Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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APPLICATION OF A MANDIBULAR MANIPULATION TO THE PATIENTS WITH CLOSED LOCK

하악골 수조작술에 의한 폐구성 과두걸림 환자의 치료

  • Kim, Jin-Hwan (Department of dentistry and Oral & Maxillofacial Surgery, Kumi Hospital, Collage of Medicine, Soon Choon Hyang University) ;
  • Kim, Hui-Jung (Department of dentistry and Oral & Maxillofacial Surgery, Kumi Hospital, Collage of Medicine, Soon Choon Hyang University)
  • 김진환 (순천향대학교 구미병원 치과 구강악안면외과교실) ;
  • 김희정 (순천향대학교 구미병원 치과 구강악안면외과교실)
  • Published : 2000.03.31
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Abstract

In general, treatment of the patients with closed lock divides into a conservative and a surgical treatment. Surgical treatment has been often applied in case that occlusal splint therapy was not effective on the patient with closed lock. In recent, some clinicians reported good results with mandibular manipulation. Three patients complained limitation of month opening-(mean mouth opening was 22.3mm) and TMJ pain. Articular discs were displaced anteriorly on MRI. Two patients didn't improve the symptoms with long term occlusal splint therapy. We applied mandibular manipulation after injection with 2% lidocaine into the upper joint space of the affected TMJ and directly inserted occlusal splint to all patients. At the follow-up check, mean mouth opening was 41.7mm. TMJ pain decreased, condyle and disc relationship was improved functionally on MRI.

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