using: Jaw Function Limitation Scale (JFLS), McGill pain questionnaire, DC/ TMD instrument, voluntary maximum bite force (MVBF), and masticatory efficiency (ME) using two-coloured chewing gum. Data were analysed using structural equation modelling. Results:The prevalence of non-painful TMD did not differ between groups (p = .827).However, the prevalence of painful TMD differed between groups (p = .001). Among the painful TMDs, the highest prevalence was observed for masseter myalgia in group 2 (p = .031), and importantly group 4 did not differ from group 0 (p = .948). The MPQ score was significantly higher in group 1 (p = .001) compared to group 0, and the JFLS score was significantly higher in groups 1, 2 and 3 compared to group 0. Notably, | 747MADHAN et al.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Madhan

Nascimento

Ingerslev

et al. 2023

J of Oral Rehabilitation

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“…Most publications base the success of treatment on the patient's subjective perception of pain and range of motion (ROM), which is insu cient to de ne the functional status of the craniomandibular complex and the structural stability of the TMJ. In many cases, this phenomenon leads to development of persistent pain and/or relapse of multiple unsuccessful treatments that tend to go from conservative to extremely invasive [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Biopsychosocial Model Versus the Measurable Neurophysiological Model in Patients With Temporomandibular Joint Arthropathies

Catunda

Matos

Ferreira

et al. 2023

Preprint

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OBJECTIVE To evaluate the efficacy patients treated based on the biopsychosocial model, with a Michigan-type myorelaxant/stabilization splint combined with alternative therapies, and Neurophysiological model with intermediate Occlusal Devices in patients with temporomandibular joint (TMJ) arthropathies based on two different treatment philosophies. PATIENTS AND METHODS: This was an interventional and longitudinal study of the randomized clinical trial with blinding. The survey was approved by the CEP under: CAAE 66446216.6.0000.5207. Statistical analyzes were performed based on the selection of 43 patients with diagnosis of temporomandibular arthropathies after examination of the Diagnostic Criteria for Temporomandibular Dysfunction (DC / TMD) and assistance with images such as CT scans and magnetic resonance imaging. The patients were divided into two groups: G1-Biopsychosocial group and G2-Neurophysiological group. The variables studied were pain, mandibular function, need for alternative therapies and physiological parameters of muscle recruitment and masticatory cycle, measured by electromyography and kinesiography, respectively. All patients were followed for a minimum period of 06 to 09 months. RESULTS The results were favorable to both treatment groups in relation to the decrease in pain symptomatology, but were more consistent and remained smaller at the end of the evaluation in the neurophysiological group. Also significant was the difference in muscle recruitment during treatment with the G2 and less use of alternative therapies for pain control compared to the Biopsychosocial group. CONCLUSIONS Even in the case of a preliminary and unpublished study, this research provides strong indications of the benefit of the treatment with the Neurophysiological model in patients with TMJ arthritis, as well as the improvement of the symptomatic aspects, there was a clear improvement in muscle recruitment patterns, masticatory cycle, bone marrow regeneration and joint disc recapture. Further research with anti-etiologic treatment model should be performed to confirm these results. CLINICAL RELEVANCE: This innovative research highlights a new model for diagnosing and treating TMJ pathologies beyond traditional palliative treatment measures, enabling a more assertive anti-etiological treatment.

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“…Following orthognathic surgery, the mandibular muscles display a range of adaptive responses [ 9 ]. Individuals having bimaxillary orthognathic surgery may have a relapse and temporomandibular dysfunction as postoperative consequences [ 10 ]. Following orthognathic surgery, postoperative condylar movement may often produce recurrence or severe symptoms of temporomandibular joint disorders, therefore, various methods have been presented to reduce the dislocation, among them digital ones, or manual adjusting [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Mandibular Condyle Morphologic Relation before and after Orthognathic Surgery in Class II and III Malocclusion Patients Using Cone Beam Computed Tomography

Roman

Almășan

Hedeșiu

et al. 2022

Biology

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This study aimed at evaluating the mandibular condyle position changes before and after bimaxillary orthognathic surgery in class II and III malocclusion patients. CBCT scans from patients who underwent bimaxillary orthognathic surgery were analyzed: Le Fort I osteotomy and bilateral sagittal split osteotomy (BSSO). Both condyles were independently assessed for their largest anterior and posterior joint spaces, smallest medial joint spaces, and condyle angles concerning the transverse line. In the sagittal plane, the minimum size of the anterior and posterior joint spaces was measured. In the coronal plane, the smallest medial joint space was measured. The position of the condyle within the glenoid fossa was determined before and after surgery. A total of 56 TMJs from 28 patients were studied. Following orthognathic surgery, the anterior and posterior space in class II increased. Postoperatively, the anterior joint space in class III decreased. In 42.85% of malocclusion class II patients and 57.14% of malocclusion class III patients, the pre-and post-surgical position of the condyle changed, the condyle was anteriorly positioned (42.85%) in class II patients and centrically positioned (71.4%) in class III patients. Significant changes in the joint space, condylar position, and condyle angle were found in the class II and class III subjects.

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Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review

Cited by 12 publications

References 44 publications

Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Effectiveness of the Biopsychosocial Model Versus the Measurable Neurophysiological Model in Patients With Temporomandibular Joint Arthropathies

Evaluation of the Mandibular Condyle Morphologic Relation before and after Orthognathic Surgery in Class II and III Malocclusion Patients Using Cone Beam Computed Tomography

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