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Changes in temporo-mandibular disorders following the orthognathic surgeries.

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Abstract


Sixty four patients were followd-up for over 6 months following the orthognathic surgeries and wee examined for the Temporo-mandibular joint dysfunction.
@ES The results are as follows:
@EN 1. Of 64 patients, 9 (14.1%) had been sufferred from TMD preoperatively : 47% in the prognathism and 46.2% in the laterognathism.
2. Follwing the orthognathic surgeries, 7 of 64 patients (10.9%) complained TMD, and 55.6% of the TMD patients resulted in significant improvement.
3. By the type of deformities, laterognathism with TMD could be expected to be improved in 30.8%, while 7.7% in the prognathism.
4. Non-rigid fixation resulted in higher incidence of TMD than the Rigid fixation after the SSRO ; 4 of 15 (26.5%) and 2 of 25 (8.0%) respectively.

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