EVALUATION OF TEMPOROMANDIBULAR JOINT CONDITION AFTER HARDWARE-SURGICAL TREATMENT OF DENTO-MANDIBULAR ANOMALIES IN YOUNG PATIENTS

Abstract

Introduction. Nowadays there is an increased attention to facial aesthetics. More and more often dento-mandibular anomalies, in which temporomandibular joint (TMJ) is affected, are treated by hardware-surgical method. At the same time, when eliminating dento-mandibular anomalies, the condition of the temporomandibular joint is often not evaluated in the long term. The purpose of the study was to assess the condition of the temporomandibular joint after orthodontic treatment and orthognathic operations in young people. Materials and methods. In this work we have carried out a clinical evaluation of the temporomandibular joint in 13 young people suffering from lower macrognathia after orthodontic treatment and orthognathic surgeries. Result. It was found that all the patients suffering from inferior macrognathia who took part in the study had pathological symptoms of the temporomandibular joint characteristic of its painful dysfunction before the complex hardware-surgical treatment. The orthodontic treatment performed in the patients practically did not change the clinical symptoms of the temporomandibular joint. Both before the orthodontic stage and after its completion, pathologic symptoms of the temporomandibular joint persisted. In the distant period after the completion of the surgical stage of treatment, the reliable effectiveness of complex therapy with regard to the TMJ condition was noted, which amounted to 10.64%. However, it should be taken into account that pathologic symptoms of the temporomandibular joint after the completion of hardware-surgical treatment remained in all the examined patients, despite the fact that in some of them their severity slightly decreased. In one patient, despite the good aesthetic effect of complex hardwaresurgical therapy, the condition of the temporomandibular joint worsened from mild to moderate severity of pain dysfunction. Conclusion. Timely informing patients about the expected effectiveness of treatment and possible complications within the framework of the patient’s signing an informed consent for treatment or intervention is an important factor of conflict prevention in dentistry and maxillofacial surgery.