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Acute Malocclusion Caused by Articular Disc Perforation: A Case Report

Journal of Oral Medicine and Pain 2018³â 43±Ç 4È£ p.142 ~ 146
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³²Çö ( Nam Hyun ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine
½É¿µÁÖ ( Shim Young-Joo ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine
°­Áø±Ô ( Kang Jin-Kyu ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine

Abstract


Patients with temporomandibular disorder often present with acute occlusal change and properly managed with conservative treatment. If such change is caused by unusual etiology, differential diagnosis may be challenged. This article describes the diagnosis of a patient exhibiting pain and acute posterior open bite on the ipsilateral side after chewing hard food. After initial conservative treatment failed to resolve the complaint, magnetic resonance imaging was ordered and confirmed partial perforation of articular disc. Disc perforation itself is usually chronic in nature, but sudden macrotrauma may also cause the disorder. However, occlusal discrepancy caused by disc perforation is rare and seldom reported. We present a case of acute malocclusion caused by disc perforation with a review of related literature.

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Disc perforation; Malocclusion; Posterior disc displacement; Temporomandibular joint

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