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Italian Journal of Maxillofacial Surgery 2011 April;22(1):3-11

language: English

Role of condylar ‘‘repositionin’’ plate in temporomandibular disorders and maxillomandibular malformations

Belli E. 1, Mazzone N. 2, Rendine G. 1

1 Department of Maxillo Facial Surgery, II Faculty of Medicine and Surgery, ”La Sapienza” University, Sant’Andrea Hospital, Rome, Italy;
2 Speciality School of Maxillo Facial Surgery, “La Sapienza” University of Rome, Rome, Italy


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AIM. Even if the relationship between condylar position and/or temporomandibular disorders (TMDs) and dentofacial deformity is controversial in literature, several patients presenting malocclusion refer to pain and TMDs as the main trouble. In agreement with the experience of University of Wurzburg, the purpose of this study was to evaluate the validity of splint technique to reproduce centric condyle positioning in bimaxillary osteotomy surgeries for the patients with skeletal-facial disorders and coexisting TMDs.
METHODS. This study is based on a sample of patients with maxillomandibular malocclusion and coexisting TMDs who underwent bimaxillary osteotomy surgeries with splint technique.
RESULTS. The clinical examination and the valuation by plaster cast showed that all the patients had a stability of the occlusion after 12 months.
CONCLUSION. The elective treatment for the patients with skeletal-facial disorders and coexisting TMDs is bimaxillary osteotomy surgery with splint technique associated to condylar repositioning plate.

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