Multidisciplinary treatment of a patient with TMJ ankylosis and a severe dentofacial discrepancy: A case report.

IF 1.4 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Orthodontics Pub Date : 2024-09-16 DOI:10.1177/14653125241268733

Sara Khan, Rozina Nazir, Maidah Hanif

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引用次数: 0

Abstract

Introduction: Temporomandibular joint (TMJ) ankylosis is a debilitating condition characterised by the fusion of bony or fibrous tissues in the TMJ, resulting in restricted mouth opening, functional challenges and facial deformities. This report highlights the complexity and multifaceted nature of TMJ ankylosis and emphasises the significance of early intervention and a multidisciplinary approach. Distraction osteogenesis has emerged as a successful method for managing TMJ ankylosis and associated facial asymmetry. Post-distraction orthodontic management is essential to address occlusal changes, including posterior open bite and crossbite.

Diagnosis and treatment plan: A 17-year-old boy with unilateral right-sided TMJ ankylosis presented with restricted mouth opening, facial asymmetry and functional difficulties. Multidisciplinary treatment planning involved distraction osteogenesis, condylectomy, coronoidectomy and orthodontic correction to achieve proper occlusion and facial aesthetics.

Results: The treatment significantly improved facial aesthetics, mouth opening, occlusion and the patient's confidence and self-esteem.

Conclusion: This case report underscores the complexity of TMJ ankylosis and the need for a comprehensive approach, including surgical and orthodontic interventions. Collaboration among healthcare professionals and ongoing research is vital to refine treatment approaches and improve the quality of life for patients with TMJ ankylosis.

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对一名颞下颌关节强直和严重颌面差异患者的多学科治疗：病例报告。

简介颞下颌关节（TMJ）强直是一种使人衰弱的疾病，其特点是颞下颌关节的骨组织或纤维组织融合，导致张口受限、功能障碍和面部畸形。本报告强调了颞下颌关节强直的复杂性和多面性，并强调了早期干预和多学科方法的重要性。牵引成骨术已成为治疗颞下颌关节强直和相关面部不对称的成功方法。牵引后的正畸管理对于解决咬合变化（包括后方开放咬合和交叉咬合）至关重要：一名患有单侧右侧颞下颌关节强直的 17 岁男孩出现张口受限、面部不对称和功能障碍。多学科治疗计划包括牵张成骨术、髁突切除术、冠状突切除术和正畸矫正，以实现正确的咬合和面部美观：治疗大大改善了面部美观、张口度、咬合以及患者的自信心和自尊心：本病例报告强调了颞下颌关节强直的复杂性以及综合治疗的必要性，包括手术和正畸干预。医护人员之间的合作和持续的研究对于完善治疗方法和提高颞下颌关节强直患者的生活质量至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.60

自引率

15.40%

发文量

期刊介绍： The Journal of Orthodontics has an international circulation, publishing papers from throughout the world. The official journal of the British Orthodontic Society, it aims to publish high quality, evidence-based, clinically orientated or clinically relevant original research papers that will underpin evidence based orthodontic care. It particularly welcomes reports on prospective research into different treatment methods and techniques but also systematic reviews, meta-analyses and studies which will stimulate interest in new developments. Regular features include original papers on clinically relevant topics, clinical case reports, reviews of the orthodontic literature, editorials, book reviews, correspondence and other features of interest to the orthodontic community. The Journal is published in full colour throughout.