Augustinas Buškus, Greta Milvydaitė, Jan Pavel Rokicki
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引用次数: 0
摘要
目的:颌面畸形会影响患者的社会关系、自尊和与口腔健康相关的生活质量。研究表明,通过正畸/正颌外科手术治疗畸形的患者患颞下颌关节紊乱(TMD)的比例明显高于其他患者。这项工作旨在评估正颌手术对颞下颌关节疼痛的影响:根据 PRISMA 指南进行文献综述。在数据库中搜索了相关文献:PubMed、The Cochrane Library、Science Direct。采用了关键词组合和选择标准。本研究纳入了以英文撰写的文章,以及对接受双侧矢状面劈开截骨术和/或 Le Fort I 截骨术的患者进行的研究,并对手术前后的关节痛进行了评估:结果:共选取了10篇文献,包括1143名患者。在评估关节痛时,术后6个月出现了统计学意义上的显著阳性结果,术后晚期的结果仍然是有益的:结论:所收录的研究表明,接受正畸-正颌治疗的颌面畸形患者较少抱怨关节痛。
Effect of orthognathic surgery on temporomandibular joint pain. A systematic review.
Objective: Dentofacial deformities affect patients' social relations, self-esteem and oral health-related quality of life. Studies show that patients treated for malocclusions with orthodontics/orthognathic surgery have significantly more temporomandibular disorders (TMDs) than others. The aim of the work was to evaluate the effect of orthognathic surgery on temporomandibular joint pain.
Material and methods: The literature review was performed according to PRISMA guidelines. Publications were searched in databases: PubMed, The Cochrane Library, Science Direct. A combination of keywords was used and the selection criteria were applied. Articles written in English and studies conducted on people who underwent bilateral sagittal split osteotomy and/or Le Fort I osteotomy and arthralgia were evaluated before and after surgery were included in this study.
Results: 10 publications were selected, including a total of 1143 patients. When evaluating arthralgia, statistically significant positive results were seen at 6 months after surgery, at later postoperative periods results remained beneficial.
Conclusion: Included studies showed that patients with dentofacial deformities, who underwent orthodontic-orthognathic treatment, less often complains about arthralgia.