title: Orthognathic surgery in the presence of temporomandibular dysfunction: what happens next?
abstract: One of the most well-known yet perhaps controversial conditions affecting temporomandibular dysfunction (TMD) and the signs and symptoms of facial pain and clinical outcomes after orthognathic surgery procedures is temporomandibular joint internal derangement. This article provides an overview of the mutual relationship between orthognathic surgery and TMD, with especial consideration to internal derangement. The existing literature is reviewed and analyzed and the pertinent findings are summarized. The objective is to guide oral and maxillofacial surgeons in their clinical decision making when contemplating orthognathic surgery in patients with preexisting TMD.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdul Aziz University, PO Box 80200, Jeddah 21589, Saudi Arabia; Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Nadershah
authors.affiliation: Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA. Electronic address: pmehra@bu.edu.
authors.forename: Pushkar
authors.initials: P
authors.lastname: Mehra
mesh_terms: D006801:Humans; D019647:Oral Surgical Procedures; D056948:Orthognathic Surgical Procedures; D013705:Temporomandibular Joint Disorders / Q000601:surgery*
keywords: Internal derangement; Orthognathic surgery; Temporomandibular dysfunction; Temporomandibular joint