Abstract
Patient: A 35-year-old female complained of pain in her right temporomandibular joint (TMJ) during functional movements and masticatory dysfunction due to injury. Her unilateral open bite on the right side appeared to be caused by a maxillary fracture. Therefore, her mandibular position and occlusal contacts were unstable.
To obtain stability of the mandibular position and relieve her of TMJ pain, a splint was applied. After confirming the effect of the splint, a maxillary alveolar osteotomy was carried out. Finally, to achieve appropriate occlusal contacts, prosthodontic treatment was applied.
Discussion: At follow-up, a slight mandible deviation and an elongation of her right lateral incisor appeared due to aging. This case suggested the importance of considering the vital reaction for surgical and mechanical stresses for treatment outcome.
Conclusion: In this patient with unilateral open bite, a favorable outcome was achieved by orthognathic surgery and prosthodontic treatment.
