Abstract | BACKGROUND: PATIENTS AND METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
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Authors | Mario Pagnoni, Giulia Amodeo, Maria Teresa Fadda, Edoardo Brauner, Giorgio Guarino, Pasquale Virciglio, Giorgio Iannetti |
Journal | The Journal of craniofacial surgery
(J Craniofac Surg)
Vol. 24
Issue 6
Pg. 1940-5
(Nov 2013)
ISSN: 1536-3732 [Electronic] United States |
PMID | 24220378
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adolescent
- Adult
- Arthritis, Juvenile
(complications)
- Bone Resorption
(etiology)
- Cephalometry
(methods)
- Esthetics, Dental
- Female
- Follow-Up Studies
- Genioplasty
(methods)
- Humans
- Imaging, Three-Dimensional
(methods)
- Malocclusion
(etiology, surgery)
- Mandibular Condyle
(pathology)
- Mandibular Diseases
(etiology)
- Maxilla
(surgery)
- Orthognathic Surgical Procedures
(methods)
- Osteotomy, Le Fort
(methods)
- Patient Satisfaction
- Range of Motion, Articular
(physiology)
- Temporomandibular Joint Disorders
(complications)
- Young Adult
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