We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
International Poster Journal of Dentistry and Oral Medicine



Forgotten password?


Int Poster J Dent Oral Med 5 (2003), No. 4     15. Dec. 2003
Int Poster J Dent Oral Med 5 (2003), No. 4  (15.12.2003)

Poster 201, Language: English

The Helkimo-Index as an instrument of clinical functional analysis in orthognathic surgery
Maurer, Peter/Otto, Cornelia/Bock, Jens J./Eckert, Alexander W./Schubert, Johannes
Beside functional and aesthetic aspect in orthognathic surgery pain has not a negligible influence on patients' satisfaction after osteotomies in maxillofacial region. The aim of the present study was to evaluate the influence of craniomandibular disorder on patients' satisfaction after osteotomies.Craniomandibular disorder (CMD) were examined by using the Helkimo-Index (D0-DIII) in a group of patients (n=123; f=78, m=43) after osteotomies. The average follow-up time was 47 months (9-141 months). The performed osteotomies were as follows: 67 bilateral sagittal split osteotomies, 11 LeFort-I osteotomies, 11 bimaxillary osteotomies, 13 segment-osteotomies and 4 isolated genioplasties.In 29.3% (n=36) of the patients no symptom of CMD were found. Mild dysfunction (DI) were seen in 56,8% (n=69), whereas 10.6% (n=13) showed moderate (DII) and 3.3% (n=4) severe (DIII) dysfunction. A statistic relation between the kind of osteotomy and severity of dysfunktion after Helkimo were not found. No influence on patients' satisfaction was statistically evaluated.The use of the Helkimo-Index seems to be an effective and reliable method to evaluate also cranio-mandibular disorders (CMD) after orthognathic surgery.

Keywords: intraoral bone defect, cyst, SCHULTE-coagulum, reconstruction

European Association of Craniomaxillofacial Surgeon
Münster, Germany