Orthognathic surgery and the temporomandibular joint patient.

The role of orthognathic surgery for the correction of dentofacial deformities is widely accepted. However, its role in the treatment of temporomandibular joint disorders (TMD) is quite controversial. TMD symptoms should be treated independently of dentofacial deformities. Understanding that TMD can potentially worsen following orthognathic surgery, it is important to modify the surgical treatment plan to minimize the risk of exacerbation of TMJ pain, dysfunction, and condylar resorption.