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[Orthognathic surgery in temporomandibular disorders: not a remedy, and not without risk]. [颞下颌疾病的正颌手术：不是一种补救措施，也不是没有风险]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-09-08 DOI: 10.5177/ntvt.2026.09.25101
N Sladeckova, J C L Chung, M Koutris, R de Vries, F Lobbezoo
{"title":"[Orthognathic surgery in temporomandibular disorders: not a remedy, and not without risk].","authors":"N Sladeckova, J C L Chung, M Koutris, R de Vries, F Lobbezoo","doi":"10.5177/ntvt.2026.09.25101","DOIUrl":"10.5177/ntvt.2026.09.25101","url":null,"abstract":"<p><p>Orthognathic surgery does not unequivocally result in either improvement or deterioration of temporomandibular disorders. Based on a narrative analysis, postoperative pain symptoms decrease in some patients, while in more than half symptoms persist, recur, or new pain develops. Outcomes differ significantly among individuals and are associated with pre-existing joint abnormalities, changes in temporomandibular joint position, and postoperative remodelling. Joint sounds do not follow a predictable course and may either decrease or increase following orthognathic surgery. Moreover, asymptomatic patients may develop symptoms following orthognathic surgery. The case presented illustrates that repeated surgical interventions may contribute to joint degeneration with persistent pain and functional impairment. Orthognathic surgery therefore appears to exert a modulatory, but not a predictably curative effect on temporomandibular disorders.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 9","pages":"422-429"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Postoperative stability in orthognathic surgery: from predictors to challenges4]. [正颌手术术后稳定性：从预测因素到挑战]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-09-08 DOI: 10.5177/ntvt.2026.09.26001
T Xi, B Berends, H F Baan, S Heijnsbroek, J H F Liebregts
{"title":"[Postoperative stability in orthognathic surgery: from predictors to challenges4].","authors":"T Xi, B Berends, H F Baan, S Heijnsbroek, J H F Liebregts","doi":"10.5177/ntvt.2026.09.26001","DOIUrl":"https://doi.org/10.5177/ntvt.2026.09.26001","url":null,"abstract":"<p><p>Postoperative stability is crucial for maintaining the long-term functional and aesthetic outcomes of orthognathic surgery. What is the current state of the science concerning skeletal and soft tissue stability following orthognathic surgery, and what are the predictors, clinical manifestations of relapse and implications for clinical action? Sagittal skeletal stability is generally high and well predictable, although specific patient- and surgery-related risk factors, including progressive condylar resorption, can result in clinically relevant relapse. Evaluation of soft tissue stability is less straightforward, considering physiological aging processes often have a larger influence than the rather limited postoperative skeletal changes. In addition, notching of the mandibular inferior border may occur, even though this phenomenon is generally a radiological finding, and only becomes aesthetically visible in a small portion of patients. With preventive strategies this can be avoided, and therapeutic treatments are also available. A patient-centred approach to postoperative stability is proposed, aligned with the primary treatment objectives and the principles of value-based care.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 9","pages":"394-401"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Orthodontics and prosthodontics in orthognathic surgery]. [正畸手术中的正畸学和修复学]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-09-08 DOI: 10.5177/ntvt.2026.09.26018
J W Nolte, P C M Zuurbier, M Gilijamse, J A Groen, I Sparreboom, N C W van der Kaaij
{"title":"[Orthodontics and prosthodontics in orthognathic surgery].","authors":"J W Nolte, P C M Zuurbier, M Gilijamse, J A Groen, I Sparreboom, N C W van der Kaaij","doi":"10.5177/ntvt.2026.09.26018","DOIUrl":"10.5177/ntvt.2026.09.26018","url":null,"abstract":"<p><p>Orthodontics and prosthodontics in orthognathic surgery In complex care, such as for growth disorders and congenital anomalies, multidisciplinary collaboration is essential and begins even before the actual treatment starts. Systematic evaluation of dental, skeletal and soft tissue parameters prevents the correction of one aspect from creating new discrepancies in another area. Through backwards planning, the desired fi nal outcome is fi rst determined collaboratively, after which the treatment process is mapped out step by step in reverse. The process consists of 5 phases: 1. determining desired outcomes and psychosocial context, and collaborative decision-making; 2. pre-operative orthodontics and any necessary dental preparation; 3. surgical planning and osteotomy; 4. fi nishing; 5. follow-up. To prevent misunderstandings and suboptimal outcomes, clear communication, alignment of roles, and shared responsibility are crucial. Digital planning and multidisciplinary consultation support predictable, aesthetic and functional results. Within this multidisciplinary pathway, an orthodontist, a maxillofacial surgeon and a prosthodontically trained dentist each contribute equally to the overall treatment plan.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 9","pages":"402-410"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[From orthognathic to orthofacial surgery]. [从正颌手术到正面部手术]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-09-08 DOI: 10.5177/ntvt.2026.09.26002
