Implant-Supported Rehabilitation of Severe Malocclusion Due to Unilateral Condylar Hypoplasia: Case Report

Jacobson, Nancy; Starr, Cliff

doi:10.1563/1548-1336(2008)34[90:irosmd]2.0.co;2

Cited by 9 publications

(5 citation statements)

References 17 publications

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“…Then, proceeding final step, to the orthognathic surgery was performed with grafts and implants stable and osseointegrated, all of which increases the success rate of implant osseointegration as already demonstrated in other studies (Branemark et al, 1977;Chiapasco et al, 2007;de Avila et al, 2014;De Santis et al, 2012;Ferri et al, 2008;Gil et al, 2008;Jacobson & Starr, 2008;Keller et al, 1999;Ohba et al, 2015;Soehardi et al, 2015). It was also decided to reduce the chin, improving the patient's facial proportion and, consequently, facial aesthetics.…”

Section: Discussionmentioning

confidence: 94%

Multiprofessional approach for class III malocclusion rehabilitation with autogenous calvarial bone graft followed by Le Fort 1 osteotomy and implant-supported prostheses – case report

Borella

Alves

Alvares

et al. 2021

RSD

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Extensive treatments can eventually be challenging. Even more so when the patient has limitations such as extensive tooth loss and skeletal changes, including overgrowth of the lower jaw. When indicated, these treatments tend to discourage patients due to the history of previous failures. Therefore, in addition to an interdisciplinary dental team composed of oral and maxillofacial surgeons, and prosthodontists, a nutrologist, a speech therapist, and a psychotherapist were involved in the treatment of this case. A 52-year-old female patient, Angle Class III malocclusion, with few teeth and extensive maxillary bone loss, attended the dental clinic of the Brazilian Association of Dentistry in Uberlândia. The treatment involved reverse planning, extraction of the dental remnants, calvarial bone grafting, placement of 6 titanium implants (Neodent) in the maxilla (upper jaw) and 5 in the mandible (lower jaw), orthognathic surgery, and installation of implant-supported fixed complete dentures in both jaws. Furthermore, psychotherapeutic and nutrologist’s interventions were necessary during the dental treatment, concluding the treatment with speech therapy. Within the limitations of this case, the multidisciplinary approach proved to be efficient. It promoted the reestablishment of the stomatognathic system functions without compromising nutrition during the periods when it was impossible to wear prostheses for better healing of the tissues.

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Section: Discussionmentioning

confidence: 94%

Multiprofessional approach for class III malocclusion rehabilitation with autogenous calvarial bone graft followed by Le Fort 1 osteotomy and implant-supported prostheses – case report

Borella

Alves

Alvares

et al. 2021

RSD

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“…Hypoplasia can develop after the loss of one or both of the condylar growth centers, occurs in the early stages of development and can be accompanied by ankylosis, resulting from hemorrhages and inflammation in the adjacent structures causing fibrosis in the joint capsule (IBIKUNLE et al ., 2016) (HORN et al, 2016. Its severity is related to the period of growth of the condyles, up to approximately 25 years old, since condylar growth is more active in the first years of life (MOZE; HOYTE and BISSOON, 2012), and any disturbance during this phase can accentuate condylar hypoplasia, which will result in facial, skeletal and dental deformation, which will lead to a shortening of the mandibular branch (JACOBSON andSTARR, 2008) (HORN et al, 2016). An early diagnosis, even in childhood, provides the patient with the possibility of being treated with orthopedic therapy.…”

Section: Introductionmentioning

confidence: 99%

“…An early diagnosis, even in childhood, provides the patient with the possibility of being treated with orthopedic therapy. In cases of late diagnosis in adult patients, treatment will involve orthognathic surgery to correct skeletal deformity (JACOBSON and STARR, 2008).…”

