Maxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts® total joint prostheses Part III -Pain and dysfunction outcomes

47 end-stage TMJ patients with high occlusal plane angulation, treated with TMJ custom-fitted total joint prostheses and simultaneous maxillo-mandibular counter-clockwise rotation were evaluated for pain and dysfunction presurgery (T1) and at the longest follow-up (T2). Patients subjectively rated t...

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Veröffentlicht in:	International journal of oral and maxillofacial surgery 2009-04, Vol.38 (4), p.326-331
Hauptverfasser:	PINTO, L. P, WOLFORD, L. M, BUSCHANG, P. H, BERNARDI, F. H, GONCALVES, J. R, CASSANO, D. S
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Arthroplasty, Replacement - instrumentation Arthroplasty, Replacement - methods Biological and medical sciences Dentistry Device Removal - methods Facial Pain - etiology Facial Pain - surgery Female Follow-Up Studies Foreign-Body Reaction - etiology Foreign-Body Reaction - surgery Humans Joint Prosthesis - adverse effects Mandible - pathology Mandible - surgery Mandibular Advancement - methods Maxilla - pathology Maxilla - surgery Medical sciences Middle Aged Oral Surgical Procedures - instrumentation Oral Surgical Procedures - methods Orthopedic surgery Otorhinolaryngology. Stomatology Prosthesis Design Range of Motion, Articular Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Reoperation Retrospective Studies Rotation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Temporomandibular Joint - pathology Temporomandibular Joint - surgery Temporomandibular Joint Disorders - complications Temporomandibular Joint Disorders - pathology Temporomandibular Joint Disorders - surgery Treatment Outcome Young Adult
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Beschreibung
Zusammenfassung:	47 end-stage TMJ patients with high occlusal plane angulation, treated with TMJ custom-fitted total joint prostheses and simultaneous maxillo-mandibular counter-clockwise rotation were evaluated for pain and dysfunction presurgery (T1) and at the longest follow-up (T2). Patients subjectively rated their facial pain/headache, TMJ pain, jaw function, diet and disability. Objective functional changes were determined by measuring maximum interincisal opening (MIO) and laterotrusive movements. Patients were divided according to the number of previous failed TMJ surgeries: Group 1 (0-1), Group 2 (2 or more). Significant subjective pain and dysfunction improvements (37-52%) were observed (
ISSN:	0901-5027 1399-0020
DOI:	10.1016/j.ijom.2008.11.016