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ID 40511
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64_5_345.pdf 9.25 MB
Author
Kuroda, Shingo
Takano-Yamamoto, Teruko
Abstract
This article reports the successful surgical-orthodontic treatment of an elderly patient with dentofacial deformity and signs and symptoms of temporomandibular disorder (TMD). The patient was a 63-year-old woman with a concave profile due to mandibular protrusion. To correct skeletal deformities, the mandible was posteriorly repositioned by employing intraoral vertical ramus osteotomy (IVRO) following presurgical orthodontic treatment. After active treatment for 31 months, the facial profile was significantly improved and satisfactory occlusion was achieved. In addition, TMD symptoms of clicking sounds on the left side and difficulty in mouth opening were resolved. Regarding the findings of magnetic resonance imaging, anterior disc displacement in the opening phase was improved in the temporomandibular joint on the left side. Furthermore, stomatognathic functions were also improved without any aggravation of age-related problems. In conclusion, surgical repositioning of the mandible using IVRO leads to both morphological and functional improvements even in elderly patients.
Keywords
elderly patient
orthodontics
temporomandibular disorder
intraoral vertical ramus osteotomy
Amo Type
Case Report
Published Date
2010-10
Publication Title
Acta Medica Okayama
Volume
volume64
Issue
issue5
Publisher
Okayama University Medical School
Start Page
345
End Page
349
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2010 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT