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Hybrid treatment of varied orthodontic appliances for a patient with skeletal class II and temporomandibular joint disorders:A case report and review of literature

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World Journal of Clinical Cases 2024年第2期12卷 431-442页

作者： Tong Lu Li Mei Bao-Chao Li Zi-Wei Huang Huang Li Department of Orthodontics Nanjing Stomatological HospitalThe Affiliated Hospital of Medical SchoolNanjing UniversityNanjing 210008Jiangsu ProvinceChina Discipline of Orthodontics Department of Oral ScienceFaculty of DentistryUniversity of OtagoDunedin 9016New Zealand

BACKGROUND The relation between orthodontic treatment and temporomandibular disorders(TMDs)is under debate;the management of TMD during orthodontic treatment has always been a *** TMD symptoms occur during orthodontic treatment,an immediate pause of orthodontic adjustments is recommended;the treatment can resume when the symptoms are managed and *** SUMMARY This case report presents a patient(26-year-old,female)with angle class I,skeletal class II and *** treatment was a hybrid of clear aligners,fixed appliances and temporary anchorage devices(TADs).After 3 mo resting and treatment on her TMD,the patient’s TMD symptom alleviated,but her anterior occlusion displayed deep ***,the fixed appliances with TAD were used to correct the anterior deep-bite and level maxillary and mandibular deep *** the levelling,the patient showed dual bite with centric relation and maximum intercuspation discrepancy on her *** careful examination of temporomandibular joints(TMJ)position,the stable bite splint and Invisible Mandibular Advancement appliance were used to reconstruct her ***,the improved facial appearance and relatively stable occlusion were *** 1-year follow-up records showed there was no obvious change in TMJ morphology,and her occlusion was *** TMD screening and monitoring is of great clinical importance in the TMD susceptible *** treatment with clear aligners and fixed appliances and TADs is an effective treatment modality for the complex cases.

关键词： Temporomandibular disorder Skeletal class II deep overbite Dual bite Invisible mandibular advancement appliance Case report

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