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Stomatologija 2023; 25 (4): 97-102 163 KB

Effect of orthognathic surgery on temporomandibular joint pain. A systematic review

Augustinas Buškus¹, Greta Milvydaitė², Jan Pavel Rokicki²

Summary

Objective. Dentofacial deformities affect patients’ social relations, self-esteem and oral health-related quality of life. Studies show that patients treated for malocclusions with orthodontics/orthognathic surgery have significantly more temporomandibular disorders (TMDs) than others. The aim of the work was to evaluate the effect of orthognathic surgery on temporomandibular joint pain.

Material and methods. The literature review was performed according to PRISMA guidelines. Publications were searched in databases: PubMed, The Cochrane Library, Science Direct. A combination of keywords was used and the selection criteria were applied. Articles written in English and studies conducted on people who underwent bilateral sagittal split osteotomy and/or Le Fort I osteotomy and arthralgia were evaluated before and after surgery were included in this study.

Results. 10 publications were selected, including a total of 1143 patients. When evaluating arthralgia, statistically significant positive results were seen at 6 months after surgery, at later postoperative periods results remained beneficial.

Conclusion. Included studies showed that patients with dentofacial deformities, who underwent orthodontic-orthognathic treatment, less often complains about arthralgia.

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¹Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

²Department of Maxillofacial Surgery, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

Address correspondence to Greta Milvydaitė, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania.

E-mail address: greta.milv@gmail.com