AUTHOR(S): Fernando and Ricca Chairunnisa

ABSTRACT:Temporomandibular disorders (TMDs) are musculoskeletal disorders affecting the temporomandibular joint (TMJ), the masticatory muscles and they are the most common cause of orofacial somatic non-odontogenic pain. The orthognathic surgery is a surgery procedure which is done to improved facial profile and a correction of skeletal malocclusion and asymmetry. Then temporomandibular symptoms may be developed after orthognatic surgery are caused by the change in fossa-condyle-disk structure and the adaptation of the neuromuscular system. The aim of this paper is to explain the occurrence of TMD in patients who have undergone conventional orthodontic treatment and follow by orthognathic surgery and the treatment option. A young woman presented to Prosthodontics clinic of RSGMP FKG-USU with a chief complaint of severe pain in TMJ area and sound in the joint. The patient has history of interlocking joint if she opened her mouth too wide once after finishing her orthodontics treatment and orthognathic surgery. Before the treatments, the patient did not have complaint in the TMJ. The plan for treating the patient complaint is making a reposition splint. The definitive treatment for the patient is orthodontic treatment. It can be concluded that patients who have undergone orthognathics surgery may have TMD signs and symptoms TMD.

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