R H Schepers, A G Becking, J Jansma
{"title":"[From orthognathic to orthofacial surgery].","authors":"R H Schepers, A G Becking, J Jansma","doi":"10.5177/ntvt.2026.09.26002","DOIUrl":"https://doi.org/10.5177/ntvt.2026.09.26002","url":null,"abstract":"<p><p>Within orthodontic surgical treatment, the primary goal of correcting malocclusion has increasingly shifted towards an approach giving equal weight to facial harmony, softtissue support and airway optimization. This has resulted in an expanding usage of the term orthofacial surgery. Consequently, diagnosis and planning are not based primarily on cephalometric norms, but on proportion, projection and balance. 3D virtual planning and simulation have become the gold standard, enabling better assessment of deformities in all dimensions, as well as accurate transfer to surgery. In addition to occlusion, attention should explicitly be paid to harmony of facial features and airway complaints. Orthofacial treatment planning requires extensive facial analysis (frontal and in profile), and should include assessment of projection, symmetry and the outer frame. Adjunctive procedures such as mandibular or chin implants, liposuction, lipofilling, zygomatic augmentation osteotomy, or secondary rhinoplasty can improve results.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 9","pages":"384-392"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Technical medicine in orthognathic surgery: from imaging to surgery]. [正颌外科技术医学：从影像学到外科手术]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-09-08 DOI: 10.5177/ntvt.2026.09.26003
C Klop, F Baan
{"title":"[Technical medicine in orthognathic surgery: from imaging to surgery].","authors":"C Klop, F Baan","doi":"10.5177/ntvt.2026.09.26003","DOIUrl":"10.5177/ntvt.2026.09.26003","url":null,"abstract":"<p><p>Over the past decade, the technical physician has become an important member of the orthognathic and maxillofacial surgery team. By combining clinical competence with advanced technical expertise, technical physicians support the entire care pathway, including 3D imaging, virtual analysis, digital planning, intraoperative transfer, and postoperative evaluation. Reliable cone-beam computed tomography (CBCT) scans and intra-oral scans, correct craniofacial orientation, and precise virtual occlusion setup are fundamental to predictable surgical outcomes. Technical physicians safeguard the technical quality of these processes, identify potential sources of error, and ensure reproducible workflows. They also enable advanced treatment strategies such as patient-specific splints, templates, and implants, and contribute to innovation through research and the application of artificial intelligence. As a result, technical physicians enhance precision, safety, and patient-specific decision-making in modern orthognathic surgery.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 9","pages":"412-421"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Jaw problems and dental occlusion: is further research necessary?] 颌骨问题和牙齿咬合：是否需要进一步研究？］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-07-07 DOI: 10.5177/ntvt.2026.07/08.24094
J J R Huddleston Slater, R J A M de Kanter, P G F C M Battistuzzi, G J Truin
{"title":"[Jaw problems and dental occlusion: is further research necessary?]","authors":"J J R Huddleston Slater, R J A M de Kanter, P G F C M Battistuzzi, G J Truin","doi":"10.5177/ntvt.2026.07/08.24094","DOIUrl":"https://doi.org/10.5177/ntvt.2026.07/08.24094","url":null,"abstract":"<p><p>Temporomandibular dysfunction and the synonymous craniomandibular dysfunction remain contentious topics in the literature. Historically, research has focused on occlusion and its association with these conditions, often yielding contradictory findings. On the basis of a Medline search of these terms covering the past 40 years, in relation to current terms such as evidence-based dentistry and the pyramid of evidence, these methodological aspects were investigated. This resulted in recommendations for future research and considerations with respect to the role of dental occlusion in temporomandibular dysfunction. Seven guiding principles were developed to support this effort.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 7-08","pages":"356-366"},"PeriodicalIF":0.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Dentists and oral care in Dutch-language picture books]. 荷兰语绘本中的牙医和口腔护理。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-07-07 DOI: 10.5177/ntvt.2026.07/08.26007
J M Kroese, N Baramakeh, F G E Ingwersen, I H A Aartman
{"title":"[Dentists and oral care in Dutch-language picture books].","authors":"J M Kroese, N Baramakeh, F G E Ingwersen, I H A Aartman","doi":"10.5177/ntvt.2026.07/08.26007","DOIUrl":"https://doi.org/10.5177/ntvt.2026.07/08.26007","url":null,"abstract":"<p><p>Children's picture books about dentistry can be used to prepare children for a dental visit and to familiarize them with oral care. Children's books play an important role in the social and emotional development of children and can thus have an influence on their perception of dental care. This study charted the representation of dentists and oral care providers in Dutch-language picture books. 