Idiopathic condylar resorption in orthodontics

2021 ◽  
Vol 14 (2) ◽  
pp. 82-88
Author(s):  
Salwa El-Habbash ◽  
Timothy McSwiney
Keyword(s):  
Risk Factors ◽  
Orthognathic Surgery ◽  
Mechanical Load ◽  
Systemic Disease ◽  
Treatment Options ◽  
Open Bite ◽  
Mandibular Movement ◽  
Anterior Open Bite ◽  
Surgical Risk ◽  
Multiple Treatment

Condylar resorption (CR) can be categorized into functional and dysfunctional remodelling of the temporomandibular joint (TMJ). The literature describes dysfunctional remodelling of the TMJ as idiopathic condylar resorption (ICR). Idiopathic condylar resorption (ICR) is a well-documented but poorly understood pathological entity that can occur spontaneously or post-orthognathic surgery. It predominantly affects young women, with other risk factors including Class 2 malocclusion with steep mandibular plane angles. It is distinguished by a decreased condylar head volume and ramus height, progressive mandibular retrusion and an anterior open bite. Its aetiology can be categorized into surgical and non-surgical risk factors. These include hormones, systemic disease, trauma, mechanical load and surgical risk factors, such as magnitude and direction of mandibular movement, type of surgical fixation and length of post-operative maxilla-mandibular fixation. ICR is a diagnosis of exclusion, and identified by a combination of clinical, radiographic and haematological findings. Multiple treatment options have been described in the literature, including medical management, orthodontics, orthognathic surgery, TMJ surgery, TMJ and orthognathic surgery combined, and total joint prosthesis reconstruction. Further research is required to better understand the aetiology of ICR and more long-term, controlled, multicentre clinical studies are needed to evaluate the outcomes of surgical and non-surgical management of CR patients. CPD/Clinical Relevance: Idiopathic condylar resorption has many presentations and potential causes that can greatly impact the decisions and outcomes for orthodontic/orthognathic treatment.

scholarly journals Periodontally compromised severe skeletal Class III with open bite corrected by orthodontic camouflage using temporary anchorage devices

2020 ◽  
Vol 10 ◽  
pp. 253-258
Author(s):  
Adith Venugopal ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Paolo Manzano
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Options ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Temporary Anchorage Devices ◽  
Anterior Teeth ◽  
Facial Esthetics

A variety of treatment options may be implemented on a Class III malocclusion associated with skeletal discrepancy ranging from functional orthopedics at an early age to orthognathic surgery in adults. In the current scenario, many Class III malocclusion patients are referred for orthognathic surgery without even considering the options of an orthodontic camouflage, as orthodontists do not want to burden themselves with the tedious treatment planning and risks involved with treating such cases. This case report describes a 27-year-old female diagnosed with a skeletal Class III malocclusion, severe open bite, and periodontally compromised dentition. Although orthognathic surgery was proposed as the best treatment modality, it was denied by the patient due to financial and psychological constraints. She was treated with mild upper arch expansion using archwires and upper premolar intrusion using temporary anchorage devices (TADs) alongside retraction of lower anterior teeth using TADs and intermaxillary elastics. At the end of 18 months of active treatment, a decent result was achieved with good occlusion and facial esthetics. Post-treatment results showed an improved profile and Class I canine relationships, with optimal overjet and overbite. The anterior open bite was corrected, and the overall facial balance was greatly improved. Extraoral photographs displayed a relaxed lip closure and an esthetic smile meeting the patient’s expectations. Two-year follow-up records demonstrated a stable occlusion and optimal facial esthetics.

Anterior open bite correction with 2-jaw orthognathic surgery

2019 ◽  
Vol 155 (1) ◽  
pp. 108-116.e2 ◽  
Author(s):  
Jae Hyun Park ◽  
Michael Papademetriou ◽  
Carolyn Gardiner ◽  
John Grubb
Keyword(s):  
Orthognathic Surgery ◽  
Open Bite ◽  
Anterior Open Bite

scholarly journals Hábitos Bucais como Fatores de Risco para a Mordida Aberta Anterior / Oral Habits as Risk Factors for the Anterior Open Bite

2020 ◽  
Vol 14 (53) ◽  
pp. 692-705
Author(s):  
Hortencia Almeida Gusmao ◽  
Antônio Carlos De Carvalho Salomão
Keyword(s):  
Risk Factors ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Oral Habits

