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Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis J Oral Maxillofac Res 2023;14(4):e4 doi:10.5037/jomr.2023.14404 Abstract | HTML | PDF | XML |
Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis
1Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
2Section for Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
3Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway, Tromsø, Norway.
4Public Dental Service Competence Centre of North Norway, Tromsø, Norway.
5Department of Clinical Dentistry, UiT the Arctic University of Norway, Tromsø, Norway.
6Section for Maxillofacial Surgery and Oral Pathology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Corresponding Author:
Palle Juul-Jensens Boulevard 165, 8200, Aarhus N
Denmark
Phone: (+45) 7846 2927
E-mail: henrik.k.nielsen@gmail.com
ABSTRACT
Objectives: Dentofacial deformity following juvenile idiopathic arthritis with temporomandibular joint involvement is associated with functional, aesthetic, and psychosocial impairment. Surgical treatment may involve combinations of orthognathic surgery. The aims of this retrospective study were to assess orofacial symptoms, functional and aesthetic status, and stability after orthognathic surgery.
Material and Methods: Nineteen patients with juvenile idiopathic arthritis of the temporomandibular joint (TMJ) and dentofacial deformities were included. All patients were treated with combinations of bilateral sagittal split osteotomy, Le Fort I and/or genioplasty, between September 10, 2007 and October 17, 2017. Analysis of patient symptoms and clinical registrations, and frontal/lateral cephalograms was performed pre- and postoperative and long-term (mean: 3.8 and 2.6 years, respectively).
Results: Patients experienced no changes in orofacial symptoms or TMJ function, and stable normalisation of horizontal and vertical incisal relations at long-term (horizontal overbite; vertical overbite: P < 0.05). Mandibular lengthening was achieved postoperatively (from mean 79.7 to 87.2 mm; P = 0.004) and was stable. Sella-nasion to A point (SNA) and sella-nasion to B point (SNB) angles increased postoperatively (SNA, mean 79.9° to 82.8°; P = 0.022 and SNB, mean 73.9° to 77.8°; P = 0.003), however, largely reverted to preoperative status at long-term.
Conclusions: Orthognathic surgery normalized incisal relations while providing stable mandibular lengthening without long-term deterioration of temporomandibular joint function or orofacial symptoms. No long-term effect on jaw advancements was observed.
J Oral Maxillofac Res 2023;14(4):e4
doi: 10.5037/jomr.2023.14404
Accepted for publication: 30 December 2023
Keywords: cephalometry; dentofacial deformities; juvenile arthritis; orthognathic surgery; temporomandibular joint disorders.
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To cite this article: Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis J Oral Maxillofac Res 2023;14(4):e4 URL: http://www.ejomr.org/JOMR/archives/2023/4/e4/v14n4e4ht.htm |
Received: 8 December 2023 | Accepted: 30 December 2023 | Published: 31 December 2023
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2023.