Assessment of clinical and radiographic changes of the mandibular condyle following orthognathic surgery
Journal Title: International Journal of Dentistry Research - Year 2017, Vol 2, Issue 2
Abstract
Aim: Changes of the mandibular condyle are unwanted and unpredictable complications of orthognathic surgery. This pilot study investigated the prevalence and severity of mandibular condylar changes after orthognathic surgery. Materials and Method: In this prospective study 20 patients with class II and III malocclusion who needed orthognathic surgery were evaluated. Ramus height, condylar width, joint pain, overjet and overbite, angular changes on lateral cephalogram, maximal mouth opening, maxillary and mandibular movements before and 6 months after surgery were assessed. Results: In this study condylar atrophy was radiographically evident on panoramic radiographs of 6 (30%) of the patients; one patient was treated for class II malocclusion and the other 5 were treated for class III malocclusion. Conclusion: This study showed radiographically evident condylar atrophy in 30% after surgery; however none had any related clinical signs or symptoms. None of the cases that developed condylar atrophy postsurgery correlated significantly with the variables assessed in this short term pilot study. Further studies and longer follow-up is needed to validate the results.
Authors and Affiliations
Fahime Akhlaghi, Anahita Khayampour, Mohammad Hosein Kalantar Motamedi, Zahra Danial
Keywords
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- EP ID EP442357
- DOI 10.31254/dentistry.2017.2204
- Views 61
- Downloads 0
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