Open AccessInterdisciplinary Management of an Orthodontic Patient with Temporomandibular Disorder
Author(s) -
Tsang Tsang Franklin She,
Anita-Tak Ying Wong
Publication year - 2017
Publication title -
apos trends in orthodontics
Language(s) - English
Resource type - Journals
eISSN - 2321-4600
pISSN - 2321-1407
DOI - 10.4103/apos.apos_95_17
Subject(s) - splint (medicine) , medicine , malocclusion , orthodontics , intrusion , dentistry , overbite , masticatory force , geochemistry , geology
A 21-year-old female patient presented with temporomandibular disorder, skeletal Class II, Angle Class II division 2 malocclusion, gummy smile, and incomplete overbite was managed successfully by splint therapy and orthodontic camouflage with miniscrew anchorage and extraction. She was treated with occlusal splint to alleviate signs and symptoms of anterior disc displacement without reduction and the associated masticatory dysfunction and revealed the true malocclusion before orthodontic treatment. Computer software facilitated the formulation of visual treatment objective (VTO) and occlusogram which guided the whole arch intrusion, retraction of the upper anterior segment, mesialization of lower left dentition, and distalization of lower right dentition. In this case report, the rationale and importance of preorthodontic splint therapy and specific considerations in orthodontic mechanics for managing this patient were discussed