Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

The Evaluation of TMJ Status after Orthognathic Surgery for Skeletal Class III Malocclusion

악교정 수술을 받은 골격성 III급 부정교합 환자의 악관절 상태에 관한 연구

  • Son, Woo-Sung (Department of Orthodontics, School of Dentistry, Pusan National University) ;
  • Jung, Choong-Bo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Jong-Ryoul (Yejin dental clinic)
  • 손우성 (부산대학교 치과대학 교정학교실) ;
  • 정충보 (부산대학교 치과대학 악안면구강외과교실) ;
  • 김종렬 (예진치과의원)
  • Published : 2006.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to investigate the influence of orthognathic surgery on the temporomandibular dysfunction in skeletal class III malocclusion. The temporomandibular joint status in 22 patients(mean age: 23.7 years) who received orthognathic surgery such as mandibular BSSRO(14 patients), maxillary Le Fort I osteotomy with mandibular BSSRO(8 patients) was evaluated by craniomandibular index. All these patients received orthognathic surgery at least 6 months ago. The mean score and standard deviation was obtained and compared with that of 22 normal individuals(mean age: 24.8years) by Student's t-test. In mandibular movement, the score of orthognathic surgery group was higher than that of the normal group. All the items except mandibular movement did not show any differences between the two groups.

Keywords

Acknowledgement

Supported by : 부산대학교

References

  1. Egermark-Eriksson I., Carlsson GE., Magnusson T.: A long term epidermiological study of the relationship between occlusal factors and mandibular dysfunction in children and adolescents. J. Dent. Res. 1987; 66: 67-71 https://doi.org/10.1177/00220345870660011501
  2. Posselt U.: Tempolomandibular joint and occlusion. J. Prosthet. Dent. 1971; 25: 432-438 https://doi.org/10.1016/0022-3913(71)90234-4
  3. Solberg WK., Flint RT., Brantner JP.: Tempolomandibular joint pain and dysfunction: aclinical stusy of emotional and occlusal component. J. Prosthet. Dent. 1972; 28: 412-422 https://doi.org/10.1016/0022-3913(72)90243-0
  4. Droukas B., Lindee C., Carlsson GE.,: Occlusion and mandibular dysfunction: aclinical study of patients referred for functional disturbances of masticatory system. J. Prosthet. Dent. 1985; 53: 402-406 https://doi.org/10.1016/0022-3913(85)90522-0
  5. Seligmann DA., PullingerAG., Solberg WK.: The prevalence of dental attrition and its association with factor of age, gender, occlusion and TMJ symptomatology. J. Dent.Res. 1988; 67: 1323-1333 https://doi.org/10.1177/00220345880670101601
  6. Pullinger AG., Seligman DA., Solberg WK.: Temporomandibular disorders. II. Occlusal factors associated with temporomandibular joint tenderness and dysfunction. J. Prosthet. Dent. 1988; 59: 363-367 https://doi.org/10.1016/0022-3913(88)90191-6
  7. Riolo ML., Brandt D, Tenhave TR.: Associations between the occlusal characteristics and sign and symptoms of TMJ dysfunction in children and young adult. Am. J. Orthod. 1987; 92: 467-477 https://doi.org/10.1016/0889-5406(87)90228-9
  8. Molin B., Ingerval B., Thilander B.: Prevalence of symptoms of functional disturbance of the masticatory system in Swedish man. J. Oral Rehabil. 1980; 7: 185-197 https://doi.org/10.1111/j.1365-2842.1980.tb00435.x
  9. Helm S., Kleiberg S., Solow B.: Malocclusion at adolescence related to self reported tooth loss and functional disorders in adulthood. Am. J. Orthod. 1984; 85: 393-400 https://doi.org/10.1016/0002-9416(84)90160-X
  10. Williamson EH.: Temporomandibular dysfunction in pretreatment adolescent patients. Am. J. Orthod. 1977; 72: 429-433 https://doi.org/10.1016/0002-9416(77)90356-6
  11. Kaplan AS., Assael LA.: Temporomandibular Disorders diagnosis and treatment. W.B. Saunders: 576-626
  12. Fricton J.R., Schiffman E.L.: Reliability of a Craniomandibular Index. J Dent. Res. 1986; 65(11) 1359-1364 https://doi.org/10.1177/00220345860650111701
