Conclusion
The changes of facial skeleton in DFD patients after OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues. Patients with TMJ symptoms requires a thorough evaluation including history taking, focused physical examination, and imaging modalities such as CT or MRI as indicated in order to obtain correct diagnoses and treatments prior to OGS. These evaluations are performed pre, intra, and postoperatively to determine the status of TMJ condition and managed appropriately. The changes of TMJ symptoms after OGS are associated with multiple factors including masticatory and facial musculature, and improvement in disc-condyle relationship as well as psychological factor. Any surgical procedures involving mandibular osteotomy can directly affect TMD, thus, preexisting TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.
ConclusionThe changes of facial skeleton in DFD patients after OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues. Patients with TMJ symptoms requires a thorough evaluation including history taking, focused physical examination, and imaging modalities such as CT or MRI as indicated in order to obtain correct diagnoses and treatments prior to OGS. These evaluations are performed pre, intra, and postoperatively to determine the status of TMJ condition and managed appropriately. The changes of TMJ symptoms after OGS are associated with multiple factors including masticatory and facial musculature, and improvement in disc-condyle relationship as well as psychological factor. Any surgical procedures involving mandibular osteotomy can directly affect TMD, thus, preexisting TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.
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