Anterior open bite with temporomandibular disorders treated with intermaxillary traction using skeletal anchorage system

Kim, Hye Sun; Lee, Sang Hoon; Youn, Taegyun; Kim, Hyung Gon; Huh, Jong-Ki

doi:10.5125/jkaoms.2012.38.5.284

Cited by 3 publications

(5 citation statements)

References 29 publications

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“…However, this method may be unacceptable in patients with very irregular teeth or severe undercuts due to increased discomfort associated with use of the device [9]. In this case, traction using an orthodontic elastic band following implantation of a correction screw in the alveolar bone of the maxilla and mandible may be considered [20]. However, this is more invasive than the intermaxillary traction appliance and is, therefore, dependent on the patient's compliance [20].…”

Section: Discussionmentioning

confidence: 99%

“…In this case, traction using an orthodontic elastic band following implantation of a correction screw in the alveolar bone of the maxilla and mandible may be considered [20]. However, this is more invasive than the intermaxillary traction appliance and is, therefore, dependent on the patient's compliance [20].…”

Section: Discussionmentioning

confidence: 99%

“…However, not all AOB patients can use intermaxillary traction appliances and those exhibiting skeletal AOB should undergo orthognathic surgery or orthodontic treatment instead [5,[7][8][9]. Therefore, consideration of the stability of the previous occlusion through analysis of models is essential prior to recommending treatment using an intermaxillary traction appliance [9,10,20]. However, not all patients who have undergone traction treatment present normal occlusion thereafter and prosthetic or orthodontic treatment is recommended if the occlusion is unstable even after gum-chewing exercises are performed for activation of the masticatory muscles [9,10].…”

Section: Discussionmentioning

confidence: 99%

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Use of Intermaxillary Traction Appliances and Exercises to Strengthen the Masticatory Muscles of Patients with Anterior Open Bite Caused by Temporomandibular Joint Osteoarthritis: Case Reports

Park

Ryu

2022

J Oral Med Pain

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Temporomandibular joint osteoarthritis (TMJ OA) causes destruction of the temporomandibular joint (TMJ) and can lead to occlusal changes such as anterior open bite in some patients. Consequently, these patients may experience difficulty in chewing food items and exhibit abnormal functional habits such as bruxism, preventing healing of the TMJ condyles. Treatment protocols include the use of traction appliances to reduce stress on the condyles. Unstable occlusions can lead to weakness of the masticatory muscles which, in turn, worsen the occlusal changes and complicate pain management. Therefore, the current study evaluated the condition of the masseter muscle using ultrasonography and educated patients on the execution of gum-chewing exercises for muscle strengthening. It also aimed to assess the effects of traction appliances and strengthening exercises on the masticatory muscles of patients with occlusal changes caused by TMJ OA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Use of Intermaxillary Traction Appliances and Exercises to Strengthen the Masticatory Muscles of Patients with Anterior Open Bite Caused by Temporomandibular Joint Osteoarthritis: Case Reports

Park

Ryu

2022

J Oral Med Pain

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“…A patient's deviated chin, midline and malocclusion were mostly corrected after conservative condylectomy. After surgery, additional treatments, such as intermaxillary traction using skeletal anchorage system with 1/4-inch rubber elastics, were conducted in all patients to improve occlusion 10 .…”

Section: Discussionmentioning

confidence: 99%

“…The articular disc was also repositioned. For occlusal stabilization after surgery, intermaxillary traction was applied using a skeletal anchorage system with 1/4-inch rubber elastics that required a miniscrew 10 . Occlusion in two patients did not require additional orthodontic treatment after surgery, while two other patients required minimal orthodontic treatment using a mini-screw or a temporary occlusal resin stop for the correction of residual posterior malocclusion.…”

Section: Case Reportmentioning

confidence: 99%

Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle: a report of five cases

Kim

Jeong

Park

et al. 2015

J Korean Assoc Oral Maxillofac Surg

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We describe our experience with conservative condylectomy for the correction of facial asymmetry in five patients with osteochondroma of the mandibular condyle. All five patients presented with malocclusion and facial asymmetry, which are common clinical findings of osteochondroma involving the mandibular condyle. We performed conservative condylectomy without additional orthognathic surgery for all five patients, preserving the vertical height of the condylar process as much as possible. Following surgery, intermaxillary traction using a skeletal anchorage system with rubber elastics was performed on all patients to improve occlusion, and, when necessary, additional minimal orthodontic treatment was performed. The mean follow-up period was 42 months. At the last follow-up visit, all patients exhibited satisfactory facial symmetry and remodeling of the remaining condyle, with stable health and no signs of recurrence. In conclusion, conservative condylectomy alone, without subsequent orthognathic surgery, is adequate for the restoration of facial symmetry and the preservation of vertical condylar height in select patients with condylar osteochondroma.

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Management of open bite in patients with temporomandibular joint degeneration

Hsu,

Liaw,

Nielsen

et al. 2024

Seminars in Orthodontics

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Anterior open bite with temporomandibular disorders treated with intermaxillary traction using skeletal anchorage system

Cited by 3 publications

References 29 publications

Use of Intermaxillary Traction Appliances and Exercises to Strengthen the Masticatory Muscles of Patients with Anterior Open Bite Caused by Temporomandibular Joint Osteoarthritis: Case Reports

Use of Intermaxillary Traction Appliances and Exercises to Strengthen the Masticatory Muscles of Patients with Anterior Open Bite Caused by Temporomandibular Joint Osteoarthritis: Case Reports

Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle: a report of five cases

Management of open bite in patients with temporomandibular joint degeneration

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