TMJ response to mandibular advancement surgery: an overview of risk factors
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of applied oral science (Online) |
Texto Completo: | https://www.revistas.usp.br/jaos/article/view/80536 |
Resumo: | Objective: In order to understand the conflicting information on temporomandibular joint (TMJ) pathophysiologic responses after mandibular advancement surgery, an overview of the literature was proposed with a focus on certain risk factors. Methods: A literature search was carried out in the Cochrane, PubMed, Scopus and Web of Science databases in the period from January 1980 through March 2013. Various combinations of keywords related to TMJ changes [disc displacement, arthralgia, condylar resorption (CR)] and aspects of surgical intervention (fixation technique, amount of advancement) were used. A hand search of these papers was also carried out to identify additional articles. Results: A total of 148 articles were considered for this overview and, although methodological troubles were common, this review identified relevant findings which the practitioner can take into consideration during treatment planning: 1- Surgery was unable to influence TMJ with preexisting displaced disc and crepitus; 2- Clicking and arthralgia were not predictable after surgery, although there was greater likelihood of improvement rather than deterioration; 3- The amount of mandibular advancement and counterclockwise rotation, and the rigidity of the fixation technique seemed to influence TMJ position and health; 4- The risk of CR increased, especially in identified high-risk cases. Conclusions: Young adult females with mandibular retrognathism and increased mandibular plane angle are susceptible to painful TMJ, and are subject to less improvement after surgery and prone to CR. Furthermore, thorough evidenced-based studies are required to understand the response of the TMJ after mandibular advancement surgery. |
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Journal of applied oral science (Online) |
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TMJ response to mandibular advancement surgery: an overview of risk factors Objective: In order to understand the conflicting information on temporomandibular joint (TMJ) pathophysiologic responses after mandibular advancement surgery, an overview of the literature was proposed with a focus on certain risk factors. Methods: A literature search was carried out in the Cochrane, PubMed, Scopus and Web of Science databases in the period from January 1980 through March 2013. Various combinations of keywords related to TMJ changes [disc displacement, arthralgia, condylar resorption (CR)] and aspects of surgical intervention (fixation technique, amount of advancement) were used. A hand search of these papers was also carried out to identify additional articles. Results: A total of 148 articles were considered for this overview and, although methodological troubles were common, this review identified relevant findings which the practitioner can take into consideration during treatment planning: 1- Surgery was unable to influence TMJ with preexisting displaced disc and crepitus; 2- Clicking and arthralgia were not predictable after surgery, although there was greater likelihood of improvement rather than deterioration; 3- The amount of mandibular advancement and counterclockwise rotation, and the rigidity of the fixation technique seemed to influence TMJ position and health; 4- The risk of CR increased, especially in identified high-risk cases. Conclusions: Young adult females with mandibular retrognathism and increased mandibular plane angle are susceptible to painful TMJ, and are subject to less improvement after surgery and prone to CR. Furthermore, thorough evidenced-based studies are required to understand the response of the TMJ after mandibular advancement surgery. Universidade de São Paulo. Faculdade de Odontologia de Bauru2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/8053610.1590/1678-775720130056Journal of Applied Oral Science; Vol. 22 No. 1 (2014); 2-14Journal of Applied Oral Science; Vol. 22 Núm. 1 (2014); 2-14Journal of Applied Oral Science; v. 22 n. 1 (2014); 2-141678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/80536/84199Copyright (c) 2014 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessVALLADARES-NETO, Jose CEVIDANES, Lucia Helena ROCHA, Wesley Cabral ALMEIDA, Guilherme de Araujo PAIVA, Joao Batista de RINO-NETO, Jose 2014-05-08T13:28:51Zoai:revistas.usp.br:article/80536Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2014-05-08T13:28:51Journal of applied oral science (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
TMJ response to mandibular advancement surgery: an overview of risk factors |
title |
TMJ response to mandibular advancement surgery: an overview of risk factors |
spellingShingle |
TMJ response to mandibular advancement surgery: an overview of risk factors VALLADARES-NETO, Jose |
title_short |
TMJ response to mandibular advancement surgery: an overview of risk factors |
title_full |
TMJ response to mandibular advancement surgery: an overview of risk factors |
title_fullStr |
TMJ response to mandibular advancement surgery: an overview of risk factors |
title_full_unstemmed |
TMJ response to mandibular advancement surgery: an overview of risk factors |
title_sort |
TMJ response to mandibular advancement surgery: an overview of risk factors |
author |
VALLADARES-NETO, Jose |
author_facet |
VALLADARES-NETO, Jose CEVIDANES, Lucia Helena ROCHA, Wesley Cabral ALMEIDA, Guilherme de Araujo PAIVA, Joao Batista de RINO-NETO, Jose |
author_role |
author |
author2 |
CEVIDANES, Lucia Helena ROCHA, Wesley Cabral ALMEIDA, Guilherme de Araujo PAIVA, Joao Batista de RINO-NETO, Jose |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
VALLADARES-NETO, Jose CEVIDANES, Lucia Helena ROCHA, Wesley Cabral ALMEIDA, Guilherme de Araujo PAIVA, Joao Batista de RINO-NETO, Jose |
description |
Objective: In order to understand the conflicting information on temporomandibular joint (TMJ) pathophysiologic responses after mandibular advancement surgery, an overview of the literature was proposed with a focus on certain risk factors. Methods: A literature search was carried out in the Cochrane, PubMed, Scopus and Web of Science databases in the period from January 1980 through March 2013. Various combinations of keywords related to TMJ changes [disc displacement, arthralgia, condylar resorption (CR)] and aspects of surgical intervention (fixation technique, amount of advancement) were used. A hand search of these papers was also carried out to identify additional articles. Results: A total of 148 articles were considered for this overview and, although methodological troubles were common, this review identified relevant findings which the practitioner can take into consideration during treatment planning: 1- Surgery was unable to influence TMJ with preexisting displaced disc and crepitus; 2- Clicking and arthralgia were not predictable after surgery, although there was greater likelihood of improvement rather than deterioration; 3- The amount of mandibular advancement and counterclockwise rotation, and the rigidity of the fixation technique seemed to influence TMJ position and health; 4- The risk of CR increased, especially in identified high-risk cases. Conclusions: Young adult females with mandibular retrognathism and increased mandibular plane angle are susceptible to painful TMJ, and are subject to less improvement after surgery and prone to CR. Furthermore, thorough evidenced-based studies are required to understand the response of the TMJ after mandibular advancement surgery. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/80536 10.1590/1678-775720130056 |
url |
https://www.revistas.usp.br/jaos/article/view/80536 |
identifier_str_mv |
10.1590/1678-775720130056 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/80536/84199 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2014 Journal of Applied Oral Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2014 Journal of Applied Oral Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
dc.source.none.fl_str_mv |
Journal of Applied Oral Science; Vol. 22 No. 1 (2014); 2-14 Journal of Applied Oral Science; Vol. 22 Núm. 1 (2014); 2-14 Journal of Applied Oral Science; v. 22 n. 1 (2014); 2-14 1678-7765 1678-7757 reponame:Journal of applied oral science (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Journal of applied oral science (Online) |
collection |
Journal of applied oral science (Online) |
repository.name.fl_str_mv |
Journal of applied oral science (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||jaos@usp.br |
_version_ |
1800221678097137664 |