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Case Reports
. 2011 Oct;2(4):364-7.
doi: 10.4103/0976-237X.91805.

An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction

Hanefi Kurt  1 , Evren Oztaş, Burç Gençel, Demet Ataman Taşan, Derya Oztaş
Affiliations
Case Reports

An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction

Hanefi Kurt et al. Contemp Clin Dent. 2011 Oct.

Abstract

Herein we report treatment for a 19-year-old female patient with severe osteoarthritis of the temporomandibular joint. The patient had severe open bite with a Class II molar relationship. She had limited mouth opening and pain. Clinical examination and magnetic resonance imaging revealed that she had anterior disc displacement without reduction. By splint therapy, limited mouth opening and pain was eliminated, but an anterior open bite developed after the treatment. By orthodontic treatment, an acceptable occlusion was achieved with a Class I molar relationship.

Keywords: Anterior open bite; disc displacement without reduction; orthodontic treatment; splint therapy; temporomandibular disorders.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Frontal view of malocclusion from severe condylar bone loss
Figure 2
Figure 2
Lateral view of malocclusion from severe condylar bone loss
Figure 3
Figure 3
Frontal view of orthodontic brackets and wires before treatment
Figure 4
Figure 4
Lateral view of orthodontic brackets and wires before treatment
Figure 5
Figure 5
Frontal view of finished leveling of the dentition
Figure 6
Figure 6
Finished leveling of the dentition
Figure 7
Figure 7
Frontal view of achived occlusion after treatment
Figure 8
Figure 8
Lateral view of achived occlusion after treatment (left)
Figure 9
Figure 9
Lateral view of achived occlusion after treatment (right)
Figure 10
Figure 10
Intraoral view after 2 years
See this image and copyright information in PMC

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