A case of malocclusion with posterior disc displacement of the temporomandibular joint
This is a case report of posterior displacement of the right articular disc. This dislocation was identified by using our functional analyzing system and the lateral section of double contrast CT. The treatment for this case was as follows: The patient was instructed to close and bite firmly on the...
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| Published in | Journal of the Japanese Society for the Temporomandibular Joint Vol. 5; no. 1; pp. 108 - 119 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society for Temporomandibular Joint
20.05.1993
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-3004 1884-4308 |
| DOI | 10.11246/gakukansetsu1989.5.108 |
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| Abstract | This is a case report of posterior displacement of the right articular disc. This dislocation was identified by using our functional analyzing system and the lateral section of double contrast CT. The treatment for this case was as follows: The patient was instructed to close and bite firmly on the occlusal splint which provided a single posterior contact on the affected side, and pivoted the condyle downward-backward around the pivoting point. After complete recapture, all first premolars were extracted and multi-bracket direct bonding was performed for orthodontic occlusal reconstruction. In the retention period, the disc-recaptured vertical dimension was maintained by the extrusion of the posterior teeth, and the symptoms of the patient's TMJ completely disappeared. |
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| AbstractList | This is a case report of posterior displacement of the right articular disc. This dislocation was identified by using our functional analyzing system and the lateral section of double contrast CT. The treatment for this case was as follows: The patient was instructed to close and bite firmly on the occlusal splint which provided a single posterior contact on the affected side, and pivoted the condyle downward-backward around the pivoting point. After complete recapture, all first premolars were extracted and multi-bracket direct bonding was performed for orthodontic occlusal reconstruction. In the retention period, the disc-recaptured vertical dimension was maintained by the extrusion of the posterior teeth, and the symptoms of the patient's TMJ completely disappeared. |
| Author | FUJITA, Yukihiro SOMA, Kunimichi SUGISAKI, Shigeki 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: FUJITA, Yukihiro organization: 1st Department of Orthodontics, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: SUGISAKI, Shigeki 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 | 1) Steinhardt, G.: Zur Entstehung and konservativen Behandlung der Kiefergelenkstörungen (insbesondere der Bewegugsstörungen und des Gelenkknackens). Österr Zeitschrift für Stomatologie 54: 69-76, 1957. 2) Ma, X., Zou Z. et al: Temporomandibular joint arthrography. A study of some diagnosis at superior joint cavity arthrography. Dentomaxillofac Radiol 12: 17-24, 1983. 9) 藍 稔: 顎関節症の診断と治療体系. 歯界展望別冊/顎関節症の臨床, 医歯薬出版, 東京, 1989, p. 135-142. 6) 大西正俊, 中山英二, 他: 顎関節の二重造影CT法に関する臨床的検討. 日口外誌 35: 155-167, 1989. 7) Okeson, J. P.: Fundamentals of occlusion and temporomandibular disorders, The C. V. Mosby Company, St. Louis, 1985, p. 299-300. 5) 覚道健治, 東野陽一, 他: 関節円板後方転位の1例. 日顎誌 3 (2): 137-142, 1991. 4) 米津博文: X線テレビシステムを用いる上下関節腔造影検査による顎関節症患者の関節円盤動態異常に関する研究. 歯科学報 87: 1613-1639, 1987. 8) 斉藤 健, 渡辺裕三, 他: 関節円板の復位不能な前方転位, 変形, 癒着, 穿孔の支持療法 (抄). 第8回顎関節研究会誌: p. 41, 1987. 3) Blankestijn J. and Boering, G.: Posterior dislocation of the temporomandibular disc. Int J Oral Surg 14: 437-443, 1985. |
| References_xml | – reference: 9) 藍 稔: 顎関節症の診断と治療体系. 歯界展望別冊/顎関節症の臨床, 医歯薬出版, 東京, 1989, p. 135-142. – reference: 4) 米津博文: X線テレビシステムを用いる上下関節腔造影検査による顎関節症患者の関節円盤動態異常に関する研究. 歯科学報 87: 1613-1639, 1987. – reference: 5) 覚道健治, 東野陽一, 他: 関節円板後方転位の1例. 日顎誌 3 (2): 137-142, 1991. – reference: 2) Ma, X., Zou Z. et al: Temporomandibular joint arthrography. A study of some diagnosis at superior joint cavity arthrography. Dentomaxillofac Radiol 12: 17-24, 1983. – reference: 1) Steinhardt, G.: Zur Entstehung and konservativen Behandlung der Kiefergelenkstörungen (insbesondere der Bewegugsstörungen und des Gelenkknackens). Österr Zeitschrift für Stomatologie 54: 69-76, 1957. – reference: 7) Okeson, J. P.: Fundamentals of occlusion and temporomandibular disorders, The C. V. Mosby Company, St. Louis, 1985, p. 299-300. – reference: 3) Blankestijn J. and Boering, G.: Posterior dislocation of the temporomandibular disc. Int J Oral Surg 14: 437-443, 1985. – reference: 6) 大西正俊, 中山英二, 他: 顎関節の二重造影CT法に関する臨床的検討. 日口外誌 35: 155-167, 1989. – reference: 8) 斉藤 健, 渡辺裕三, 他: 関節円板の復位不能な前方転位, 変形, 癒着, 穿孔の支持療法 (抄). 第8回顎関節研究会誌: p. 41, 1987. |
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| Snippet | This is a case report of posterior displacement of the right articular disc. This dislocation was identified by using our functional analyzing system and the... |
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| SubjectTerms | Craniomandibular disorders Posterior disc displacement of the temporomandibular joint Temporomandibular joint sounds |
| Title | A case of malocclusion with posterior disc displacement of the temporomandibular joint |
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