Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review

Objectives: The aim of this study was to determine Relapse and TMD as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery. Materials and methods: Data was obtained by database searching using The Cochrane Central Register of Controlled Trials (centra...

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Main Authors: Neeraj, Srinivas Gosla Reddy, Ashutosh Dixit, Padmanidhi Agarwal, Rebecca Chowdhry, Ashi Chug
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426821000683
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author Neeraj
Srinivas Gosla Reddy
Ashutosh Dixit
Padmanidhi Agarwal
Rebecca Chowdhry
Ashi Chug
author_facet Neeraj
Srinivas Gosla Reddy
Ashutosh Dixit
Padmanidhi Agarwal
Rebecca Chowdhry
Ashi Chug
author_sort Neeraj
collection DOAJ
description Objectives: The aim of this study was to determine Relapse and TMD as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery. Materials and methods: Data was obtained by database searching using The Cochrane Central Register of Controlled Trials (central), PUBMED, SCOPUS, EMBASE, Google scholar, National Medical library, New Delhi. The titles and abstracts of the electronic search results were screened and evaluated by two observers for eligibility according to the inclusion and exclusion criteria. Results: 5261 articles were retrieved for the review. Among these, 3474 duplicate articles were removed. 418 studies were selected based on the eligibility criteria. For the present review, 30 articles were included after elimination according to the inclusion criteria. The Prisma diagram flowchart demonstrates our selection scheme. Quality assessment criteria to evaluate the studies were decided by two review authors in accordance with CONSORT guidelines. Each study was assessed using the evaluation method described in the Cochrane Handbook for Systematic Reviews. Among the 30 studies included in the review, marked degree of relapse in the mandible was noted from 3 months - 1 year postoperatively in 8 studies, 5 studies reported both TMD prevalence and relapse, whereas only 4 studies reported TMD disorder alone. Conclusion: Complications of relapse and TMD are associated with bimaxillary orthognathic surgery procedures. More RCTs and CCTs are needed in this regard to get better quality evidence. This review was registered with PROSPERO: CRD42020211342.
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spelling doaj-art-0f2f8408ecf34a7db6eaf589ffdc840e2025-08-20T02:50:27ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682021-10-0111446747510.1016/j.jobcr.2021.06.003Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review Neeraj0Srinivas Gosla Reddy1Ashutosh Dixit2Padmanidhi Agarwal3Rebecca Chowdhry4Ashi Chug5Corresponding author. Department of Dentistry and Craniomaxillofacial Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India Pin 249203, India.; Department of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, IndiaObjectives: The aim of this study was to determine Relapse and TMD as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery. Materials and methods: Data was obtained by database searching using The Cochrane Central Register of Controlled Trials (central), PUBMED, SCOPUS, EMBASE, Google scholar, National Medical library, New Delhi. The titles and abstracts of the electronic search results were screened and evaluated by two observers for eligibility according to the inclusion and exclusion criteria. Results: 5261 articles were retrieved for the review. Among these, 3474 duplicate articles were removed. 418 studies were selected based on the eligibility criteria. For the present review, 30 articles were included after elimination according to the inclusion criteria. The Prisma diagram flowchart demonstrates our selection scheme. Quality assessment criteria to evaluate the studies were decided by two review authors in accordance with CONSORT guidelines. Each study was assessed using the evaluation method described in the Cochrane Handbook for Systematic Reviews. Among the 30 studies included in the review, marked degree of relapse in the mandible was noted from 3 months - 1 year postoperatively in 8 studies, 5 studies reported both TMD prevalence and relapse, whereas only 4 studies reported TMD disorder alone. Conclusion: Complications of relapse and TMD are associated with bimaxillary orthognathic surgery procedures. More RCTs and CCTs are needed in this regard to get better quality evidence. This review was registered with PROSPERO: CRD42020211342.http://www.sciencedirect.com/science/article/pii/S2212426821000683Orthognathic surgeryRelapseTemporomandibular joint dysfunctionBimaxillary surgerySkeletal class IIIPostoperative complication
spellingShingle Neeraj
Srinivas Gosla Reddy
Ashutosh Dixit
Padmanidhi Agarwal
Rebecca Chowdhry
Ashi Chug
Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
Journal of Oral Biology and Craniofacial Research
Orthognathic surgery
Relapse
Temporomandibular joint dysfunction
Bimaxillary surgery
Skeletal class III
Postoperative complication
title Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
title_full Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
title_fullStr Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
title_full_unstemmed Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
title_short Relapse and temporomandibular joint dysfunction (TMD) as postoperative complication in skeletal class III patients undergoing bimaxillary orthognathic surgery: A systematic review
title_sort relapse and temporomandibular joint dysfunction tmd as postoperative complication in skeletal class iii patients undergoing bimaxillary orthognathic surgery a systematic review
topic Orthognathic surgery
Relapse
Temporomandibular joint dysfunction
Bimaxillary surgery
Skeletal class III
Postoperative complication
url http://www.sciencedirect.com/science/article/pii/S2212426821000683
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