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Case Report
TMJ disc repositioning associated with orthognathic surgery for the treatment of severe retrognathism
1 Post-graduate Program in Dentistry, Dental School, Federal University of Uberlândia, Uberlândia, Brazil
2 Division of MaxilloFacial Surgery, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
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Darceny Zanetta-Barbosa
Federal University of Uberlândia, Campus Umuarama, Av. Pará, 1720, Bloco 4T, sala 2G07, Uberlândia, MG 38405-320,
Brazil
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Article ID: 101338Z01FL2022
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How to cite this article
Lima FGGP, Oliveira MMM, Rios LGC, da Silva MCP, Zanetta-Barbosa D. TMJ disc repositioning associated with orthognathic surgery for the treatment of severe retrognathism. Int J Case Rep Images 2022;13(2):108– 112.ABSTRACT
Introduction: Orthognathic surgery associated with temporomandibular disc reposition is a modality of surgical treatment for dentofacial deformities associated with temporomandibular disorders that has been shown to be a stable and predictable alternative for such situations. However, there is still no consensus in the literature regarding the treatment modality in these cases. Several studies have been developed looking for more stable and predictable results in favor of the best patient treatment.
Case Report: Patient with a class II facial pattern and temporomandibular dysfunction, submitted to bilateral repositioning of the articular disc and orthognathic surgery with counterclockwise rotation of the maxillomandibular complex, with improvement of the symptoms and of the functionality of the stomatognathic system, and satisfaction with facial aesthetics.
Conclusion: Although there are controversies about the surgical repositioning of chronic articular disc displacements in retrognathism, this treatment modality has demonstrated long-term stability and reduction or resolution of joint symptoms.
Keywords: Obstructive sleep apnea, Orthognathic surgery, Retrognathia, Temporomandibular joint disorders
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Author Contributions
Felipe Gomes Gonçalves Peres Lima - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mirlany Mendes Maciel Oliveira - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Larissa Gonçalves Cunha Rios - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Marcelo Caetano Parreira da Silva - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Darceny Zanetta-Barbosa - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Felipe Gomes Gonçalves Peres Lima et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
