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Is Orthognathic Correction with TMJ Preservation A Stable Treatment Option for Patients with Juvenile Idiopathic Arthritis?

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to evaluate the long-term skeletal stability of orthognathic correction of dentofacial deformities secondary to juvenile idiopathic arthritis (JIA) in individuals without total alloplastic joint reconstruction.

Materials and Methods

The investigators designed and implemented a retrospective case series of patients diagnosed with JIA who underwent bimaxillary orthognathic surgery. To evaluate the long-term skeletal changes, the maxillary palatal plane to mandibular plane angle, anterior facial height, and posterior facial height measurements were evaluated through cephalograms.

Results

Six patients met inclusion criteria. All subjects were female (mean 16.2 years). Four patients demonstrated < 1° of change of the palatal plane to mandibular plane angle, and all patients had < 2° of change. Three patients had < 1% change in the anterior to posterior facial height ratio. Three patients demonstrated relative posterior facial shortening compared to anterior facial height (< 4%). No patients developed postoperative anterior open-bite malocclusion.

Conclusion

Orthognathic correction of the JIA DFD deformity with TMJ preservation is a viable modality to improve facial esthetics, occlusion, upper airway and speech swallowing and chewing mechanisms in select patients. The measured skeletal relapse did not affect the clinical outcome.

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Acknowledgements

The authors have no conflicts of interest to disclose, and no funding was provided for this study

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Department of Orthodontics, School of Dentistry, University of Alabama, 1919 7th Ave S, SDB 419, Birmingham, 35294-0007, AL, USA

    Brian E. Kinard

  2. School of Dentistry, University of Alabama, Birmingham, USA

    Virginia H. Behlen

  3. Department of Orthodontics, School of Dentistry, University of Alabama, Birmingham, USA

    Chung H. Kau

  4. Department of Oral and Maxillofacial Surgery, University of Alabama, Birmingham, USA

    Peter D. Waite

Authors
  1. Brian E. Kinard
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  2. Virginia H. Behlen
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  3. Chung H. Kau
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  4. Peter D. Waite
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Contributions

BEK; PDW was involved in concept and design of the study and drafting of the manuscript. CHK was involved in interpretation and analysis of data and drafting of the manuscript. VHB was involved in data acquisition. BEK contributed to data acquisition. PDW gave the final approval for submission.

Corresponding author

Correspondence to Brian E. Kinard.

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Conflict of interest

All authors declare that they have no conflict of interest with regard to the study design, drafting and subsequent publication of the article and have not received any funding/grant for the data collection, analysis and drafting of the manuscript.

Ethical Approval

IRB approval was granted through the University of Alabama at Birmingham, Birmingham, AL: IRB-300000795.

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Kinard, B.E., Behlen, V.H., Kau, C.H. et al. Is Orthognathic Correction with TMJ Preservation A Stable Treatment Option for Patients with Juvenile Idiopathic Arthritis?. J. Maxillofac. Oral Surg. 21, 1286–1290 (2022). https://doi.org/10.1007/s12663-022-01714-5

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  • DOI: https://doi.org/10.1007/s12663-022-01714-5

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