Nihon Hotetsu Shika Gakkai Zasshi
Online ISSN : 1883-177X
Print ISSN : 0389-5386
ISSN-L : 0389-5386
A Case of a Unilateral Hyperplasia of the Mandible with TMJ Dysfunction
Takashi NokubiTakashi MorimitsuTadashi NagashimaYoshihiko Okuno
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1986 Volume 30 Issue 2 Pages 261-266

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Abstract
This article presents a case of hyperplasia of the condyle and the ramus of the mandible in the right side with the asymmetrical face, occlusal instability and mild melancholia.
In this case, the main aim of the treatment is to eliminate etiologic factors which may lead to psychosomatic disorders and TMJ dysfunction. Increased length of the mandible causing a deviation of the chin to the left side leads to loss of right molar support. This is thought as a principal cause of those disorders.
Firstly, fixed bridge of right lower second premolar to second molar cemented over a 12-year period was removed, and temporary acrylic res in bridge for the same region was cemented to create a bilaterally stable occlusion.
A few weeks later, the patient's complaints about physical and mental disorders have almost eliminated. And then his physical, psychical and social functions have been improved by the following orthodontic, conservative and prosthetic treatments.
In this article, the process of these treatments is descrived.
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© Japan Prosthodontic Society
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