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Italian Journal of Maxillofacial Surgery 2008 April;19(1):11-6

language: English

Condylar position in orthognathic surgery in a group of patients presenting temporomandibular disorders

Pironi M. 1, Bianchi A. 2, Marchetti C. 3

1 “Presurgical Orthodontics” Unit, Department of Dentistry and Dental Prosthetics University of Bologna, Bologna, Italy
2 Oral and Maxillofacial Surgery Unit S.Orsola-Malpighi Polyclinic, Bologna, Italy
3 Maxillofacial Surgery Unit, Department of Dentistry and Stomatological Sciences University of Bologna, Bologna, Italy


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The primary functional aim of orthognathic surgery is to achieve correct condyle position within the mandibular fossa and in relation to the articular discs. During orthognathic surgery for temporomandibular disorders, condylar position was functionally assessed by means of electromyography-kinesiography and surgical reference baseplates before and after the operation. The initial results were partially encouraging: muscular dysfunction resolved, whereas articular dysfunction persisted in some cases.

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