TMD before and after correction of dentofacial deformities by orthodontic and orthognathic treatment

• Published in: International journal of oral and maxillofacial surgery Vol. 42; no. 6; pp. 752 - 758
• Main Authors: Abrahamsson, C, Henrikson, T, Nilner, M, Sunzel, B, Bondemark, L, Ekberg, EC
• Format: Journal Article
• Language: English
• Published: Denmark Elsevier Ltd 01.06.2013
• Subjects: Adolescent; Adult; Anxiety; Arthralgia - etiology; Arthralgia - therapy; Chi-Square Distribution; Combined Modality Therapy; Dentistry; dentofacial deformities; Dentofacial Deformities - complications; Dentofacial Deformities - surgery; Dentofacial Deformities - therapy; Facial Pain - etiology; Facial Pain - therapy; Female; Humans; Joint Dislocations - surgery; Joint Dislocations - therapy; Male; Myofascial Pain Syndromes - etiology; orthodontics; Orthodontics, Corrective; orthognathic surgery; Orthognathic Surgical Procedures - adverse effects; Patient Satisfaction; Statistics, Nonparametric; Surgery; Surveys and Questionnaires; Temporomandibular Joint Disc - anatomy & histology; Temporomandibular Joint Disc - pathology; Temporomandibular Joint Disorders - surgery; Temporomandibular Joint Disorders - therapy; TMD; Young Adult; orthodontics; TMD; orthognathic surgery; dentofacial deformities
• ISSN: 0901-5027; 1399-0020; 1399-0020
• DOI: 10.1016/j.ijom.2012.10.016

Abstract The aims of the study were to investigate the alteration of temporomandibular disorders (TMD) after correction of dentofacial deformities by orthodontic treatment in conjunction with orthognathic surgery; and to compare the frequency of TMD in patients with dentofacial deformities with an age and gender matched control group. TMD were evaluated in 121 consecutive patients (treatment group), referred for orthognathic surgery, by a questionnaire and a clinical examination. 18 months after treatment, 81% of the patients completed a follow-up examination. The control group comprised 56 age and gender matched subjects, of whom 68% presented for follow-up examination. TMD were diagnosed according to research diagnostic criteria for TMD. At baseline examination, the treatment group had a higher frequency of myofascial pain ( P = .035) and arthralgia ( P = .040) than the control group. At follow-up, the frequencies of myofascial pain, arthralgia and disc displacement had decreased in the treatment group ( P = .050, P = .004, P = .041, respectively). The frequency of TMD was comparable in the two groups at follow-up. Patients with dentofacial deformities, corrected by orthodontic treatment in conjunction with orthognathic surgery, seem to have a positive treatment outcome in respect of TMD pain.