Article

Muscular rehabilitation after orthognathic surgery

Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Texas Health Science Center at Dallas, Center for the Correction of Dentofacial Deformities. Dallas, Texas, USA; Department of Cell Biology, Dallas, Texas, USA; University of Texas Southwestern Medical School. Dallas, Texas, USA; Department of Surgery, Division of Oral Surgery, University of Texas Southwestern Medical School, Center for Correction of Dentofacial Deformities. Dallas, Texas, USA; Department of Cell Biology, University of Texas Southwestern Medical School. Dallas, Texas, USA
Oral Surgery Oral Medicine Oral Pathology 10/1983; DOI:10.1016/0030-4220(83)90001-4 pp.229-235

ABSTRACT There is both a biologic and a clinical foundation for the use of therapeutic exercise after otthognathic surgical procedures to restore normal function of the jaw muscles. This can be accomplished by a systematic plan of occlusal and muscular rehabilitation after release of maxillomandibular fixation. Through the diligent application of physical therapy principles, the function of the masticatory muscles can be more efficiently rehabilitated after orthognathic surgery and maxillomandibular fixation.

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    Article: Effect of a passive jaw motion device on pain and range of motion in TMD patients not responding to flat plane intraoral appliances.
    George E Maloney, Noshir Mehta, Albert G Forgione, Khalid H Zawawi, Emad A Al-Badawi, Stephen E Driscoll
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    ABSTRACT: This study was designed to compare the effectiveness of a passive jaw motion device, the Therabite, and wooden tongue depressors (WTD), in patients with temporomandibular joint and muscle disorders, who did not improve after manual manipulation of the mandible and flat bite plane therapy. Forty-three patients were enrolled in the study and were classified as joint or muscle groups according to the Research Diagnostic Criteria for TMD. Twenty-four were assigned to the joint group, and 19 patients were assigned to the muscle group. The patients were assigned at random to three treatment subgroups: 1. passive jaw motion device therapy (Therabite); 2. wooden tongue depressors therapy (WTD); and 3. control group. All subjects received flat bite plane appliance therapy throughout the treatment period. Mandibular range of motion was measured for maximum opening (MO), right and left lateral (Rt. Lateral, Lt. Lateral) and protrusive (Pr) movements. Pain level was also assessed at the beginning and at the end of the treatment. The results suggested that a passive jaw motion device is effective in increasing range of motion in both groups of temporomandibular disorder patients, joint (intracapsular) and muscle (extracapsular). It also appears to decrease pain in patients with temporomandibular disorders. Pain was relieved to a greater degree in the muscle group than the joint group.
    Cranio: the journal of craniomandibular practice 02/2002; 20(1):55-66. · 0.66 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

diligent application
 
maxillomandibular fixation
 
muscular rehabilitation
 
normal function
 
orthognathic surgery
 
physical therapy principles
 
systematic plan
 
therapeutic exercise