Juvenile idiopathic/rheumatoid arthritis and orthognatic surgery without mandibular osteotomies in the remittent phase
Orthognathic treatment of patients with juvenile idiopathic/rheumatoid arthritis is still controversial. Mandibular procedures may result in relapse and further condylar resorption and pain. Maxillary osteotomies and genioplasty may be effective for the correction of malocclusion and for aesthetics....
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| Veröffentlicht in: | The Journal of craniofacial surgery 2013-11, Vol.24 (6), p.1940-1945 |
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| container_issue | 6 |
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| container_title | The Journal of craniofacial surgery |
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| creator | Pagnoni, Mario Amodeo, Giulia Fadda, Maria Teresa Brauner, Edoardo Guarino, Giorgio Virciglio, Pasquale Iannetti, Giorgio |
| description | Orthognathic treatment of patients with juvenile idiopathic/rheumatoid arthritis is still controversial. Mandibular procedures may result in relapse and further condylar resorption and pain. Maxillary osteotomies and genioplasty may be effective for the correction of malocclusion and for aesthetics.
Five patients with juvenile idiopathic/rheumatoid arthritis with severe temporomandibular joint (TMJ) involvement underwent orthognathic surgery with a simultaneous Le Fort I osteotomy and advancement genioplasty. The age of the patients at the time of surgery ranged between 17 and 29 years (mean, 21.75 years). The patients were under follow-up for a minimum of 8 months after surgery, and measurements were performed using Dolphin 3D imaging.
All 5 patients have an improved occlusion and improved facial aesthetics. The mean mandible rotation advancement was 5.6 mm (range, 4 to 7 mm). The mean posteroanterior face height ratio (S-Go/N-Me) after surgery was 63.9 (range, 62.9 to 65.8). No exacerbation of the juvenile rheumatoid arthritis was encountered as a result of the surgical procedure.
Le Fort I osteotomy with impaction and advancement genioplasty are effective procedures for occlusal and aesthetic correction of juvenile idiopathic/rheumatoid patients. Mandibular procedures may evoke further condylar resorption with pain and functional impairment of the TMJ. |
| doi_str_mv | 10.1097/scs.0b013e31829a8458 |
| format | Article |
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Five patients with juvenile idiopathic/rheumatoid arthritis with severe temporomandibular joint (TMJ) involvement underwent orthognathic surgery with a simultaneous Le Fort I osteotomy and advancement genioplasty. The age of the patients at the time of surgery ranged between 17 and 29 years (mean, 21.75 years). The patients were under follow-up for a minimum of 8 months after surgery, and measurements were performed using Dolphin 3D imaging.
All 5 patients have an improved occlusion and improved facial aesthetics. The mean mandible rotation advancement was 5.6 mm (range, 4 to 7 mm). The mean posteroanterior face height ratio (S-Go/N-Me) after surgery was 63.9 (range, 62.9 to 65.8). No exacerbation of the juvenile rheumatoid arthritis was encountered as a result of the surgical procedure.
Le Fort I osteotomy with impaction and advancement genioplasty are effective procedures for occlusal and aesthetic correction of juvenile idiopathic/rheumatoid patients. Mandibular procedures may evoke further condylar resorption with pain and functional impairment of the TMJ.</description><identifier>ISSN: 1049-2275</identifier><identifier>EISSN: 1536-3732</identifier><identifier>DOI: 10.1097/scs.0b013e31829a8458</identifier><identifier>PMID: 24220378</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Arthritis, Juvenile - complications ; Bone Resorption - etiology ; Cephalometry - methods ; Dentistry ; Esthetics, Dental ; Female ; Follow-Up Studies ; Genioplasty - methods ; Humans ; Imaging, Three-Dimensional - methods ; Malocclusion - etiology ; Malocclusion - surgery ; Mandibular Condyle - pathology ; Mandibular Diseases - etiology ; Maxilla - surgery ; Orthognathic Surgical Procedures - methods ; Osteotomy, Le Fort - methods ; Patient Satisfaction ; Range of Motion, Articular - physiology ; Temporomandibular Joint Disorders - complications ; Young Adult</subject><ispartof>The Journal of craniofacial surgery, 2013-11, Vol.24 (6), p.1940-1945</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-ff6643b4096b82f3b63213747eee9d58cedbf97944899accdd52c435949cab1f3</citedby><cites>FETCH-LOGICAL-c373t-ff6643b4096b82f3b63213747eee9d58cedbf97944899accdd52c435949cab1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24220378$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pagnoni, Mario</creatorcontrib><creatorcontrib>Amodeo, Giulia</creatorcontrib><creatorcontrib>Fadda, Maria Teresa</creatorcontrib><creatorcontrib>Brauner, Edoardo</creatorcontrib><creatorcontrib>Guarino, Giorgio</creatorcontrib><creatorcontrib>Virciglio, Pasquale</creatorcontrib><creatorcontrib>Iannetti, Giorgio</creatorcontrib><title>Juvenile idiopathic/rheumatoid arthritis and orthognatic surgery without mandibular osteotomies in the remittent phase</title><title>The Journal of craniofacial surgery</title><addtitle>J Craniofac Surg</addtitle><description>Orthognathic treatment of patients with juvenile idiopathic/rheumatoid arthritis is still controversial. Mandibular procedures may result in relapse and further condylar resorption and pain. Maxillary osteotomies and genioplasty may be effective for the correction of malocclusion and for aesthetics.
