측두하악장애를 동반한 하악 전돌증 환자의 복합적 치험계
A case report of asymmetrical mandibuilar prognathism with TMJ disorder
여환호, 김광진, 신강수,
소속 상세정보
여환호 ( ) - 조선대학교 치과대학 구강악안면외과학교실
김광진 ( Kim Kwang-Jin ) - 조선대학교 치과대학 구강악안면외과학교실
신강수 ( Shin Kang-Soo ) - 조선대학교 치과대학 구강악안면외과학교실
KMID : 0353319900140010121
Abstract
This is a case report of asymmetrical mandibular prognathism with TMJ disorder. A patient, who had been sufferring from the masticatory difficulties resulting from the significant malocclusion with posterior cross bite and the facial disfigurement due to asymmetrical mandibular prognathism, visited to our Dept. for further evaluation and definitive treatment.
About TNIJ problem, the conservative treatment such as occlusal splint, myo-therapy, and orthodontic treatment was done preoperatively, and the orthognathic surgery was followed by means of sagittal split ramus osteotomy on the right side and vertical ramus osteotomy on the left side.
In one year postoperatively, there were no significant complications such as compromised healing, poor segment position, malocclusion, and decreased function. The patient was satisfied with corrected dentofacial deformity and resolved TNIJ disorder.
The results are as follows:
1. This case was mandibular prognathism associated with TMJ disorder which was developed by the occlusal dysfunction and the emotiowil stress due to facial disfigurement.
2. In case of mandibular prognathism with TMJ disorder, the further cooperated studies of D/ oral and maxillofacial surgery, orthodontics, and prosthetics were much necessary to achieve normal function after surgical repositioning of the jaws.
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