THE JOURNAL OF THE ACADEMY OF CLINICAL DENTISTRY
Online ISSN : 1884-8230
Print ISSN : 1346-8111
ISSN-L : 1346-8111
Present State and Remaining Problems in Orthodontic Occlusal Reconstruction
(III) Temporomandibular Joint Internal Derangement Cases
Tatsuyuki ShibusawaMayuko NakayamaAkiko MoritaKoutaro Maki
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JOURNAL FREE ACCESS

2006 Volume 26 Issue 3 Pages 310-318

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Abstract
The appropriate mandibular position is diffucult to locate in orthodontic patients with temporomandibular joint (TMJ) disk displacement. Even if there are no clinical temporomandibular disorder (TMD) symptom, their orthodontic treatments are still complicated, and may not be successful results due to their unstable mandibular position. In the case of common malocclusions with TMD, the patients often complain not only pain and trismus but also their facial asymmetry. Since it is difficult to establish the mandibular position, we, orthodontists, suffer to obtain their appropriate occlusions. Their ideal mandibular positioning should reduce the condylar head loading, and obtain stable occlusion.
This paper reports treatment of patients with facial asymmetry following anterior displacement of the articular disk. Facial symmetry and stable mandibullar position were achieved by recapture of the articular disk.
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