29 books were analysed using a standardized questionnaire. The overall tone of most books was positive or neutral. Both the main character and the dentist were often depicted as animals. The dentist was usually presented as a friendly professional in a colourful practice, although the use of personal protective equipment was rare. Many books included educational elements, although the information did not always align with current professional guidelines and was sometimes inaccurate or outdated. Further research on the perspectives of parents, children, and oral care providers is needed to gain insight into actual usage and its impact, and to provide targeted recommendations.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 7-08","pages":"346-354"},"PeriodicalIF":0.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Series: Important medical-dental interactions. Oral manifestations in patients with intestinal diseases]. [系列：重要的医疗-牙科互动。]肠道疾病患者口腔表现[j]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-07-07 DOI: 10.5177/ntvt.07/08.26020
H S Brand, I C Boukema, L Oldenburg, R C M Opperman, N K H de Boer
{"title":"[Series: Important medical-dental interactions. Oral manifestations in patients with intestinal diseases].","authors":"H S Brand, I C Boukema, L Oldenburg, R C M Opperman, N K H de Boer","doi":"10.5177/ntvt.07/08.26020","DOIUrl":"10.5177/ntvt.07/08.26020","url":null,"abstract":"<p><p>The intestine, consisting of the small and large intestines, is a functional and immunologically active organ in which digestion, absorption, and defence are closely intertwined. Immediately following the stomach is the duodenum, where the food chyme comes into contact with pancreatic digestive juices and bile, enabling further nutrient breakdown. The primary function of the small intestine is the absorption of nutrients through the intestinal mucosa. The large intestine is responsible for the reabsorption of water and electrolytes and is home to a diverse microbiome, consisting of various microorganisms involved in the digestion of complex carbohydrates. This microbiome is constantly interacting with the intestinal immune system, maintaining a delicate balance between tolerance and immune activation. Disruption of this balance can lead to or contribute to various conditions, some of which are discussed in this overview.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 7-08","pages":"336-344"},"PeriodicalIF":0.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Indications for and claims to dental specialties: case studies]. [牙科专科的适应症和要求：案例研究]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-07-07 DOI: 10.5177/ntvt.2026.07/08.26029
R H Kaandorp, J W M Hoekstra
{"title":"[Indications for and claims to dental specialties: case studies].","authors":"R H Kaandorp, J W M Hoekstra","doi":"10.5177/ntvt.2026.07/08.26029","DOIUrl":"10.5177/ntvt.2026.07/08.26029","url":null,"abstract":"<p><p>In the second part of this two-part article on dental specialties, the application of article 2.7 of the Healthcare Insurance Decree is explained on the basis of cases relevant to the clinical practice. While part 1 describes the legal parameters, this article addresses daily decision-making in the general dental practice. When reimbursement can be claimed and when it cannot, within the regulatory framework for dental specialties, is illustrated on the basis of examples from prosthetic and implant practice. The distinction between treatment indication and the right to reimbursement, and its application, are central. With this, dentists are offered guidance on indication, applications for authorization, and communicating with patients, with the aim of preventing incorrect referrals and disappointment, and promoting the effective use of the regulatory framework for dental specialties.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 7-08","pages":"328-335"},"PeriodicalIF":0.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Indications for and claims to dental specialties: regulatory framework]. [牙科专业的适应症和索赔：监管框架]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-06-09 DOI: 10.5177/ntvt.2026.06.25092
R H Kaandorp, J W M Hoekstra
{"title":"[Indications for and claims to dental specialties: regulatory framework].","authors":"R H Kaandorp, J W M Hoekstra","doi":"10.5177/ntvt.2026.06.25092","DOIUrl":"10.5177/ntvt.2026.06.25092","url":null,"abstract":"<p><p>Dental specialties in the Netherlands have resulted from the growing demand for specialized dental care for patients with complex disorders. The Healthcare Insurance Act of 1964 and the Health Insurance Act of 2006 established an important structural foundation for such care within the healthcare system in the Netherlands. The regulatory framework for dental specialties distinguishes among several categories, including patients with congenital or acquired dental anomalies, physical or mental disorders or medically compromised patients. There is, however, a considerable lack of clarity concerning claims to reimbursement for dental specialties in the standard health insurance package. Article 2.7 of the Healthcare Insurance Decree and the proportionality principle play a central role in this: aiming for a good, reliable solution to arrive at a level of dental health appropriate and comparable to the oral situation prior to the incident in which the claim to dental specialist care originated. In this 1st part of a 2-part article, the regulatory framework concerning dental specialties is described.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 6","pages":"312-316"},"PeriodicalIF":0.0,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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