Severe retrognathia as a risk factor for recent onset painful TMJ disorders among adult females

Miller, James R.; Mancl, Lloyd; Critchlow, Cathy W.

doi:10.1179/146531205225021222

Cited by 17 publications

(13 citation statements)

References 22 publications

(42 reference statements)

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“…Therefore, it is necessary to develop a standardized diagnostic standard and classification method for TMD through systematic and well-designed research56. The following are the most mutually agreed upon opinions among scholars57585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

“…Counterclockwise maxillomandibular rotation and a large amount of mandibular advancement can worsen the existing temporomandibular joint symptoms. When the load on the temporomandibular joints exceeds adaptability, condylar resorption results6068697071727374757677787980818283848586.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

“…7) Generally, the rate of TMD tends to be higher among patients who have mandibular retrusion with steep occlusal planes67686970717273747576.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

104

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While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or the functional side. There is a wide variety of complications associated with orthognathic surgery. There should be a clear distinction between malpractice and complications. Complications can be resolved without any serious problems if the cause is detected early and adequate treatment provided. Oral and maxillofacial surgeons must have a full understanding of the types, causes, and treatment of complications, and should deliver this information to patients who develop these complications.

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Section: Postoperative Complicationsmentioning

confidence: 99%

Section: Postoperative Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

104

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“…These malocclusions include Angle Class II, anterior open bite, deep bite, posterior crossbite, and extreme maxillary overjet. 10,[12][13][14][15][16] In addition, severe mandibular retrognathism and a hyperdivergent skeletal pattern have been suggested to be risk factors for TMD. 14,17,18 In a recent systematic review 19 considering alterations of TMD before and after orthognathic surgery, heterogeneous study design and unambiguous results of the selected studies were found.…”

Section: Introductionmentioning

confidence: 99%

TMD in Consecutive Patients Referred for Orthognathic Surgery

Abrahamsson

Ekberg

Henrikson

et al. 2009

The Angle Orthodontist

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Objective: To answer the question whether temporomandibular disorders (TMD) were more common in a group of individuals referred for orthognathic surgery than in a control group. The null hypothesis was that neither the frequency of signs and symptoms of TMD or diagnosed TMD would differ between the patient group and a control group. Materials and Methods: A sample of 121 consecutive patients referred for orthognathic surgery at the Department of Oral Maxillofacial Surgery, Malmö University Hospital, Sweden, was interviewed and examined regarding signs and symptoms of TMD and headaches. A control group was formed by 56 age-and gender-matched individuals attending the Department of Oral Diagnosis, Faculty of Odontology, Malmö University, Sweden, and Public Dental Health Clinic in Oxie, County of Skane, Sweden. TMD diagnoses were used according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Results:The patient group showed more myofascial pain without limited opening, disc displacement with reduction, and arthralgia according to RDC/TMD than the control group. The patient group also had more symptoms and signs of TMD in general. Conclusions: The null hypothesis was rejected because patients who were to be treated with orthognathic surgery had more signs and symptoms of TMD and higher frequency of diagnosed TMD compared with the matched control group. (Angle Orthod. 2009;79:621-627.)

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“…Main causes of bruxism are psychological stress factors of the patient [55]. Stress often leads to an increased muscle fibre activity in chewing muscles [33,37,43,50,56].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic application of Botulinum Toxin A in patients with local muscle dystonia and oral dyskinesia

Orlova

Soikher²,

Сойхер³

et al. 2010

J. Stomat. Occ. Med.

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Botulinum Toxin Type A has been introduced as new therapeutic regime in neurological, cosmetic, urinary, gastrointestinal and pain-related conditions. The use of Botulinum Toxin A in craniomandibular disorders is discussed controversially.Local muscle dystonia is defined as movement disorder in combination with sustained muscle contractions. Contortion, repetitive movements and atypical posture are frequently seen symptoms in such cases. The movements are involuntary and often painful. A single muscle or a group of muscles, even the whole body may be involved. Oral dyskinesias are involuntary repetitive movements of the mouth and face. Severe bruxism can be included in this form of movement disorder.Within this study, patients diagnosed with severe bruxism or local muscle dystonia including oral dyskinesia were examined with electromyography before and after treatment. Subjects were randomly allocated to either myo-relaxation medication and relaxation splint therapy or to Botulinum Toxin A injection therapy. Surface EMG parameters of chewing and neck muscles were used to judge the treatment effects. A positive impact of BTA on EMG-characteristics, reflecting the functional condition of facial muscles, had been detected. BTA injections seem to have a positive effect in patients with bruxism and local muscle dystonia. An increased quantity of mandibular movements and a better coordination can be observed after BTA injection. In comparison with a standard myo relaxation therapy, the effects of BTA treatment are more distinct and long standing.BTA appears to be a promising therapeutic regime in patients with focal muscle dystonia and oral dyskinesia. A confirmed diagnosis and lege artis application by experienced clinicians constitute as sine qua non. Further studies are required to improve our knowledge in Botulinum Toxin A treatment of muscle dystonia and dyskinesia.

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Severe retrognathia as a risk factor for recent onset painful TMJ disorders among adult females

Cited by 17 publications

References 22 publications

Complications associated with orthognathic surgery

Complications associated with orthognathic surgery

TMD in Consecutive Patients Referred for Orthognathic Surgery

Therapeutic application of Botulinum Toxin A in patients with local muscle dystonia and oral dyskinesia

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