Can clinical factors predict postoperative temporomandibular disorders in orthognathic patients? A retrospective study of 219 patients

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Paolo ScolozziDelphine S Courvoisier

Abstract

To determine the predictive value of preoperative clinical factors for postoperative temporomandibular disorders (TMDs) in patients receiving combined surgical-orthodontic treatment. TMDs were classified according to Research Diagnostic Criteria for TMD in 219 patients. The severity of the TMD was scored according to the Helkimo anamnestic index (Ai) and clinical dysfunction index (Di). Anamnestic TMJ clicking was the only significant predictor of TMD (odds ratio [OR] = 3.61, P = .006). The mean difference between clinical dysfunction index points was significant for pain on masticatory muscle palpation. This study demonstrated that in orthognathic patients, the following factors had high predictive value: (1) anamnestic TMJ clicking for TMD, (2) TMJ clicking, TMJ pain on palpation and bimaxillary surgery for Ai worsening, (3) maxillary retrusion and mandibular excess for Ai improvement, and (4) pain on masticatory muscle palpation for Di worsening.

References

Dec 1, 1992·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·V SmithR Stapleford
Dec 1, 1987·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·M L RioloT R TenHave
Jun 1, 1995·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·C A De ClercqL F Neyt
Nov 9, 2002·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Emel Dervis, Erman Tuncer
Oct 31, 2003·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Larry M Wolford
Dec 16, 2004·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Ilkka KallelaTateyuki Iizuka
Jul 31, 2007·Odontology·Daniel M Laskin
Dec 19, 2008·The New England Journal of Medicine·Steven J ScrivaniLeonard B Kaban
Nov 7, 2009·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Salma Al-RiyamiSusan J Cunningham
Nov 7, 2009·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Salma Al-RiyamiDavid R Moles
Nov 20, 2012·International Journal of Oral and Maxillofacial Surgery·C AbrahamssonE C Ekberg

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Citations

May 26, 2016·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Zulma CatherinePaolo Scolozzi
Aug 16, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Romain NicotJames J Sciote
May 4, 2017·Journal of International Society of Preventive & Community Dentistry·Carlo di PaoloPiero Cascone
Apr 2, 2020·Journal of Stomatology, Oral and Maxillofacial Surgery·T Roland-BillecartR Nicot

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