Document Detail

Surgical-orthodontic treatment of a patient with temporomandibular disorder stabilized with a gnathologic splint.
MedLine Citation:
PMID:  18538257     Owner:  NLM     Status:  MEDLINE    
The condylar position was stabilized with a gnathologic splint designed to achieve a mutually protected occlusion in a patient with internally deranged joints whose symptoms had not been resolved with an anterior repositioning splint. A diagnosis was made in the stable condylar position from which hinge axis movement of the mandible could be performed. After preoperative orthodontic treatment, the mandibular position was restabilized with splint therapy; then, a sagittal split ramus osteotomy was performed, by using an overcorrection splint. As a result, the stable position of the condyles was in line with the centric occlusion of the teeth. Changes in the joint status are illustrated with magnetic resonance images. The occlusion was stable 2 years after active treatment without recurrence of joint symptoms.
Ichiro Takahashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics     Volume:  133     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-09     Completed Date:  2008-06-23     Revised Date:  2008-11-24    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  909-19     Citation Subset:  D; IM    
Department of Orthodontics, Osaka Dental University, Osaka, Japan.
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MeSH Terms
Diagnosis, Differential
Mandible / surgery*
Occlusal Splints*
Oral Surgical Procedures / instrumentation*,  methods
Orthodontics, Corrective
Osteotomy / instrumentation,  methods
Referral and Consultation
Temporomandibular Joint Disorders / diagnosis,  surgery*
Comment In:
Am J Orthod Dentofacial Orthop. 2008 Nov;134(5):599-600; author reply 600   [PMID:  18984386 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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