Section: Introductionmentioning

confidence: 99%

Condylar hypoplasia: Clinical case

Silva¹

2021

Revista Científica Multidisciplinar Núcleo do Conhecimento

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The formation of the face and the stomatognathic system is complex in nature and involves the development of multiple tissue processes that must unite and fuse in an extremely orderly manner. Disorders in the growth of these tissue processes or in their fusions can result in facial changes. The temporomandibular joint is one of the most complex in the human body, with the condylar process responsible for the expression of mandibular growth. Condylar hypoplasia is characterized by a defective formation of the condylar process that can be congenital or acquired. In the case presented, the patient has facial asymmetry since the first year of life, only on the left side. Thus, professionals working in the region of the temporomandibular joint must have knowledge of the existence and clinical implications for an early diagnosis in order to avoid the development of facial asymmetries, restoring the patient’s function, aesthetics and psychological status.

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“…Results in skeletal and dental facial deformation, also leading to a shortening of the mandibular branch 4 .…”

Section: Introductionmentioning

confidence: 99%

“…In cases of late diagnosis in patients already in adulthood, treatment involves orthognathic surgery to correct the skeletal deformity 4 .…”

Section: Introductionmentioning

confidence: 99%

Hipoplasia condilar de provável origem otológica

et al. 2016

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The temporomandibular joint is one of the most complex of the human body and the condylar process is responsible for the expression of mandibular growth. The condylar hypoplasia is characterized by a defective formation of the condylar process. The acute otitis media is an inflammatory process, triggered from infections of the nasal cavity, paranasal sinuses and, nasopharynx, propagated through the Eustachian tube. In the presented case, the patient had facial asymmetry since the first year of life, and recurring cases of otitis just in the early stages of closing the temporotimpânica suture and in the foramen of Huschke, which would facilitate the dissemination of this ear infection which would undermine the development of condyle resulting in hypoplasia identified, only in the right side. Thus, professionals who work in temporomandibular joint and ear regions must have knowledge of the existence and clinical implications of the foramen of Huschke for early diagnosis and prevent the development of facial asymmetry where this association presents with clinical signs of infection of the affected areas, restoring function, aesthetic and, psychological state of the patient. Keywords: Temporomandibular Joint; Facial Asymmetry; Otitis Media RESUMO A articulação temporomandibular é uma das mais complexas do corpo humano sendo o processo condilar responsável pela expressão do crescimento mandibular. A hipoplasia condilar é caracterizada por uma formação defeituosa do processo condilar. A otite média aguda é um processo inflamatório, desencadeada a partir de infecções das fossas nasais, cavidades paranasais e rinofaringe, propagadas por meio da tuba auditiva. No caso apresentado, a paciente apresentava assimetria facial desde o primeiro ano de vida, além de recorrentes casos de otite justamente nos estágios iniciais do fechamento da sutura temporotimpânica e do forame de Huschke o que facilitaria a disseminação dessa infecção otológica o que comprometeria o desenvolvimento do côndilo resultando na hipoplasia identificada, somente do lado direito. Assim, os profissionais que atuam na região da articulação temporomandibular e ouvido devem ter o conhecimento da existência e das implicações clínicas do forame de Huschke para um diagnóstico precoce e evitar o desenvolvimento das assimetrias faciais nos casos em que esta apresenta associação com sinais clínicos de infecção das áreas afetadas, restabelecendo função, estética e o estado psicoló-gico do paciente.

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Implant-Supported Rehabilitation of Severe Malocclusion Due to Unilateral Condylar Hypoplasia: Case Report

Cited by 9 publications

References 17 publications

Multiprofessional approach for class III malocclusion rehabilitation with autogenous calvarial bone graft followed by Le Fort 1 osteotomy and implant-supported prostheses – case report

Multiprofessional approach for class III malocclusion rehabilitation with autogenous calvarial bone graft followed by Le Fort 1 osteotomy and implant-supported prostheses – case report

Condylar hypoplasia: Clinical case

Hipoplasia condilar de provável origem otológica

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