A case of lateral disc displacement of the temporomandibular joint -with contralateral mandibular displacement
This is a case report of a lateral displacement of the left articular disc. The patient was a 24 year old man who complained of left TMJ pain, clicking and limitation in opening his mouth. An examination showed that the mandible was shifted to the right. A double contrast CT disclosed a lateral side...
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| Published in | Journal of the Japanese Society for the Temporomandibular Joint Vol. 5; no. 2; pp. 334 - 345 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society for Temporomandibular Joint
20.09.1993
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-3004 1884-4308 |
| DOI | 10.11246/gakukansetsu1989.5.334 |
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| Abstract | This is a case report of a lateral displacement of the left articular disc. The patient was a 24 year old man who complained of left TMJ pain, clicking and limitation in opening his mouth. An examination showed that the mandible was shifted to the right. A double contrast CT disclosed a lateral sideways disc displacement on the frontal and lateral section of the TMJ. This case was diagnosed as a malocclusion with lateral displacement of the left articular disc. Arthroscopic suturing for disc recapture was selected as the treatment, because the patient's TMJ symptoms had not resolved with splint therapy. After surgery, the symptoms of the patient's TMJ completely disappeared and the mandible was repositioned 2mm to the left. Consequently, orthodontic occlusal reconstruction was performed with multi-bracket direct bonding at the disc-recaptured mandibular position. |
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| AbstractList | This is a case report of a lateral displacement of the left articular disc. The patient was a 24 year old man who complained of left TMJ pain, clicking and limitation in opening his mouth. An examination showed that the mandible was shifted to the right. A double contrast CT disclosed a lateral sideways disc displacement on the frontal and lateral section of the TMJ. This case was diagnosed as a malocclusion with lateral displacement of the left articular disc. Arthroscopic suturing for disc recapture was selected as the treatment, because the patient's TMJ symptoms had not resolved with splint therapy. After surgery, the symptoms of the patient's TMJ completely disappeared and the mandible was repositioned 2mm to the left. Consequently, orthodontic occlusal reconstruction was performed with multi-bracket direct bonding at the disc-recaptured mandibular position. |
| Author | FUJITA, Yukihiro SOMA, Kunimichi OHTSUKI, Kayoko OHNISHI, Masatoshi |
| Author_xml | – sequence: 1 fullname: SOMA, Kunimichi organization: 1st Department of Orthodontics, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: OHTSUKI, Kayoko organization: Department of Oral and Maxillofacial Surgery, School of Medicine, Yamanashi Medical College – sequence: 1 fullname: FUJITA, Yukihiro organization: 1st Department of Orthodontics, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: OHNISHI, Masatoshi organization: Department of Oral and Maxillofacial Surgery, School of Medicine, Yamanashi Medical College |
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| References | 10) 佐々木雅彦, 富岡直哉, 他: 顎関節雑音を伴う不正咬合症例の3治療例. 日矯歯誌 49: 155-172, 1990. 8) 大月佳代子, 大西正俊 他: 顎関節腔形態の画像診断 -関節内治療前後の形態変化についての検索-. 口科誌 37: 210-219, 1991. 4) Khoury, M. B., Dolan, E.: Sideways dislocation of the temporomandibular joint meniscus: The edge sign. AJNR 7: 869-872, 1986. 9) 三浦不二夫: 顎機能異常と矯正. 歯科ジャーナル 27: 305-317, 1988. 1) Blankestijn, J., Boering, G.: Posterior dislocation of the temporomandibular disc. Int J Oral Surg 14: 437-443, 1985. 6) 小林 馨, 沢井清治 他: 顎関節円板側方転位の発現頻度およびMR画像所見と臨床症状. 日顎誌 3: 114-122, 1991. 7) Ohnishi, M.: Arthroscopic laser surgery and suturing for temporomandibular joint disorders: Technique and clinical results. Arthroscopy 7: 212-220, 1991. 5) Katzberg, R. W., Westesson, P. -L., et al.: Temporomandibular joint: MR assessment of rotational and sideways disk displacements. Radiology 169: 741-748, 1988. 11) 三村 博, 大西正俊, 他: 線維性癒着を伴うクローズド・ロック症例に対する矯正学的対応. 日顎誌 3: 58-68, 1991. 2) 覚道健治, 東野陽一 他: 顎関節円板後方転位の1例. 日顎誌 3: 137-142, 1991. 3) 相馬邦道, 藤田幸弘: 顎関節円板の後方転位に対する診断法とその矯正学的対応. 歯科ジャーナル 37: 447-454, 1993. |
| References_xml | – reference: 1) Blankestijn, J., Boering, G.: Posterior dislocation of the temporomandibular disc. Int J Oral Surg 14: 437-443, 1985. – reference: 9) 三浦不二夫: 顎機能異常と矯正. 歯科ジャーナル 27: 305-317, 1988. – reference: 10) 佐々木雅彦, 富岡直哉, 他: 顎関節雑音を伴う不正咬合症例の3治療例. 日矯歯誌 49: 155-172, 1990. – reference: 3) 相馬邦道, 藤田幸弘: 顎関節円板の後方転位に対する診断法とその矯正学的対応. 歯科ジャーナル 37: 447-454, 1993. – reference: 2) 覚道健治, 東野陽一 他: 顎関節円板後方転位の1例. 日顎誌 3: 137-142, 1991. – reference: 7) Ohnishi, M.: Arthroscopic laser surgery and suturing for temporomandibular joint disorders: Technique and clinical results. Arthroscopy 7: 212-220, 1991. – reference: 8) 大月佳代子, 大西正俊 他: 顎関節腔形態の画像診断 -関節内治療前後の形態変化についての検索-. 口科誌 37: 210-219, 1991. – reference: 6) 小林 馨, 沢井清治 他: 顎関節円板側方転位の発現頻度およびMR画像所見と臨床症状. 日顎誌 3: 114-122, 1991. – reference: 11) 三村 博, 大西正俊, 他: 線維性癒着を伴うクローズド・ロック症例に対する矯正学的対応. 日顎誌 3: 58-68, 1991. – reference: 4) Khoury, M. B., Dolan, E.: Sideways dislocation of the temporomandibular joint meniscus: The edge sign. AJNR 7: 869-872, 1986. – reference: 5) Katzberg, R. W., Westesson, P. -L., et al.: Temporomandibular joint: MR assessment of rotational and sideways disk displacements. Radiology 169: 741-748, 1988. |
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| Snippet | This is a case report of a lateral displacement of the left articular disc. The patient was a 24 year old man who complained of left TMJ pain, clicking and... |
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| StartPage | 334 |
| SubjectTerms | Arthroscopic surgery Lateral disc displacement of the temporomandibular joint Orthodontic treatment |
| Title | A case of lateral disc displacement of the temporomandibular joint -with contralateral mandibular displacement |
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