대한치과교정학회지 (The korean journal of orthodontics)

  • 제45권3호
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  • Pages.136-145
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  • 2015
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  • 2234-7518(pISSN)
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  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
권호 표지
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Management of open bite that developed during treatment for internal derangement and osteoarthritis of the temporomandibular joint

  • Arai, Chihiro (Department of Orthodontics, School of Dental Medicine, Tsurumi University) ;
  • Choi, Jae Won ;
  • Nakaoka, Kazutoshi (Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University) ;
  • Hamada, Yoshiki (Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University) ;
  • Nakamura, Yoshiki (Department of Orthodontics, School of Dental Medicine, Tsurumi University)
  • 투고 : 2014.12.27
  • 심사 : 2015.01.27
  • 발행 : 2015.05.25
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초록

This case report describes the orthodontic treatment performed for open bite caused by internal derangement (ID) and osteoarthritis (OA) of the temporomandibular joint (TMJ). A Japanese woman, aged 31 years and 11 months, referred to our department by an oral surgeon had an open bite with clockwise rotation of the mandible and degeneration of the condyle. The overbite was corrected through intrusion of the maxillary and mandibular molars using mini-screw implants to induce counterclockwise rotation of the mandible. Then, the mandibular second premolars were extracted and comprehensive orthodontic treatment was performed to establish a Class I molar relationship with distalization of the maxillary arch and to eliminate anterior crowding. Following treatment, her facial profile improved and a functional and stable occlusion was achieved without recurrence of the TMJ symptoms. These results suggest that orthodontic intrusion of the molars is one of the safer and less stressful alternatives for the management of open bite due to degeneration of the condyles caused by ID and OA of TMJ.

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참고문헌

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피인용 문헌

  1. Characteristics of maxillofacial morphology of Angle Class II patients with temporomandibular disorders involving crepitus vol.75, pp.2, 2015, https://doi.org/10.1016/j.odw.2016.03.002
  2. Miniplate With a Bendable C-Tube Head Allows the Clinician to Alter Biomechanical Advantage in Extremely Complicated Anatomic Structure vol.28, pp.3, 2017, https://doi.org/10.1097/scs.0000000000003382
  3. Asymmetric extractions in a patient with a hopeless maxillary central incisor, followed by treatment with mini-implant anchorage vol.153, pp.5, 2015, https://doi.org/10.1016/j.ajodo.2016.12.033
  4. Osseous changes of the mandibular condyle affect backward-rotation of the mandibular ramus in Angle Class II orthodontic patients with idiopathic condylar resorption of the temporomandibular joint vol.37, pp.4, 2015, https://doi.org/10.1080/08869634.2017.1421446