Journal article
"Closed Reduction" Principles Can Manage Diverse Conditions of Temporomandibular Joint Vertical Height Loss: From Displaced Condylar Fractures to Idiopathic Condylar Resorption.
- 2017-03-05
Published in:
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. - 2017
Adult
Ankylosis
Bone Resorption
Child
Dental Occlusion
Diagnostic Imaging
Facial Asymmetry
Female
Fracture Fixation
Humans
Male
Malocclusion
Mandibular Condyle
Mandibular Fractures
Middle Aged
Orthodontic Appliances
Physical Therapy Modalities
Treatment Outcome
Vertical Dimension
English
PURPOSE
The aim of this case series was to describe a modification of the classic "closed reduction" technique to manage unilateral or anterior open bite owing to a loss in vertical height (LVH) caused by several disorders and pathologies other than displaced condylar fractures.
MATERIALS AND METHODS
The protocol included insertion of an occlusal appliance to increase the height of the premature contact and the width of the open bite, stabilization of the dental arches by rigid arches, and the use, during sleep, of rubber bands in the open bite region to pull the mandible cranially. In addition, when awake, the patient performed physiotherapy exercises to guide the mandible into maximum intercuspation. The increased open bite enhanced the effect of the rubber bands in guiding the mandible into the original habitual occlusion and the rigid arches served to minimize tooth eruption.
RESULTS
The present cases showed the favorable outcome of this low-risk treatment in the re-establishment of the original habitual occlusion within 1 to 4 weeks and without reconstruction of the LVH.
CONCLUSION
The efficacy of this complication-free approach to correct occlusion in various conditions of LVH suggests that this protocol should be applied before venturing into surgical intervention.
The aim of this case series was to describe a modification of the classic "closed reduction" technique to manage unilateral or anterior open bite owing to a loss in vertical height (LVH) caused by several disorders and pathologies other than displaced condylar fractures.
MATERIALS AND METHODS
The protocol included insertion of an occlusal appliance to increase the height of the premature contact and the width of the open bite, stabilization of the dental arches by rigid arches, and the use, during sleep, of rubber bands in the open bite region to pull the mandible cranially. In addition, when awake, the patient performed physiotherapy exercises to guide the mandible into maximum intercuspation. The increased open bite enhanced the effect of the rubber bands in guiding the mandible into the original habitual occlusion and the rigid arches served to minimize tooth eruption.
RESULTS
The present cases showed the favorable outcome of this low-risk treatment in the re-establishment of the original habitual occlusion within 1 to 4 weeks and without reconstruction of the LVH.
CONCLUSION
The efficacy of this complication-free approach to correct occlusion in various conditions of LVH suggests that this protocol should be applied before venturing into surgical intervention.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.joms.2017.01.037
- PMID 28257719
- Persistent URL
- https://sonar.ch/global/documents/191238
Statistics
Document views: 26
File downloads: