Open AccessSigns and symptoms of temporomandibular disorder and patients’ satisfaction before and after orthognathic surgery
Author(s) -
Edmar Ricardo Pozzobon Christovam,
Eloísa Marcantônio Boeck,
Sílvia Amélia Scudeler Vedovello,
Heloísa Cristina Valdrighi,
Viviane Veroni Degan,
Mário Vedovello Filho
Publication year - 2017
Publication title -
brazilian journal of oral sciences/brazilian journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 11
eISSN - 1677-3225
pISSN - 1677-3217
DOI - 10.20396/bjos.v15i2.8648765
Subject(s) - medicine , orthognathic surgery , anamnesis , temporomandibular joint , temporomandibular disorder , research diagnostic criteria , analysis of variance , temporomandibular joint disorder , malocclusion , confidence interval , statistical significance , dentistry , orthodontics , physical therapy , chronic pain
Aim: To evaluate signs and symptoms of temporomandibular joint disorder and satisfaction in patients before and after orthognathic surgery. Methods: The sample consisted of 15 patients aged between 19 and 47 years old, indicated for orthodontic-surgical treatment. All patients answered na anamnesis questionnaire based on Helkimo Anamnestic Index to evaluate subjective symptoms and underwent a clinical evaluation based on Helkimo Disfunction Index, applied at three time points: before (T0), three (T1) and six months (T2) after surgery. Statistical models used were χ2 test (Chi-square), Tukey test, confidence interval and analysis of variance (ANOVA). Results: Statistical analysis revealed no significant difference in the incidence of joint sounds, maximum mouth opening, deviation of mouth opening and pain in the TMJ region (p>0.05). No patient presented worsening of the symptomatology. As regards muscular pain, there was a statistically significant improvement with time (p<0.05) and 86.7% of patients reported that they were satisfied with the obtained results. Conclusions: Improvement of TMD after orthognathic surgery may not be the result of correcting malocclusion and satisfaction with the results can be a factor of TMD improvement.