양측 하악골 상행지 시상분할 골절단술과 턱관절 장애의 관계
Relation of Temporomandibular Joint Disorders and Bilateral Sagittal Split Ramus Osteotomy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We sought to evaluate the relation of orthognathic surgery and temporomandibular disorders symptoms in patients who performed bilateral sagittal split ramus osteotomy. 111 patients underwent bilateral sagittal split ramus osteotomy in the department of oral and maxillofacial surgery in Chosun University Dental Hospital. Patients were classified according to with or without symptoms before surgery and after surgery, types of temporomandibular disorders symptoms, and the degree of setback. Twelve(16.9%) out of 71 patients presented with clicking sounds and tenderness of temporomandibular joint in no symptom group before surgery, whereas seven(17.5%) out of 40 patients were worsened temporomandibular disorders in symptom group before surgery. The improvement of temporomandibular disorders by the treatment of malocclusion brings a favorable turn in most cases. However, the change for the worse or new symptoms can occur in the small number of patients. So, more investigations over the risk factors and advantages of orthognathic surgery are needed to clearly evaluate the effects on the temporomandibular disorders.
Abstract
We sought to evaluate the relation of orthognathic surgery and temporomandibular disorders symptoms in patients who performed bilateral sagittal split ramus osteotomy. 111 patients underwent bilateral sagittal split ramus osteotomy in the department of oral and maxillofacial surgery in Chosun University Dental Hospital. Patients were classified according to with or without symptoms before surgery and after surgery, types of temporomandibular disorders symptoms, and the degree of setback. Twelve(16.9%) out of 71 patients presented with clicking sounds and tenderness of temporomandibular joint in no symptom group before surgery, whereas seven(17.5%) out of 40 patients were worsened temporomandibular disorders in symptom group before surgery. The improvement of temporomandibular disorders by the treatment of malocclusion brings a favorable turn in most cases. However, the change for the worse or new symptoms can occur in the small number of patients. So, more investigations over the risk factors and advantages of orthognathic surgery are needed to clearly evaluate the effects on the temporomandibular disorders.
참고문헌 (16)
- Abrahamsson C, "Alterations of temporomandibular disorders before and after orthognathic surgery: a systematic review", Angle Orthod, 77, pp.729~734 (2007)
- Afari N, "Are posttraumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry", J Orofac Pain, 22, pp.41~49 (2008)
- Aoyama S, "Clinical evaluation of the temporomandibular joint following orthognathic surgery--multiple logistic regression analysis", J Med Dent Sci, 52, pp.109~114 (2005)
- Chow LK, "Prevalence of postoperative complications after orthognathic surgery: a 15-year review", J Oral Maxillofac Surg, 65, pp.984~992 (2007)
- Holmlund A, "Disc derangements of the temporomandibular joint. A tissue-based characterization and implications for surgical treatment", Int J Oral Maxillofac Surg, 36, pp.571~576 (2007)
- Karabouta I, "The TMJ dysfunction syndrome before and after sagittal split osteotomy of the rami", J Maxillofac Surg, 13, pp.185~188 (1985)
- Kim SG, "Incidence of complications and problems related to orthognathic surgery", J Oral Maxillofac Surg, 65, pp.2438~2444 (2007)
- Matsumoto MA, "Study of the signs and symptoms of temporomandibular dysfunction in individuals with normal occlusion and malocclusion", Cranio, 20, pp.274~281 (2002)
- Merkx MA, "Condylar resorption after orthognathic surgery. Evaluation of treatment in 8 patients", J Craniomaxillofac Surg, 22, pp.53~58 (1994)
- Nickerson JW, "Natural course of osteoarthrosis as it relates to internal derangement of the temporomandibular joint", Oral Maxillofac Surg Clin North Am, 1, pp.27~45 (1989)
- Nitzan DW, "Temporomandibular joint fibrous ankylosis following orthognathic surgery: report of eight cases", Int J Adult Orthodon Orthognath Surg, 4, pp.7~11 (1989)
- Onizawa K, "Alteration of temporomandibular joint symptoms after orthognathic surgery: comparison with healthy volunteers", J Oral Maxillofac Surg, 53, pp.117~121 (1995)
- Panula K, "Incidence of complications and problems related to orthognathic surgery: a review of 655 patients", J Oral Maxillofac Surg, 59, pp.1128~1136 (2001)
- Rey D, "Evaluation of temporomandibular disorders in Class III patients treated with mandibular cervical headgear and fixed appliances", Am J Orthod Dentofacial Orthop, 133, pp.379~381 (2008)
- Witter DJ, "Signs and symptoms related to temporomandibular disorders--Follow-up of subjects with shortened and complete dental arches", J Dent, 35, pp.521~527 (2007)
- Wolford LM, "Changes in temporomandibular joint dysfunction after orthognathic surgery", J Oral Maxillofac Surg, 61, pp.655~660 (2003)