The Importance of Temporomandibular Function for Patient Satisfaction following Orthognathic Surgery

Abstract

We demonstrate that treatment results were influenced by the craniomandibular functional status. More pronounced symptoms of craniomandibular dysfunction correlated with lower patient satisfaction.

Bilateral sagittal split surgery is not a predictable treatment for temporomandibular dysfunction in patients with retrognathia

“…We chose the complementary Helkimo Di and Ai in combination as the TMD index, 14 which was originally published in 1974, because the TMD index gives us the ability to compare our results with those of earlier studies. 3,[9][10][11][16][17][18] There are critics of this index, and consequently there has been an effort to create a new and updated index. The main limitations of the index that we used in the present study are that it does not differentiate between muscle-related and jointrelated pathologies, and symptoms that are nowadays considered harmless, such as joint sounds, 19 are included in the index.…”

Assessment of Quality of Life in Patients Undergoing Orthognathic Surgery

“…Severe skeletal dentofacial malocclusions often require complicated combined orthodontic and surgical treatment [4][5][6][7]. In addition to esthetic improvement, treatment objectives include harmonization of the occlusion and longterm stability of treatment results [3-5, 20, 21].…”

“…Standardized surgical techniques, miniaturized osteosynthesis systems, and antibiotic short-term prophylaxis have all made orthognathic surgery a routine procedure in the last 30 years [20,21]. In addition to studies on patient satisfaction upon finishing treatment, isolated reports and case studies have been published on the impact of dentofacial malocclusions on patients' quality of life [5,7,21,22].…”

“…Schwere skelettale Abweichungen im Kiefer-GesichtsBereich erfordern oftmals eine aufwändige kieferorthopä-disch-kieferchirurgische Kombinationsbehandlung [4][5][6][7]. Zu den Behandlungszielen gehören neben einer ästhetischen Verbesserung auch die Harmonisierung der Okklusion und eine dauerhafte Stabilität des Behandlungsergebnisses [3-5, 20, 21].…”

“…Durch standardisierte Operationsverfahren, miniaturisierte Osteosynthesesysteme und eine antibiotische Kurzzeitprophylaxe entwickelte sich die orthognathe Chirurgie in den letzten drei Jahrzehnten zu einem Routineverfahren [20,21]. Neben Untersuchungen zur Patientenzufriedenheit nach Abschluss der Behandlung liegen einzelne Berichte und Fallbeschreibungen zum Einfluss der Kiefer-Gesichts-Anomalie auf die Lebensqualität des Patienten vor [5,7,21,22].…”