The first 25 consecutive patients with high occlusal plane angulation, dysfunction, and pain who were treated with temporomandibular joint (TMJ) total joint prostheses and simultaneous maxillomandibular counterclockwise rotation were evaluated before surgery (T1), immediately after surgery (T2), and at the longest follow-up (T3) for surgical movements and long-term stability. Subjective ratings were used for patients' facial pain/headache, TMJ pain, jaw function, diet, and disability, and objective functional changes were determined by measuring maximum incisal opening and lateral excursive movements. Results showed that the areas of greatest surgical change included an average decrease in the occlusal plane of 13.3 degrees with advancement at point B of 13.4 mm and at the genial tubercles of 16.3 mm. At longest follow-up, relapse was 0.7 degrees, 0.8 mm, and 1.2 mm, respectively, with no statistically significant changes. Significant subjective pain and dysfunction improvements were observed (P



Dallas, TX, Miami, FL, Fortaleza, Brazil, Monterey, Mexico
USA

Departments Name: Department of Oral and Maxillofacial Surgery
Institution name: Baylor College of Dentistry, Texas A&M University System, and Baylor University Medical Center. Private practice, Fortaleza, Brazil (Pinto), Miami, Florida (Cárdenas), and Monterey, Mexico (Molina). Drs. Pinto and Cárdenas were fellows in oral and m
Authors: Wolford LM, Pinto LP, Cárdenas LE, Molina OR.
Journal Name: Proc (Bayl Univ Med Cent).
Data: 2008, Jan
Volume: 21(1):18-24
Country: USA