Signs and symptoms of temporomandibular disorder and patients' satisfaction before and after orthognathic surgery

Aim: To evaluate signs and symptoms of temporomandibular joint disorder and satisfaction in patients before and after orthognathic surgery. Methods: The sample consisted of 15 patients aged between 19 and 47 years old, indicated for orthodontic-surgical treatment. All patients answered na anamnesis...

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Main Authors: Edmar Ricardo Pozzobon Christovam (Author), Eloisa Marcantonio Boeck (Author), Silvia Amélia Scudeler Vedovello (Author), Heloisa Cristina Valdrighi (Author), Viviane Veroni Degan (Author), Mário Vedovello Filho (Author)
Format: Book
Published: Universidade Estadual de Campinas, 2017-04-01T00:00:00Z.
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Summary:Aim: To evaluate signs and symptoms of temporomandibular joint disorder and satisfaction in patients before and after orthognathic surgery. Methods: The sample consisted of 15 patients aged between 19 and 47 years old, indicated for orthodontic-surgical treatment. All patients answered na anamnesis questionnaire based on Helkimo Anamnestic Index to evaluate subjective symptoms and underwent a clinical evaluation based on Helkimo Disfunction Index, applied at three time points: before (T0), three (T1) and six months (T2) after surgery. Statistical models used were χ2 test (Chi-square), Tukey test, confidence interval and analysis of variance (ANOVA). Results: Statistical analysis revealed no significant difference in the incidence of joint sounds, maximum mouth opening, deviation of mouth opening and pain in the TMJ region (p>0.05). No patient presented worsening of the symptomatology. As regards muscular pain, there was a statistically significant improvement with time (p<0.05) and 86.7% of patients reported that they were satisfied with the obtained results. Conclusions: Improvement of TMD after orthognathic surgery may not be the result of correcting malocclusion and satisfaction with the results can be a factor of TMD improvement.
Item Description:10.20396/bjos.v15i2.8648765
1677-3225