Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life, and psychosocial wellness.

AIM: The objective of this literature review was to assess the effect of orthognathic surgical treatment on temporomandibular disorders (TMD), quality of life (QoL), and psychosocial wellness. METHODS: Journal articles and systematic reviews published in English between 1982 and 2015 were searched using PubMed, MEDLINE, and Cochrane database using the search terms "orthognathic," "temporomandibular disorders," "quality of life," and "psychosocial." The articles were then reviewed and discussed. RESULTS: Both objective and subjective parameters play a role in orthognathic treatment outcome satisfaction and QoL. Psychological factors and TMD exerted a stronger influence on patients' QoL more than objective treatment outcome measures. CONCLUSION: A paradigm shift in clinical mindset from solely objective measures to a more holistic, patient-centric approach of addressing patients' expectations and improving QoL is warranted when treating patients with dentofacial disharmonies.

Effect of staining solutions on color of pre-reacted glass-ionomer containing composites.

This study investigated the color stability of pre-reacted glass-ionomer containing composite restoratives. The materials evaluated included one regular (Beautifil II [BF]), two flowable (Beautifil Flow [F02, F10]) and two recently introduced flowable "plus" (Beautifil Flow Plus [F00, F03]) pre-reacted glass-ionomer containing composite restoratives. Twelve specimens of each material (A3 shade) were fabricated, allowed to set for 24 h at 37°C and randomly divided into 4 groups. After baseline spectrophotometric (Crystaleye, Olympus) color measurements, specimens were immersed in water, cola, red wine and coffee for 7 days. Post-immersion color measurements were taken and color changes (ΔE) were computed accordingly. Statistical analysis was done using ANOVA and post-hoc Scheffe's test (p<0.05). For pre-reacted glass-ionomer containing composites, color changes after immersion in coffee and red wine were significantly greater than in cola and water. Differences in ΔE values between materials were solution dependent. The least color change was generally observed with the flowable "plus" pre-reacted glass-ionomer containing composites.