  13. James RF., Eric LS.: The craniomandibular index: Validity. J. Prosth. Dent. 1987; 58: 222-228 https://doi.org/10.1016/0022-3913(87)90181-8
  14. Solberg WK., Bibb CA. Nordstram BB. Hansson TL.: Malocclusion associated with temporomandibular joint changes in young adult at autopsy. Am. J. Orthod. 1986; 89: 326-330 https://doi.org/10.1016/0002-9416(86)90055-2
  15. Laskin DM, Ryan WA, Greene CS: Incidence of temporomandibular symptoms in patients with major skeletal malocclusions: a survey of oral and maxillofacial surgery training programs. Oral Surg. Oral Med. Oral Pathol. 1986; 61: 537-541 https://doi.org/10.1016/0030-4220(86)90088-5
  16. Kerstens HCJ, Tuinzing DB, van der Kwast WAM: Temporomandibular joint symptoms in orthognathic surgery. J Craniomaxillofac Surg 1989; 17: 215-218 https://doi.org/10.1016/S1010-5182(89)80071-X
  17. James JL., James WN.: Temporomandibular joint internal derangements in an orthognathic surgery population. Int J. Adult Orthod. Orthognath. Surg. 1992; 7: 161-169
  18. White CS., Dolwick F.: Prevalence and varience of temporomandibular dysfunction in orthognathic surgery patients. Int. J. Adult Orthod. Orthognath. Surg. 1992; 7: 7-14
  19. De Clercq CAS., Abeloos JSV., Mommaerts MY., Neyt LF.: Temporomandibular symptoms in an Orthognathic surgery population. J Cranio Maxillo Facial Surg. 1995; 23: 195-199 https://doi.org/10.1016/S1010-5182(05)80010-1
  20. Karabouta I., Martis C.: The TMJ dysfunction syndrome before and after sagittal split osteotomy of the rami. J. Oral Maxillofac. Surg. 1985; 13: 185-192
  21. Magnuson T., Ahlborg G., Finn K.: Changes in temporomandibular joint pain-dysfunction after surgical correction of dentofacial anomalies. Int. J. Oral Maxillofac. Surg. 1986; 15: 707-712 https://doi.org/10.1016/S0300-9785(86)80111-9
  22. Hackney FL., Van Sickels JE., Nummikoski PV.: Condylar displacement and TMJ dysfunction following bilateral sagittal split osteotomy and rigid fixation. J. Oral Maxillofac. Surg. 1989; 47: 223-229 https://doi.org/10.1016/0278-2391(89)90221-8
  23. Freihofer HP., Petresevic D.: Late result after advancing the mandible by sagittal splitting of the rami. J Max.-Fac. Surg. 1975; 3: 250-257 https://doi.org/10.1016/S0301-0503(75)80051-8
  24. Raveb J., Roux M., Sutter F.: Resulate nach sagittaler spaltung am Unterkiefer und gleichzeitiger Oberkieferosteotomic unter Anwendung eigener Methoden. Schweiz. Mschr. Zannheilk. 1983; 93: 734-743
  25. Finn R.A., Throckmorton G.S., Bell W.H.,Sinn D., Reisch L, Dana K.: Biomechanical consideration in the surgical correction of mandibular deficiency. J. Oral Surg. 1980; 38: 254-264 https://doi.org/10.1016/0030-4220(74)90064-4
  26. Throckmorton G.S., Finn R.A., Bell W.H.: Biomechanics of differences in lower facial height. Am. J. Orthod. 1980;77: 410-420 https://doi.org/10.1016/0002-9416(80)90106-2
  27. Kelstens H.C.J., Tuinzing D.B., Golding R.P.: Condylar atrophy and osteoarthrosis after bimaxillary surgery. Oral Surg. Oral Med. Oral Pathol. 1990; 69: 274-280 https://doi.org/10.1016/0030-4220(90)90286-2
  28. Arnett G.W., Tambonello J.A.: Progressive class II development: female idiopathic condylar resorption. Oral Maxillofac. Surg. Clin. North Am. 1990; 2: 699-716
  29. Link J., Nickerson J.: TMJ internal derangements in an Orthognathic surgery population. Int J adult Orthod. Orthognth. Surg. 1992; 7: 161-169
  30. O'ryan F, Epker BN.: Surgical orthodontics and the TMJ. II. Mandibular advancement via modified sagittal split ramus osteotomies. Am. J. Orthod. 1983; 83: 418-427 https://doi.org/10.1016/0002-9416(83)90325-1
  31. Greebe RG., Tuinzing DB.: Superior Repositioning of the maxilla by a Le Fort I osteotomy. A review of 26 patients. J. of Oral Surg. 1987; 63: 158-162 https://doi.org/10.1016/0030-4220(87)90304-5