Orthognathic surgery and temporomandibular joint symptoms

Hwi Dong Jung, Sang Yoon Kim, Hyung Sik Park, Young Soo Jung

Research output: Contribution to journalReview articlepeer-review

40 Citations (Scopus)

Abstract

The aim of this article is to review temporomandibular joint symptoms as well as the effects of orthognathic surgery(OGS) on temporomandibular joint(TMJ). The causes of temporomandibular joint disease(TMD) are multifactorial, and the symptoms of TMD manifest as a limited range of motion of mandible, pain in masticatory muscles and TMJ, Joint noise (clicking, popping, or crepitus), myofascial pain, and other functional limitations. Treatment must be started based on the proper diagnosis, and almost symptoms could be subsided by reversible options. Minimally invasive options and open arthroplasty are also available following reversible treatment when indicated. TMD manifesting in a variety of symptoms, also can apply abnormal stress to mandibular condyles and affect its growth pattern of mandible. Thus, adaptive developmental changes on mandibular condyles and post-developmental degenerative changes of mandibular condyles can create alteration on facial skeleton and occlusion. The changes of facial skeleton in DFD patients following OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues, and the changes of TMJ symptoms. Maxillofacial surgeons must remind that any surgical procedures involving mandibular osteotomy can directly affect TMJ symptoms, thus pre-existing TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.

Original languageEnglish
Article number14
JournalMaxillofacial Plastic and Reconstructive Surgery
Volume37
Issue number1
DOIs
Publication statusPublished - 2015 Dec

Bibliographical note

Funding Information:
This article was supported by a faculty research grant of Yonsei University College of Dentistry for 2014 (6-2014-0101).

Publisher Copyright:
© 2015, Jung et al.; licensee Springer.

All Science Journal Classification (ASJC) codes

  • Surgery

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