Five patients with juvenile idiopathic/rheumatoid arthritis with severe temporomandibular joint (TMJ) involvement underwent orthognathic surgery with a simultaneous Le Fort I osteotomy and advancement genioplasty. The age of the patients at the time of surgery ranged between 17 and 29 years (mean, 21.75 years). The patients were under follow-up for a minimum of 8 months after surgery, and measurements were performed using Dolphin 3D imaging.
All 5 patients have an improved occlusion and improved facial aesthetics. The mean mandible rotation advancement was 5.6 mm (range, 4 to 7 mm). The mean posteroanterior face height ratio (S-Go/N-Me) after surgery was 63.9 (range, 62.9 to 65.8). No exacerbation of the juvenile rheumatoid arthritis was encountered as a result of the surgical procedure.
Le Fort I osteotomy with impaction and advancement genioplasty are effective procedures for occlusal and aesthetic correction of juvenile idiopathic/rheumatoid patients. Mandibular procedures may evoke further condylar resorption with pain and functional impairment of the TMJ.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthritis, Juvenile - complications</subject><subject>Bone Resorption - etiology</subject><subject>Cephalometry - methods</subject><subject>Dentistry</subject><subject>Esthetics, Dental</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genioplasty - methods</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Malocclusion - etiology</subject><subject>Malocclusion - surgery</subject><subject>Mandibular Condyle - pathology</subject><subject>Mandibular Diseases - etiology</subject><subject>Maxilla - surgery</subject><subject>Orthognathic Surgical Procedures - methods</subject><subject>Osteotomy, Le Fort - methods</subject><subject>Patient Satisfaction</subject><subject>Range of Motion, Articular - physiology</subject><subject>Temporomandibular Joint Disorders - complications</subject><subject>Young Adult</subject><issn>1049-2275</issn><issn>1536-3732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkElPwzAQhS0EoqXwDxDykUtab1l8RBWrKnEonCPHmTRGSVy8FPXfE9TCgdMsem-e5kPompI5JTJfeO3npCKUA6cFk6oQaXGCpjTlWcJzzk7HngiZMJanE3Th_QchjFKWnaMJE4wRnhdTtHuJOxhMB9jUxm5VaI1euBZir4I1NVYutM4E47EaamzHyW4GFYzGProNuD3-MuMuBtyPAlPFTjlsfQAbbG_AYzPg0AJ20JsQYAh42yoPl-isUZ2Hq2OdofeH-7flU7J6fXxe3q0SPb4QkqbJMsErQWRWFazhVcYZ5bnIAUDWaaGhrhqZSyEKKZXWdZ0yLXgqhdSqog2fodvD3a2znxF8KHvjNXSdGsBGX9IRWkrSgolRKg5S7az3Dppy60yv3L6kpPwhXq6X6_I_8dF2c0yIVQ_1n-kXMf8GVYKBQQ</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Pagnoni, Mario</creator><creator>Amodeo, Giulia</creator><creator>Fadda, Maria Teresa</creator><creator>Brauner, Edoardo</creator><creator>Guarino, Giorgio</creator><creator>Virciglio, Pasquale</creator><creator>Iannetti, Giorgio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201311</creationdate><title>Juvenile idiopathic/rheumatoid arthritis and orthognatic surgery without mandibular osteotomies in the remittent phase</title><author>Pagnoni, Mario ; Amodeo, Giulia ; Fadda, Maria Teresa ; Brauner, Edoardo ; Guarino, Giorgio ; Virciglio, Pasquale ; Iannetti, Giorgio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-ff6643b4096b82f3b63213747eee9d58cedbf97944899accdd52c435949cab1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthritis, Juvenile - complications</topic><topic>Bone Resorption - etiology</topic><topic>Cephalometry - methods</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genioplasty - methods</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Malocclusion - etiology</topic><topic>Malocclusion - surgery</topic><topic>Mandibular Condyle - pathology</topic><topic>Mandibular