アブストラクト（35巻1号：The Bulletin of Kanagawa Dental College）

The Bulletin of Kanagawa Dental College

English

Title　： Interdisciplinary Treatment Approach to a Patient with Severe Mandibular Displacement and Dysfunction of Craniomandibular System
Subtitle　： BKDC CLINICAL AND RESEARCH TOPICS: New Concepts and Treatment Approach to the Different Types of Malocclusions
Authors　： Katsushi Tamaki*1, Ales G.Celar*2, Rudolf Slavicek*3, Sadao Sato*4
Authors（kana）　：
Organization　： *1Department of Oral and Maxillofacial Rehabilitation, Kanagawa Dental College, *2Department of Orthodontics, University of Vienna, *3Department of Environmental and Medical Sciences, Center for Interdisciplinary Dentistry, Donau Universitat Krems, *4Department of Craniofacial Growth and Development Dentistry, Kanagawa Dental College
Journal　： The Bulletin of Kanagawa Dental College
Volume　： 35
Number　： 1
Page　： 113-125
Year/Month　： 2007 / 3
Article　： Report
Publisher　： Kanagawa Odontological Society
Abstract　： [Abstract] Mandibular lateral displacement (MLD) malocclusion demands one of the most difficult treatment modalities, because it can be associated with complex symptoms such as TMJ pain, head and neck pain, cervical pain, and functional disturbances of the craniomandibular system (CMS). This report describes an interdisciplinary approach including endodontic, orthodontic, and prosthodontic treatment of MLD malocclusion with severe problems in the CMS, head and neck and including other somatic symptoms. Clinical examination and instrumental analysis of the functional condylar paths using computerized axiographic recordings of hinge axis movement indicated a displaced mandible due to incorrect articulation of the teeth and lack of posterior occlusal support. Orthodontic correction of the dentition provided mandibular repositioning and relief from muscle pain and dysfunction. Prosthodontic occlusal reconstruction provided a stabilization of the corrected mandibular position, and ensured proper occlusal guidance and occlusal support. Post-treatment examinations indicated that most of the pain dysfunction symptoms had disappeared and smooth condylar movements were observed with no limitation during normal functions. A multidisciplinary approach combining orthodontics and prosthodontics enhanced the treatment of a complex malocclusion and its functional disturbances without need for surgical intervention.
Practice　： Dentistry
Keywords　： CMS, Mandibular displacement, Orthodontics, Prosthodontics