title: Clinical evaluation of the temporomandibular joint following orthognathic surgery--multiple logistic regression analysis.
abstract: This study compares temporomandibular joint dysfunction (TMD) symptoms before and after bilateral sagittal split ramus osteotomy, and identifies predictive factors for the postoperative TMD symptoms by assessing the adjusted odds ratio using multiple logistic regression analysis. A consecutive series of 37 cases treated only with bilateral sagittal split ramus osteotomy were evaluated. New postoperative TMD symptoms appeared in 9 cases, preoperative TMD symptoms disappeared in 6 cases, and TMD symptoms were unchanged in 5 cases. The median period until the interincisal opening range attained 40 mm was 5 months (range, from 2 to 15 months). Age was a positive factor in patients with postoperative TMD symptoms, with an odds ratio of 1.43 (95 percent confidence interval, from 1.05 to 1.93). In addition, the maximum value of the bilateral setback distance of more than 9 mm was a positive factor of 6.95 (95 percent confidence interval, from 1.06 to 45.42). We concluded that surgical correction in skeletal malocclusion may affect temporomandibular joint dysfunction symptoms.
authors.affiliation: Maxillofacial Surgery, Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University, Japan. s-aoyama.mfs@tmd.ac.jp
authors.forename: Shigeru
authors.initials: S
authors.lastname: Aoyama
authors.forename: Koji
authors.initials: K
authors.lastname: Kino
authors.forename: Jyunji
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Hidemi
authors.initials: H
authors.lastname: Yoshimasu
authors.forename: Teruo
authors.initials: T
authors.lastname: Amagasa
mesh_terms: D000328:Adult; D000367:Age Factors; D018771:Arthralgia / Q000209:etiology; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D019248:Jaw Fixation Techniques; D016015:Logistic Models; D008297:Male; D008310:Malocclusion / Q000150:complications / Q000601:surgery*; D008334:Mandible / Q000601:surgery*; D015999:Multivariate Analysis; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010027:Osteotomy / Q000009:adverse effects; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013705:Temporomandibular Joint Disorders / Q000209:etiology*