Diseases - etiology</topic><topic>Maxilla - surgery</topic><topic>Orthognathic Surgical Procedures - methods</topic><topic>Osteotomy, Le Fort - methods</topic><topic>Patient Satisfaction</topic><topic>Range of Motion, Articular - physiology</topic><topic>Temporomandibular Joint Disorders - complications</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pagnoni, Mario</creatorcontrib><creatorcontrib>Amodeo, Giulia</creatorcontrib><creatorcontrib>Fadda, Maria Teresa</creatorcontrib><creatorcontrib>Brauner, Edoardo</creatorcontrib><creatorcontrib>Guarino, Giorgio</creatorcontrib><creatorcontrib>Virciglio, Pasquale</creatorcontrib><creatorcontrib>Iannetti, Giorgio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of craniofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pagnoni, Mario</au><au>Amodeo, Giulia</au><au>Fadda, Maria Teresa</au><au>Brauner, Edoardo</au><au>Guarino, Giorgio</au><au>Virciglio, Pasquale</au><au>Iannetti, Giorgio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Juvenile idiopathic/rheumatoid arthritis and orthognatic surgery without mandibular osteotomies in the remittent phase</atitle><jtitle>The Journal of craniofacial surgery</jtitle><addtitle>J Craniofac Surg</addtitle><date>2013-11</date><risdate>2013</risdate><volume>24</volume><issue>6</issue><spage>1940</spage><epage>1945</epage><pages>1940-1945</pages><issn>1049-2275</issn><eissn>1536-3732</eissn><abstract>Orthognathic treatment of patients with juvenile idiopathic/rheumatoid arthritis is still controversial. Mandibular procedures may result in relapse and further condylar resorption and pain. Maxillary osteotomies and genioplasty may be effective for the correction of malocclusion and for aesthetics.
Five patients with juvenile idiopathic/rheumatoid arthritis with severe temporomandibular joint (TMJ) involvement underwent orthognathic surgery with a simultaneous Le Fort I osteotomy and advancement genioplasty. The age of the patients at the time of surgery ranged between 17 and 29 years (mean, 21.75 years). The patients were under follow-up for a minimum of 8 months after surgery, and measurements were performed using Dolphin 3D imaging.
All 5 patients have an improved occlusion and improved facial aesthetics. The mean mandible rotation advancement was 5.6 mm (range, 4 to 7 mm). The mean posteroanterior face height ratio (S-Go/N-Me) after surgery was 63.9 (range, 62.9 to 65.8). No exacerbation of the juvenile rheumatoid arthritis was encountered as a result of the surgical procedure.
Le Fort I osteotomy with impaction and advancement genioplasty are effective procedures for occlusal and aesthetic correction of juvenile idiopathic/rheumatoid patients. Mandibular procedures may evoke further condylar resorption with pain and functional impairment of the TMJ.</abstract><cop>United States</cop><pmid>24220378</pmid><doi>10.1097/scs.0b013e31829a8458</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Arthritis, Juvenile - complications Bone Resorption - etiology Cephalometry - methods Dentistry Esthetics, Dental Female Follow-Up Studies Genioplasty - methods Humans Imaging, Three-Dimensional - methods Malocclusion - etiology Malocclusion - surgery Mandibular Condyle - pathology Mandibular Diseases - etiology Maxilla - surgery Orthognathic Surgical Procedures - methods Osteotomy, Le Fort - methods Patient Satisfaction Range of Motion, Articular - physiology Temporomandibular Joint Disorders - complications Young Adult |
| title | Juvenile idiopathic/rheumatoid arthritis and orthognatic surgery without mandibular osteotomies in the remittent phase |
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