턱관절의 골관절염으로 발생한 편측 구치부 개교증 환자에서 턱관절 세정술과 악간 견인 장치를 이용한 치료의 증례보고
Arthrocentesis and intermaxillary traction appliance in a patient with unilateral posterior open bite caused by temporomandibular osteoarthritis : A Case Report
최유성, 곽현진, 김소현, 송인재, 남윤주, 김복주, 김정한, 김철훈,
소속 상세정보
최유성 ( Choi You-Seong ) -
곽현진 ( Kwak Hyun-Jin ) -
김소현 ( Kim So-Hyeon ) -
송인재 ( Song In-Jae ) -
남윤주 ( Nam Yoon-Ju ) -
김복주 ( Kim Bok-Joo ) -
김정한 ( Kim Jung-Han ) -
김철훈 ( Kim Chul-Hoon ) -
Abstract
Osteoarthritis in the temporomandibular joint (TMJ) affects surrounding soft and hard tissues including cartilage, subchondral bone, and synovial membrane, causing TMJ remodeling and articular cartilage abrasion. When degenerative bone changes worsen in some patients with osteoarthritis, facial skeletal remodeling occur such as chin deviation, malocclusion.
In patients with TMJ osteoarthritis, it is important to expand the joint space and decompress it. When pathological changes in the joint are observed, minimally invasive treatment such as intra-articular injection and arthrocentesis can be performed.
An intermaxillary traction appliance can be applied for a short period of time to patients with TMJ osteoarthritis with occlusal changes.
The purpose of this report is to review the case using arthrocentesis and intermaxillary traction appliance along with conservative treatment in a patient with unilateral posterior open bite caused by temporomandibular disorder(osteoarthritis), and to report the importance of appropriate diagnosis and treatment of temporomandibular disorder.
키워드
Temporomandibular disorder; Osteoarthritis; Occlusal change; Arthrocentesis; Intermaxillary traction appliance
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