편측 과두 흡수로 인한 교합붕괴 환자의 턱관절 치환술을 동반한 교정 치험례

• 영문명: Orthodontic Treatment Accompanied by Temporomandibular Joint Replacement in a Patient with Occlusal Collapse due to Unilateral Condylar Resorption
• 발행기관: 대한치과교정학회
• 저자명: 김연희 이지현 정주령 김경호
• 간행물 정보: 『대한치과교정학회 임상저널』15권 3호, 260~274쪽, 전체 15쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2025.09.30

국문 초록

This case report presents the interdisciplinary management of a patient with occlusal collapse resulting from unilateral condylar resorption. The patient presented with facial asymmetry, posterior bite collapse, and significant periodontal breakdown on the affected side. To restore mandibular structure and function, unilateral temporomandibular joint (TMJ) replacement was performed. After confirming periodontal stability through comprehensive periodontal therapy, orthodontic treatment was initiated to upright the severely inclined dentition and close residual spaces using controlled mechanics adapted to compromised periodontal support. Through this staged, multidisciplinary approach—including surgical, periodontal, and orthodontic interventions—functional occlusion, facial symmetry, and skeletal harmony were achieved, demonstrating a favorable esthetic and functional outcome with long-term prognosis.

목차

서론

진단

치료계획

치료경과 및 결과

고찰

결론

REFERENCES

키워드

TMJ replacement Occlusal collapse Periodontal problem