Details

Autor(en) / Beteiligte

• Miao, Z
• Wang, X.-d
• Mao, L.-x
• Xia, Y.-h
• Yuan, L.-j
• Cai, M
• Liu, J.-q
• Wang, B
• Yang, X
• Zhu, L
• Yu, H.-b
• Fang, B

Titel

Influence of temporomandibular joint disc displacement on mandibular advancement in patients without pre-treatment condylar resorption

Ist Teil von

• International journal of oral and maxillofacial surgery, 2017-03, Vol.46 (3), p.328-336

Ort / Verlag

Denmark: Elsevier Ltd

Erscheinungsjahr

2017

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract The purpose of this study was to clarify the correlation between pre-treatment anterior disc displacement and mandibular stability after orthognathic and orthodontic treatment among patients with a skeletal class II malocclusion and without pre-treatment condylar resorption. Thirty-seven patients were included (7 male, 30 female). The mean length of follow-up was 6.76 ± 3.06 years. Patients with condylar resorption before treatment were excluded. Magnetic resonance images and lateral cephalometric radiographs were taken before treatment (T0), after treatment (T1), and at follow-up (T2). Patients were classified according to the degree of disc displacement: −10–10° ‘normal’, 11–50° ‘slight to mild’, ≥51° ‘moderate to severe’. Results showed the condyle moved posterosuperiorly after treatment, and then moved anteriorly to a more concentric location during the long follow-up period. Condylar movement was found not to correlate with disc displacement. The degree of disc displacement before treatment did not correlate with the post-surgical mandibular positional change in either the sagittal or vertical direction. To conclude, the mandibular bilateral sagittal split ramus osteotomy was stable in the long-term after orthognathic and orthodontic treatment. In the absence of pre-treatment condylar resorption, the degree of initial anterior disc displacement did not have a significant influence on the stability of mandibular advancement.