교정치료와 측두하악관절: 조절이 가능한 것과 불가능한 것

• 영문명: Orthodontic Treatments and Temporomandibular Joints: Dos and Don’ts
• 발행기관: 대한치과교정학회
• 저자명: 최병택 박재현 최은아 손재도 이상미 문다날 이계형
• 간행물 정보: 『대한치과교정학회 임상저널』14권 1호 , 70~79쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.03.31

국문 초록

For successful orthodontic treatment, it is necessary to understand what is possible and what is impossible. Since orthodontic treatment is a type of occlusal treatment, the treatment goals of aesthetics, function, and stability must be achieved based on good occlusion. Good occlusion does not mean simply the interlocking of the upper and lower teeth. For good function, a healthy condition of the temporomandibular joint must be premised. In this paper, we considered the following questions about the points to consider during orthodontic treatment to maintain a healthy temporomandibular joint. I. Is it possible to grow the mandible? II. Is it possible to put the displaced joint disc back in place? III. What can be done to create a healthy temporomandibular joint? And, we came to the following conclusion. 1. The use of the mandibular anterior positioning device (functional appliance) may temporarily promote mandibular bone formation, but in the long run, significant growth of the mandibular bone cannot be obtained, and TMD symptoms may occur in the process of positioning the mandibular forward, so care should be taken. 2. Attempts to re-position the displaced disc are generally unsuccessful due to morphological change of the disk, and can only be tried in acute lock within a week. 3. In patients with displacement of the joint disc, using stabilizing splint to form a pseudo-disc is the right treatment direction to follow to maintain a healthy temporomandibular joint. (Clin J Korean Assoc Orthod 2024;14(1):70-79)

목차

서론

하악골을 성장시킬 수 있는가?

변위된 관절원판을 다시 제자리에 위치시킬 수 있는가?

건강한 측두하악관절을 만들기 위해 무엇을 할 수 있는가?

결론

REFERENCES

키워드

Growth modification TMJ Pseudo-disc