A mordida aberta anterior é considerada como a presença de um trespasse vertical negativo existente entre as bordas incisais dos dentes anteriores, tanto superiores, quanto inferiores, seu acontecimento é principalmente na infância e durante a troca de dentição. Conhecer precocemente os hábitos bucais deletérios é de grande importância, pois, as intervenções prévias auxiliarão para uma melhor qualidade de vida. Este trabalho tem como objetivo apresentar os principais hábitos bucais causadores da mordida aberta anterior, assim como suas classificações, diagnóstico e tratamentos para o problema. Os principais hábitos bucais que facilitam para a ocorrência da mordida aberta anterior são relacionados principalmente com a sucção digital, uso de chupetas e mamadeiras. Os principais problemas podem incluir fator estético, e também psicológico, uma vez que a mordida aberta causa um sorriso desarmônico. Através do desenvolvimento deste trabalho foi possível perceber a importância do diagnóstico precoce da mordida aberta anterior e suas principais características.

scholarly journals Plantar Fasciitis:

2012 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Suzan M. Attar
Keyword(s):  
Risk Factors ◽  
Effective Treatment ◽  
Clinical Diagnosis ◽  
Plantar Fasciitis ◽  
Treatment Options ◽  
Heel Pain ◽  
Treatment Modalities ◽  
Medical Attention ◽  
Common Cause ◽  
Multiple Treatment

Plantar fasciitis is a common cause of heel pain in adults. It is a clinical diagnosis, as patients classically presents with pain that is particularly severe with the first few steps in the morning. Although it is a self-limited condition; however, due to the severity of the pain, medical attention is sought. Symptoms will ease quicker if risk factors are adjusted and multiple treatment modalities are started as early as possible. This article reviews plantar fasciitis; presents the most effective treatment options currently available.

Orthodontics

2020 ◽  
pp. 121-172
Keyword(s):  
Treatment Planning ◽  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Open Bite ◽  
Diagnosis And Treatment ◽  
Anterior Open Bite ◽  
Treatment Need ◽  
The Face ◽  
Structured Approach

This chapter discusses the growth of the face, development of the dentition, and prevention and correction of occlusal anomalies, providing a concise overview of the fundamentals of orthodontics. Definitions relevant to orthodontics are outlined as well as a structured approach to orthodontic assessment. The Index of Orthodontic Treatment Need is explained, and its implications highlighted. The chapter also simplifies cephalometrics before detailing the management of increased overbite, anterior open bite, increased overjet, and various other dental and skeletal malocclusions. A further area included in this chapter is orthognathic surgery. The section includes diagnosis and treatment planning in these cases, surgery, and distraction osteogenesis.

scholarly journals Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

2017 ◽  
Vol 11 (1) ◽  
pp. 581-594
Author(s):  
Wisam Al Hamadi ◽  
Fayez Saleh ◽  
Mohamad Kaddouha
Keyword(s):  
Treatment Modality ◽  
Orthognathic Surgery ◽  
Age Groups ◽  
Case Series ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Treatment Timing ◽  
Case Series Study ◽  
Key Factor ◽  
Series Study

Objective: The purpose of this study was to present early and adult cases of anterior open bite that were treated efficiently using different treatment approaches and mechanics. Materials and Methods: Five patients of different age groups (from 7 to 27 years), suffering from a clear Anterior open bite deformity, were properly diagnosed and relevant treatment modality for each was selected. Results: Positive overbite was efficiently achieved for all patients. Conclusion: Patient compliance is a key factor in using removable habit breakers. However, fixed palatal crib gave the same results but in shorter time. Anterior open bite of skeletal components should be thoroughly evaluated before selecting camouflage or orthognathic surgery treatment modality.

Non-surgical risk factors for condylar resorption after orthognathic surgery

2004 ◽  
Vol 32 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Soon-Jung Hwang ◽  
Piet E Haers ◽  
Burkhardt Seifert ◽  
Hermann F Sailer
Keyword(s):  
Risk Factors ◽  
Orthognathic Surgery ◽  
Surgical Risk

scholarly journals Treatment of adult patient with hyperdivergent retrognathic phenotype and anterior open bite: report of a case with non-surgical orthodontic approach

2020 ◽  
Vol 25 (4) ◽  
pp. 75-84
Author(s):  
Marinho Del Santo Jr
Keyword(s):  
Young Adult ◽  
Adult Patient ◽  
Orthognathic Surgery ◽  
Clinical Case ◽  
Open Bite ◽  
Therapeutic Result ◽  
Anterior Open Bite ◽  
Young Adult Patient ◽  
Molar Intrusion

ABSTRACT Adult patients with anterior open bite and hyperdivergent retrognathic phenotype demand complex treatments, as premolar extractions, molar intrusion or orthognathic surgery. In the present clinical case, a young adult patient without significant growth, with Class I and anterior open bite, was treated with four premolar extractions. The therapeutic result shows good intercuspation, good facial esthetic, good function balance, and stability in a two-year post-fixed treatment follow-up.

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