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Assessment of temporomandibular joint disc position and skeletal stability after bimaxillary surgery

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Abstract

Purpose

This study aimed to assess the correlation between temporomandibular joint (TMJ) disc position and skeletal stability and identify the cephalometric measurements associated with relapse after bimaxillary surgery.

Methods

The participants were 62 women with jaw deformities (124 joints) who underwent bimaxillary surgery. The TMJ disc position was classified into four types (anterior disc displacement (ADD), anterior, fully covered, and posterior) using magnetic resonance imaging, and cephalometric analysis was performed preoperatively and 1 week and 1 year postoperatively. The differences between pre- and 1-week postoperative values (T1) and 1-week and 1-year postoperative value (T2) were calculated for all cephalometric measurements. Moreover, the relationship between skeletal stability using cephalometric measurements, skeletal class, and TMJ disc position was analyzed.

Results

The participants included 28 patients in class II and 34 in class III. There was a significant difference in T2 in SNB between class II mandibular advancement cases and class III mandibular setback cases (P = 0.0001). In T2, in ramus inclination, there was a significant difference between the ADD and posterior types (P = 0.0371). Stepwise regression analysis revealed that T2 was significantly correlated with T1 for all measurements. However, the TMJ classification was not applied to all measurements.

Conclusion

This study suggested that TMJ disc position, including ADD, could not affect skeletal stability, including the maxilla and distal segment after bimaxillary osteotomy, and short-term relapse could be related to the movement amount or angle change by surgery for all measurements.

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, 1110 Shimokato, Chuo-Shi, Yamanashi, 409-3893, Japan

    Koichiro Ueki, Akinori Moroi, Akihiro Takayama & Kunio Yoshizawa

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  1. Koichiro Ueki
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  2. Akinori Moroi
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  3. Akihiro Takayama
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  4. Kunio Yoshizawa
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Contributions

All authors contributed to the conception and design of this study. The material preparation, data collection, and analyses were performed by Ueki, Takayama, Moroi, and Yoshizawa. All the authors have read and approved the final version of the manuscript.

Corresponding author

Correspondence to Koichiro Ueki.

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Ethics approval

This retrospective cohort study was performed in accordance with the Declaration of Helsinki and was approved by the Ethical Committee of the University of Yamanashi. Receipt number 1125, November/20/2013.

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Informed consent was obtained from all individual participants included in the study.

Consent for publication

The authors affirm that the human research participants provided informed consent for the publication of the images in Fig. 3.

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The authors declare no competing interests.

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Ueki, K., Moroi, A., Takayama, A. et al. Assessment of temporomandibular joint disc position and skeletal stability after bimaxillary surgery. Oral Maxillofac Surg 28, 137–148 (2024). https://doi.org/10.1007/s10006-023-01161-7

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  • DOI: https://doi.org/10.1007/s10006-023-01161-7

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