Temporomandibular disorders with skeletal open bite treated with stabilization splint and zygomatic miniplate anchorage: a case report

Angle Orthod. 2015 Mar;85(2):335-47. doi: 10.2319/010514-17.1. Epub 2014 Apr 28.

Abstract

This case report describes the treatment of a patient with temporomandibular disorder (TMD) and skeletal open bite. First, the patient was treated with a stabilization splint to stabilize the condyles in centric relation and to alleviate TMD signs and symptoms. After making a definitive diagnosis from postsplint records, orthodontic treatment was initiated. Titanium miniplates were placed at bilateral zygomatic buttresses and used as orthodontic anchorage for molar intrusion and distalization. The treatment was completed after 30 months. Satisfactory appearance and function were achieved for this patient.

Keywords: Miniplate anchorage; Molar intrusion; Occlusion; Open bite; Stabilization splint; TMD.

Publication types

  • Case Reports

MeSH terms

  • Bone Plates*
  • Centric Relation
  • Cephalometry / methods
  • Dental Materials / chemistry
  • Female
  • Humans
  • Malocclusion, Angle Class II / therapy
  • Mandibular Condyle / pathology
  • Miniaturization
  • Molar / pathology
  • Occlusal Splints*
  • Open Bite / therapy*
  • Orthodontic Anchorage Procedures / instrumentation*
  • Overbite / therapy
  • Patient Care Planning
  • Temporomandibular Joint Disorders / therapy*
  • Titanium / chemistry
  • Tooth Movement Techniques / instrumentation
  • Treatment Outcome
  • Young Adult
  • Zygoma / surgery

Substances

  • Dental Materials
  • Titanium