Ortho-surgical treatment in skeletal CLII patients with temporomandibular dysfunction: Case report / Tratamento orto-cirurgico em paciente CLII esquelética e com disfunção temporomandibular: Relato de caso

• Autor(a) principal: Santos, Sabrina Saldanha
• Data de Publicação: 2020
• Outros Autores: Guerra, Lis Monteiro de Carvalho, Silva, Paulo Tárcio Aded da, Pinto, Daniela Nunes, Pinto, Marcílio Rodrigues, Silva, Paulo Goberlânio de Barros, Silva, Emanoel Italo de Almeida, Carvalho, Isabella Fernandes
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Health Review
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/12754
• topic: Dentofacial deformity; Orthognathic surgery; temporomandibular dysfunction

The study reports the ortho-surgical treatment of a patient with class II dentofacial deformity and temporomandibular dysfunction. Patient R.C, 29 years old, mixed race, female, sought the Orthodontics course at Christus University Center, complaining of orofacial pain and reporting other types of pain treatments, but without success. After facial analysis, intraoral and extraoral clinical examination, analysis of panoramic radiography and teleradiographs, it was concluded that in addition to temporomandibular dysfunction the patient had a class II deformity, with anteroposterior deficiency, and occlusal instability. The proposed treatment was ortho-surgical and evaluation of painful symptoms before and after surgery through the TMD Research Diagnostic Criteria questionnaire (RDC / TMD). The patient received pre-surgical orthodontic preparation and was then referred for surgery, in which Le Fort I osteotomy was performed in the maxilla with 3 mm advancement and bilateral sagittal osteotomy in mandibular branches for 5 mm mandibular advancement, in addition to mentoplasty. with a further 5 mm feed. Fixation was performed with the Dual Side 2.0mm System (screws and plates), followed by physical therapy, speech therapy and orthodontic finishing. The patient did not show an improvement in bone positioning, profile and face were more harmonic, without losing its aesthetic identity and there was a significant reduction in pain sensitivity previously presented.