Juvenile Idiopathic/Rheumatoid Arthritis and Orthognatic Surgery Without Mandibular Osteotomies in the Remittent Phase
| Autor: | Pasquale Virciglio, Edoardo Brauner, Maria Teresa Fadda, Mario Pagnoni, Giorgio Iannetti, G. Guarino, Giulia Amodeo |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Cephalometry medicine.medical_treatment Orthognathic surgery Esthetics Dental Genioplasty Condylar resorption Young Adult Imaging Three-Dimensional stomatognathic system Maxilla medicine Humans Osteotomy Le Fort Mandibular Diseases Bone Resorption Range of Motion Articular juvenile rheumatoid arthritis orthodontics retrognathism orthognathic surgery condylar resorption Orthognathic Surgical Procedures business.industry Mandibular Condyle Retrognathism General Medicine Temporomandibular Joint Disorders medicine.disease Arthritis Juvenile Surgery Otorhinolaryngology Patient Satisfaction Rheumatoid arthritis Female Malocclusion business Juvenile rheumatoid arthritis Follow-Up Studies |
| Zdroj: | Journal of Craniofacial Surgery. 24:1940-1945 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0b013e31829a8458 |
| Popis: | Orthognathic treatment of patients with juvenile idiopathic/rheumatoid arthritis is still controversial. Mandibular procedures may result in relapse and further condylar resorption and pain. Maxillary osteotomies and genioplasty may be effective for the correction of malocclusion and for aesthetics.Five patients with juvenile idiopathic/rheumatoid arthritis with severe temporomandibular joint (TMJ) involvement underwent orthognathic surgery with a simultaneous Le Fort I osteotomy and advancement genioplasty. The age of the patients at the time of surgery ranged between 17 and 29 years (mean, 21.75 years). The patients were under follow-up for a minimum of 8 months after surgery, and measurements were performed using Dolphin 3D imaging.All 5 patients have an improved occlusion and improved facial aesthetics. The mean mandible rotation advancement was 5.6 mm (range, 4 to 7 mm). The mean posteroanterior face height ratio (S-Go/N-Me) after surgery was 63.9 (range, 62.9 to 65.8). No exacerbation of the juvenile rheumatoid arthritis was encountered as a result of the surgical procedure.Le Fort I osteotomy with impaction and advancement genioplasty are effective procedures for occlusal and aesthetic correction of juvenile idiopathic/rheumatoid patients. Mandibular procedures may evoke further condylar resorption with pain and functional impairment of the TMJ. |
| Databáze: | OpenAIRE |
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