Document Detail


Clinical and Instrumental Evaluation of the Temporomandibular Joint Before and After Surgical Correction of Asymptomatic Skeletal Class III Patients.
MedLine Citation:
PMID:  21403546     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this prospective study was to evaluate the temporomandibular joint (TMJ) morphology, the disk position, and the TMJ symptoms before and after surgical-orthodontic correction of skeletal class III malocclusion.Eleven adult patients were recruited to participate in this longitudinal study. Each patient received presurgical and postsurgical orthodontic treatment with fixed appliances. Six patients were corrected exclusively through mandibular setback, whereas 5 received combined mandibular setback and maxillary advancement. All patients were investigated before and 2 years after treatment through (1) clinical examination, (2) magnetic resonance imaging, and (3) Computerized axiography (CA).The incidence of clinical signs and symptoms was reduced 2 years after surgical-orthodontic treatment, the condyle-disk relationship and TMJ appearance at magnetic resonance imaging were unchanged, and CA showed a significant improvement of TMJ border movements.Mandibular setback surgery does not appear to alter the condyle-disk relationship, whereas correction of class III malocclusion seems to improve clinical and CA signs of TMJ function. Further controls and more long-term evaluation of these patients are necessary to assess the maintenance of these improvements in time.
Authors:
Guglielmo Ramieri; Maria Grazia Piancino; Gianluigi Frongia; Giovanni Gerbino; Paolo Antonio Fontana; Cesare Debernardi; Pietro Bracco
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-9
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  -     ISSN:  1536-3732     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Departments of *Maxillofacial Surgery and †Orthodontics and Gnathology-Masticatory Function, University of Turin, Turin, Italy.
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