Signs and symptoms of temporomandibular disorder and patients’ satisfaction before and after orthognathic surgery

Authors

  • Edmar Ricardo Pozzobon Christovam Universidade de São Paulo
  • Eloisa Marcantonio Boeck Centro Universitário de Araraquara
  • Silvia Amélia Scudeler Vedovello Centro Universitário de Araraquara
  • Heloisa Cristina Valdrighi Centro Universitário de Araraquara
  • Viviane Veroni Degan Centro Universitário de Araraquara
  • Mário Vedovello Filho Faculdade São Leopoldo Mandic

DOI:

https://doi.org/10.20396/bjos.v15i2.8648765

Keywords:

Orthodontics. Temporomandibular joint. Malocclusion. Self-concept.

Abstract

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.

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Author Biographies

Edmar Ricardo Pozzobon Christovam, Universidade de São Paulo

Possui graduação em Odontologia pela Faculdade de Odontologia da Universidade de São Paulo (USP) em 1991.

Eloisa Marcantonio Boeck, Centro Universitário de Araraquara

Possui Graduação em Odontologia pela Universidade de Ribeirão Preto - UNAERP, Mestrado em Odontopediatria pela Universidade Estadual Paulista Júlio de Mesquita Filho - UNESP e Doutorado em Ortodontia pela Universidade Estadual de Campinas - UNICAMP.

Silvia Amélia Scudeler Vedovello, Centro Universitário de Araraquara

Cirurgiã-dentista formada pelo Centro Universitário Hermínio Ometto (FHOIUniararas). Cursou Mestrado e Doutorado em Ortodontia na Universidade Estadual de Campinas-UNICAMP (Faculdade de Odontologia de Piracicaba). Tem Pós-doutorado em Saúde Coletiva pela na Universidade Estadual de Campinas-UNICAMP (Faculdade de Odontologia de Piracicaba). 

Heloisa Cristina Valdrighi, Centro Universitário de Araraquara

Cirurgiã-dentista formada pela Pontifícia Universidade Católica de Campinas - Puccamp. Cursou Mestrado e Doutorado em Ortodontia na Universidade Estadual de Campinas (Faculdade de Odontologia de Piracicaba). Atualmente é Professora do Programa de Pós-graduação em Odontologia (área de concentração Ortodontia) da FHOIUniararas.

Viviane Veroni Degan, Centro Universitário de Araraquara

Graduação em Bacharelado em Fonoaudiologia pela Pontifícia Universidade Católica de Campinas (1986), Mestrado (1999) e Doutorado (2004) em Odontologia- na Área de Fisiologia Oral pela Faculdade de Odontologia de Piracicaba (FOP/UNICAMP). Atualmente é docente do Programa de Mestrado em Odontologia - Área de concentração Ortodontia - FHO-Uniararas.

Mário Vedovello Filho, Faculdade São Leopoldo Mandic

Possui Graduação em Odontologia pela Pontifícia Universidade Católica de Campinas - Puccamp, Graduação em Medicina Dentária pela Universidade de Lisboa em Portugal. Mestrado em Ortodontia pela Faculdade de Odontologia de Piracicaba Unicamp e Doutorado em Odontologia pela Universidade Federal do Rio de Janeiro.

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Published

2017-04-20

How to Cite

1.
Christovam ERP, Boeck EM, Vedovello SAS, Valdrighi HC, Degan VV, Vedovello Filho M. Signs and symptoms of temporomandibular disorder and patients’ satisfaction before and after orthognathic surgery. Braz. J. Oral Sci. [Internet]. 2017 Apr. 20 [cited 2022 Nov. 27];15(2):137-43. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8648765

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