Temporomandibular disorders after orthognathic surgery in patients with mandibular prognathism with depression as a risk factor

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dc.citation.epage64
dc.citation.spage57
dc.citation.volume71
dc.contributor.authorMLADENOVIĆ, IRENA
dc.contributor.authorJOVIĆ, NEBOJŠA
dc.contributor.authorČUTOVIĆ, TATJANA
dc.contributor.authorMLADENOVIĆ, GORAN
dc.contributor.authorKOZOMARA, RUŽICA
dc.date.accessioned2023-09-11T11:48:58Z
dc.date.available2023-09-11T11:48:58Z
dc.date.issued2012
dc.description.abstractObjective. To examine the prevalence of temporomandibular disorders (TMD) after orthodontic-surgical treatment in patients with mandibular prognathism and analyze psychosocial variables related to TMD. Materials and methods. The case-control study comprised 40 patients with mandibular prognathism who underwent combined orthodontic-surgical treatment (orthognathic surgery group). Forty-two patients with untreated mandibular prognathism served as a control group. Research diagnostic criteria for temporomandibular disorders was used in order to assess the clinical diagnosis of TMD (Axis I) and to estimate depression, somatization and patient’s disability related to chronic pain (Axis II). Results. The overall prevalence of TMD was not significantly different between the groups. Myofascial pain was significantly higher, while arthralgia, arthritis and arthrosis was significantly lower in the orthognathic group compared with the controls (90.5% vs 50.0%, 0.0% vs 27.8%, respectively) (p < 0.05). Females in orthognathic surgery group showed higher prevalence of TMD (p < 0.05) and myofascial pain (p < 0.01) and increased level of chronic pain (p < 0.05) in comparison with post-operative males. No significant difference in chronic pain, somatization and depression scores was found between investigated groups. With respect to presence of TMD within the groups depression was higher in untreated subjects with dysfunction (p < 0.05). Conclusion. Prevalence ofTMDimmediately after completion of orthodontic-surgical treatment for mandibular prognathism is similar to frequency of dysfunction in untreated subjects, is significantly higher in females and is most commonly myogenic. Furthermore, females show an increased level of chronic pain post-operatively. Somatization and depression levels do not differ between patients with corrected prognathism and untreated prognathic patients.
dc.identifier.doi10.3109/00016357.2011.654239
dc.identifier.urihttps://vaseljena.ues.rs.ba/handle/123456789/730
dc.language.isoen
dc.publisherInforma Healthcare
dc.sourceActa Odontologica Scandinavica
dc.subjectcraniomandibular disorders, depression, malocclusion-angle class III, RDC/TMD, somatization
dc.titleTemporomandibular disorders after orthognathic surgery in patients with mandibular prognathism with depression as a risk factor
dc.typeArticle
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