Stability after reoperation for progressive condylar resorption after orthognathic surgery: Report of seven cases

Crawford, Jonathan G.; Stoelinga, Paul J.W.; Blijdorp, Peter A.; Brouns, John J.A.

doi:10.1016/0278-2391(94)90341-7

Cited by 125 publications

(38 citation statements)

References 6 publications

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“…Several authors have presented evidence of the relation between orthognathic surgery and condylar remodelling and resorption 1,6,8,15,[17][18][19][20]23,24,26,28,31 .…”

mentioning

confidence: 99%

“…In the past several terms have been used to describe alterations of the condyle after osteotomy, i.e., condylar atrophy 18 , female idiopathic condylar resorption 1 , progressive condylar resorption (PCR) 1,6,23 , condylysis 25 , osteoarthrosis 9 , avascular necrosis 28 , internal derangements 27 , condylar resorption 10 , dysfunctional remodelling 1 . Loss of mandibular ramus bone after a bilateral sagittal split osteotomy (BSSO) has already been reported by BEHRMAN 3 , however, PHILLIPS & BELL 24 reported loss of bone limited to the condyles.…”

mentioning

confidence: 99%

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Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up

Borstlap

Stoelinga

Hoppenreijs

et al. 2004

International Journal of Oral and Maxillofacial Surgery

135

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“…Several authors have presented evidence of the relation between orthognathic surgery and condylar remodelling and resorption 1,6,8,15,[17][18][19][20]23,24,26,28,31 .…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up

Borstlap

Stoelinga

Hoppenreijs

et al. 2004

International Journal of Oral and Maxillofacial Surgery

135

View full text Add to dashboard Cite

“…lofacial skeletal discrepancies often have poor results and significant relapse. [6][7][8]13,14 This implies that patients with TMJ symptoms have an increased risk of condylar resorption. Symptomatic and asymptomatic pre-existing TMJ pathologies that can lead to unfavorable outcomes include the following; internal derangements, progressive condylar resorption, condylar hyperplasia, osteochondroma, and congenital deformities.…”

Section: Resultsmentioning

confidence: 99%

“…However, patients with active TMJ disease and concomitant or resultant maxillofacial skeletal discrepancies who are treated with orthognathic surgery alone often have poor outcomes and significant relapse. [6][7][8] This implies that patients with presurgical TMJ symptoms requiring mandibular advancement appear to have an increased risk of condylar resorption. 9 In addition, orthognathic surgery requires sur gical invasion, which carries risks and can result in significant postoperative discomfort.…”

Section: Introductionmentioning

confidence: 99%

Management of acquired open bite associated with temporomandibular joint osteoarthritis using miniscrew anchorage

et al. 2012

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This article reports the orthodontic treatment of a patient with skeletal mandibular retrusion and an anterior open bite due to temporomandibular joint osteoarthritis (TMJ-OA) using miniscrew anchorage. A 46-year-old woman had a Class II malocclusion with a retropositioned mandible. Her overjet and overbite were 7.0 mm and -1.6 mm, respectively. She had limited mouth opening, TMJ sounds, and pain. Condylar resorption was observed in both TMJs. Her TMJ pain was reduced by splint therapy, and then orthodontic treatment was initiated. Titanium miniscrews were placed at the posterior maxilla to intrude the molars. After 2 years and 7 months of orthodontic treatment, an acceptable occlusion was achieved without any recurrence of TMJ symptoms. The retropositioned mandible was considerably improved, and the lips showed less tension upon lip closure. The maxillary molars were intruded by 1.5 mm, and the mandible was subsequently rotated counterclockwise. Magnetic resonance imaging of both condyles after treatment showed avascular necrosis-like structures. During a 2-year retention period, an acceptable occlusion was maintained without recurrence of the open bite. In conclusion, correction of open bite and clockwiserotated mandible through molar intrusion using titanium miniscrews is effective for the management of TMJ-OA with jaw deformity.

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“…Systemic diseases such as autoimmune and connective tissue diseases are other contributors to this pathologic condition. Many researchers also state orthognathic surgery among the causative factors [2,3,[6][7][8][9][10][11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of clinical and radiographic changes of the mandibular condyle following orthognathic surgery

Akhlaghi¹,

Khayampour²,

Motamedi³

et al. 2017

Int J Dentistry Res

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Aim: Changes of the mandibular condyle are unwanted and unpredictable complications of orthognathic surgery. This pilot study investigated the prevalence and severity of mandibular condylar changes after orthognathic surgery. Materials and Method: In this prospective study 20 patients with class II and III malocclusion who needed orthognathic surgery were evaluated. Ramus height, condylar width, joint pain, overjet and overbite, angular changes on lateral cephalogram, maximal mouth opening, maxillary and mandibular movements before and 6 months after surgery were assessed. Results: In this study condylar atrophy was radiographically evident on panoramic radiographs of 6 (30%) of the patients; one patient was treated for class II malocclusion and the other 5 were treated for class III malocclusion. Conclusion: This study showed radiographically evident condylar atrophy in 30% after surgery; however none had any related clinical signs or symptoms. None of the cases that developed condylar atrophy postsurgery correlated significantly with the variables assessed in this short term pilot study. Further studies and longer follow-up is needed to validate the results.

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Stability after reoperation for progressive condylar resorption after orthognathic surgery: Report of seven cases

Cited by 125 publications

References 6 publications

Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up

Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up

Management of acquired open bite associated with temporomandibular joint osteoarthritis using miniscrew anchorage

Assessment of clinical and radiographic changes of the mandibular condyle following orthognathic surgery

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