Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis
Objectives: Dentofacial deformity following juvenile idiopathic arthritis with temporomandibular joint involvement is associated with functional, aesthetic, and psychosocial impairment. Surgical treatment may involve combinations of orthognathic surgery. The aims of this retrospective study were to...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Stilus Optimus
2023-12-01
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| Series: | eJournal of Oral Maxillofacial Research |
| Subjects: | |
| Online Access: | https://www.ejomr.org/JOMR/archives/2023/4/e4/v14n4e4ht.htm |
| _version_ | 1797360238403256320 |
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| author | Henrik Krarup Thomas Klit Pedersen Paula Frid Sven Erik Nørholt |
| author_facet | Henrik Krarup Thomas Klit Pedersen Paula Frid Sven Erik Nørholt |
| author_sort | Henrik Krarup |
| collection | DOAJ |
| description | Objectives: Dentofacial deformity following juvenile idiopathic arthritis with temporomandibular joint involvement is associated with functional, aesthetic, and psychosocial impairment. Surgical treatment may involve combinations of orthognathic surgery. The aims of this retrospective study were to assess orofacial symptoms, functional and aesthetic status, and stability after orthognathic surgery.
Material and Methods: Nineteen patients with juvenile idiopathic arthritis of the temporomandibular joint (TMJ) and dentofacial deformities were included. All patients were treated with combinations of bilateral sagittal split osteotomy, Le Fort I and/or genioplasty, between September 10, 2007 and October 17, 2017. Analysis of patient symptoms and clinical registrations, and frontal/lateral cephalograms was performed pre- and postoperative and long-term (mean: 3.8 and 2.6 years, respectively).
Results: Patients experienced no changes in orofacial symptoms or TMJ function, and stable normalisation of horizontal and vertical incisal relations at long-term (horizontal overbite; vertical overbite: P < 0.05). Mandibular lengthening was achieved postoperatively (from mean 79.7 to 87.2 mm; P = 0.004) and was stable. Sella-nasion to A point (SNA) and sella-nasion to B point (SNB) angles increased postoperatively (SNA, mean 79.9° to 82.8°; P = 0.022 and SNB, mean 73.9° to 77.8°; P = 0.003), however, largely reverted to preoperative status at long-term.
Conclusions: Orthognathic surgery normalized incisal relations while providing stable mandibular lengthening without long-term deterioration of temporomandibular joint function or orofacial symptoms. No long-term effect on jaw advancements was observed. |
| first_indexed | 2024-03-08T15:35:31Z |
| format | Article |
| id | doaj.art-54c09f3b731a42b199a7deb4b4632784 |
| institution | Directory Open Access Journal |
| issn | 2029-283X |
| language | English |
| last_indexed | 2024-03-08T15:35:31Z |
| publishDate | 2023-12-01 |
| publisher | Stilus Optimus |
| record_format | Article |
| series | eJournal of Oral Maxillofacial Research |
| spelling | doaj.art-54c09f3b731a42b199a7deb4b46327842024-01-09T23:56:12ZengStilus OptimuseJournal of Oral Maxillofacial Research2029-283X2023-12-01144e410.5037/jomr.2023.14404Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic ArthritisHenrik KrarupThomas Klit PedersenPaula FridSven Erik NørholtObjectives: Dentofacial deformity following juvenile idiopathic arthritis with temporomandibular joint involvement is associated with functional, aesthetic, and psychosocial impairment. Surgical treatment may involve combinations of orthognathic surgery. The aims of this retrospective study were to assess orofacial symptoms, functional and aesthetic status, and stability after orthognathic surgery. Material and Methods: Nineteen patients with juvenile idiopathic arthritis of the temporomandibular joint (TMJ) and dentofacial deformities were included. All patients were treated with combinations of bilateral sagittal split osteotomy, Le Fort I and/or genioplasty, between September 10, 2007 and October 17, 2017. Analysis of patient symptoms and clinical registrations, and frontal/lateral cephalograms was performed pre- and postoperative and long-term (mean: 3.8 and 2.6 years, respectively). Results: Patients experienced no changes in orofacial symptoms or TMJ function, and stable normalisation of horizontal and vertical incisal relations at long-term (horizontal overbite; vertical overbite: P < 0.05). Mandibular lengthening was achieved postoperatively (from mean 79.7 to 87.2 mm; P = 0.004) and was stable. Sella-nasion to A point (SNA) and sella-nasion to B point (SNB) angles increased postoperatively (SNA, mean 79.9° to 82.8°; P = 0.022 and SNB, mean 73.9° to 77.8°; P = 0.003), however, largely reverted to preoperative status at long-term. Conclusions: Orthognathic surgery normalized incisal relations while providing stable mandibular lengthening without long-term deterioration of temporomandibular joint function or orofacial symptoms. No long-term effect on jaw advancements was observed.https://www.ejomr.org/JOMR/archives/2023/4/e4/v14n4e4ht.htmcephalometrydentofacial deformitiesjuvenile arthritisorthognathic surgerytemporomandibular joint disorders |
| spellingShingle | Henrik Krarup Thomas Klit Pedersen Paula Frid Sven Erik Nørholt Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis eJournal of Oral Maxillofacial Research cephalometry dentofacial deformities juvenile arthritis orthognathic surgery temporomandibular joint disorders |
| title | Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis |
| title_full | Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis |
| title_fullStr | Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis |
| title_full_unstemmed | Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis |
| title_short | Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis |
| title_sort | long term follow up of orthognathic surgery in 19 patients with juvenile idiopathic arthritis |
| topic | cephalometry dentofacial deformities juvenile arthritis orthognathic surgery temporomandibular joint disorders |
| url | https://www.ejomr.org/JOMR/archives/2023/4/e4/v14n4e4ht.htm |
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