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TMJ Ankylosis: Multidisciplinary Approach of Treatment for Dentofacial Enhancement-A Case Report.
MedLine Citation:
PMID:  22567429     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This report describes the multidisciplinary phasewise treatment of a 20-year-old female patient having unilateral right TMJ bony (true) ankylosis whose mouth opening was restricted to 2 mm and mandibular retrognathism; additionally, she was also suffering from speech problems, snoring, difficulty in breathing, and low level of self-esteem and self-confidence. Bilateral gap arthroplasty and temporalis myofascial graft interpositioning through preauricular approach were done in surgical phase followed by the aggressive jaw physiotherapy in postsurgical period. Oral prophylaxis and restorations were followed by the fixed orthodontic therapy to resolve bimaxillary protrusion. Advancement sliding genioplasty was performed to enhance the chin button. Speech therapy and psychological counseling were also performed from time to time to boost up the self-esteem and self-confidence. At the end of treatment, facial esthetics was improved considerably and patient got over the impact of disfigurement, impaired functions, and psychosocial stigma. Rationale to use the multidisciplinary team approach in treatment of such cases is discussed.
Authors:
Pavankumar Janardan Vibhute; Nitin Bhola; Rajiv M Borle
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Publication Detail:
Type:  Journal Article     Date:  2011-09-20
Journal Detail:
Title:  Case reports in dentistry     Volume:  2011     ISSN:  2090-6455     ISO Abbreviation:  Case Rep Dent     Publication Date:  2011  
Date Detail:
Created Date:  2012-05-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101573242     Medline TA:  Case Rep Dent     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  187580     Citation Subset:  -    
Affiliation:
Department of Orthodontics, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Maharashtra Wardha 442004, India.
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