Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2010
Evaluation of temporomandibular function after high partial condylectomy because of unilateral condylar hyperactivity.
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Saridin Carrol P, Gilijamse Marjolijn, Kuik Dirk J, te Veldhuis Emma C, Tuinzing Dirk B, Lobbezoo Frank, Becking Alfred G
Аннотация
PURPOSE: The purpose of this study was to assess temporomandibular function after condylectomy because of unilateral condylar hyperactivity (UCH) by means of standardized diagnostic criteria. The results were compared with those obtained in a control group.
PATIENTS AND METHODS: In this study, 33 patients with UCH who underwent condylectomy and 31 controls matched for age and gender filled out a history questionnaire and underwent a clinical examination as part of the research diagnostic criteria for temporomandibular disorders. Data analysis was performed by use of the Fisher exact test for 2-by-2 tables.
RESULTS: Patients and controls did not differ significantly regarding myofacial pain (P = .131), disc displacement (P = .516), and depression (P = .34). The groups differed significantly concerning arthralgia, osteoarthritis, and osteoarthrosis (P = .003), as well as pain with low disability (P = .022).
CONCLUSIONS: In patients with UCH who underwent condylectomy because of progressive mandibular asymmetry, more joint-related temporomandibular problems as well as more postoperative pain developed when compared with age- and gender-matched controls. However, these problems did not lead to more severe disabilities in daily life.
PATIENTS AND METHODS: In this study, 33 patients with UCH who underwent condylectomy and 31 controls matched for age and gender filled out a history questionnaire and underwent a clinical examination as part of the research diagnostic criteria for temporomandibular disorders. Data analysis was performed by use of the Fisher exact test for 2-by-2 tables.
RESULTS: Patients and controls did not differ significantly regarding myofacial pain (P = .131), disc displacement (P = .516), and depression (P = .34). The groups differed significantly concerning arthralgia, osteoarthritis, and osteoarthrosis (P = .003), as well as pain with low disability (P = .022).
CONCLUSIONS: In patients with UCH who underwent condylectomy because of progressive mandibular asymmetry, more joint-related temporomandibular problems as well as more postoperative pain developed when compared with age- and gender-matched controls. However, these problems did not lead to more severe disabilities in daily life.
Предметные рубрики MeSH
AdultArthralgiaCase-Control StudiesDepressionFacial AsymmetryFacial PainFemaleHumansJoint DislocationsMaleMandibular CondyleMandibular DiseasesMiddle AgedOsteoarthritisOsteotomyPostoperative ComplicationsRange of Motion, ArticularSomatoform DisordersTemporomandibular JointTemporomandibular Joint DiscTemporomandibular Joint DisordersYoung Adult