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Orthodontic Treatment Protocols for Patients with Idiopathic Condylar Resorption

  • Gye Hyeong Lee1,2,3
  • Jae Hyun Park4,5,*,
  • Sang Mi Lee6,7
  • Da Nal Moon8

1Roth Orthodontic Society, Seoul, Korea

2 Department of Orthodontics, School of Dentistry, Chonnam National University, Gwangju, Korea

3Department of Orthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea

4Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, USA

5International Scholar, Graduate School of Dentistry, Kyung Hee University, Seoul, Korea

6Graduate School of Dentistry, Chonnam National University, Gwangju, Korea

7Catholic University, Seoul, Korea

8Graduate School of Dentistry, Catholic University, Seoul, Korea

DOI: 10.17796/1053-4625-43.4.12 Vol.43,Issue 4,July 2019 pp.292-303

Published: 01 July 2019

*Corresponding Author(s): Jae Hyun Park E-mail: JPark@atsu.edu

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Abstract

Treatment of orthodontic patients with idiopathic condylar resorption (ICR) is challenging for clinicians due to the continuous change of occlusion caused by the unstable condylar position and symptoms in the temporomandibular joint (TMJ). As an unstable condylar position can lead to confusion during orthodontic evaluation, stabilization of TMJ with splint therapy should precede orthodontic and/or orthognathic treatment. In this case report, a patient with Class II open bite and progressive condylar resorption was treated with an appropriate treatment protocol. Her condylar position was stabilized with a stabilization splint and her occlusion and facial esthetics were improved with intrusion of her maxillary posterior teeth after extraction of four premolars. Her occlusion was stable without recurrence of joint symptoms 2 years after active treatment.

Keywords

Idiopathic condylar resorption; TMD; Stabilization splint

Cite and Share

Gye Hyeong Lee,Jae Hyun Park,Sang Mi Lee,Da Nal Moon. Orthodontic Treatment Protocols for Patients with Idiopathic Condylar Resorption. Journal of Clinical Pediatric Dentistry. 2019. 43(4);292-303.

URL:

https://www.jocpd.com/articles/10.17796/1053-4625-43.4.12

References

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