Orthognathic surgery and temporomandibular joint symptoms.
10.1186/s40902-015-0014-4
- Author:
Hwi Dong JUNG
1
;
Sang Yoon KIM
;
Hyung Sik PARK
;
Young Soo JUNG
Author Information
1. Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, South Korea.
- Publication Type:Review
- MeSH:
Arthroplasty;
Diagnosis;
Humans;
Joints;
Mandible;
Mandibular Condyle;
Mandibular Osteotomy;
Masticatory Muscles;
Noise;
Orthognathic Surgery*;
Range of Motion, Articular;
Skeleton;
Temporomandibular Joint*
- From:Maxillofacial Plastic and Reconstructive Surgery
2015;37(5):14-
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this article is to review temporomandibular joint symptoms as well as the effects of orthognathic surgery(OGS) on temporomandibular joint(TMJ). The causes of temporomandibular joint disease(TMD) are multifactorial, and the symptoms of TMD manifest as a limited range of motion of mandible, pain in masticatory muscles and TMJ, Joint noise (clicking, popping, or crepitus), myofascial pain, and other functional limitations. Treatment must be started based on the proper diagnosis, and almost symptoms could be subsided by reversible options. Minimally invasive options and open arthroplasty are also available following reversible treatment when indicated. TMD manifesting in a variety of symptoms, also can apply abnormal stress to mandibular condyles and affect its growth pattern of mandible. Thus, adaptive developmental changes on mandibular condyles and post-developmental degenerative changes of mandibular condyles can create alteration on facial skeleton and occlusion. The changes of facial skeleton in DFD patients following OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues, and the changes of TMJ symptoms. Maxillofacial surgeons must remind that any surgical procedures involving mandibular osteotomy can directly affect TMJ symptoms, thus pre-existing TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.
