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Clinical evaluation of temporomandibular joint disorder after orthognathic surgery in skeletal class II malocclusion patients
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  • Clinical evaluation of temporomandibular joint disorder after orthognathic surgery in skeletal class II malocclusion patients
  • Clinical evaluation of temporomandibular joint disorder after orthognathic surgery in skeletal class II malocclusion patients
저자명
Jang. Jin-Hyun,Choi. Sung-Keun,Park. Sung-Ho,Kim. Jin-Woo,Kim. Sun-Jong,Kim. Myung-Rae
간행물명
Journal of the Korean Association of Oral and Maxillofacial Surgeons
권/호정보
2012년|38권 3호|pp.139-144 (6 pages)
발행정보
대한구강악안면외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

This study was performed in order to evaluate the occurrence of temporomandibular joint disorder after surgical correction of skeletal class II malocclusion. Materials and Methods: This study included 21 patients who underwent orthognathic surgery for the correction of dentofacial deformities by a single surgeon at Mokdong Hospital, Ewha Womans University from 2000 to 2010. They underwent bilateral sagittal split ramus osteotomy for the treatment of undesirable mandibular advancement. The temporomandibular disorder (TMD) symptoms prior to surgery were recorded and the radiographic evaluation (panorama, bone scan, and magnetic resonance imaging [MRI]) of the post-surgery temporomandibular joint (TMJ) were assessed in order to evaluate condylar resorption, remodeling and disc displacement. The minimum follow-up period, including orthodontic treatment, was 12 months. Orthognathic procedures included 1-jaw surgery (n=8 patients) and 2-jaw surgery (n=13 patients). The monocortical plate was used for bilateral sagittal split ramus osteotomy fixation. Results: Among class II malocclusion patients with TMD symptom, clicking improved in 29.1%, and maximum mouth opening increased from $34.5{pm}2.1$ mm to $37.2{pm}3.5$ mm. The differences were not statistically significant, however. Radiographic changes in bone scan improved slightly based on the report by radiologist but not in TMJ dynamic MRI. Conclusion: No particular improvements were found in patients with joint sound only. Patients with limitation of mouth opening showed an increase in the degree of opening, but the difference was not statistically significant (P>0.05).