• 대한치과의사협회지
• /
• 제44권2호통권441호
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• pp.108-114
• /
• 2006

• 대한치과의사협회지
• /
• 제20권9호통권160호
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• pp.749-752
• /
• 1982

언청이 환자에 있어 문제가 되는 것은 Speech, mastication, Deglutition, Occlusion, Cosmetics 등이며 소아과, 성형외과, Speech therapist, 구강외과, 교정과, 악안면 보철과 등이 Team member로 구성되고 개개인의 환자는 각자의 상태에 따라서 기능적으로나 심미적으로 최선의 치료를 받게된다.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1996년도 추계학술대회
• /
• pp.42-43
• /
• 1996

• 대한치과의사협회지
• /
• 제36권6호통권349호
• /
• pp.409-413
• /
• 1998

• 대한치과의사협회지
• /
• 제36권6호통권349호
• /
• pp.414-416
• /
• 1998

• 대한치과의사협회지
• /
• 제36권6호통권349호
• /
• pp.417-419
• /
• 1998

• 대한치과의사협회지
• /
• 제24권1호통권200호
• /
• pp.38-41
• /
• 1986

• 대한치과의사협회지
• /
• 제27권5호통권240호
• /
• pp.453-457
• /
• 1989

• 대한치과의사협회지
• /
• 제34권12호통권331호
• /
• pp.906-908
• /
• 1996

• 대한구강악안면병리학회지
• /
• 제42권5호
• /
• pp.145-152
• /
• 2018

A 57 years old female complained of severe pain on the right temporomandibular joint (TMJ) area. Her right condyle had been partly resected under surgical operation 13 years ago due to condyle hypertrophy, thereafter she felt dull pain on TMJ area and recently the lesion became severely swelled and painful leading to cancer phobia. The present radiological views showed slightly enlarged and sclerosed condyle with increased radiopacity, but its articular sliding function was almost disable during mouth opening. The patient's TMJ lesion was carefully managed with conservative physiotherapy and pain treatment. The microsection of condyle head obtained from the previous operation was re-evaluated histologically, and it was finally diagnosed as osteochondrosis dissecans (OCD), exhibiting hyperplastic proliferation of cartilage in condyle head and marked vascular dilatation in epiphyseal zone. This abnormal cartilage tissue was distinguishable from normal cartilage tissue found in the peripheral cartilaginous cap of the same microsection. The involved cartilage cap showed thick hypertrophic chondrocyte zone with horizontal and vertical clefts accompanying diffuse hyaline degeneration. The superficial fibrous zone of cartilage cap was thickened and frequently peeled off, while lower hypertrophic zone of cartilage cap was highly cellular and proliferative. Consequently, the endochondral ossification became aberrant and resulted pre-mature apoptosis of many hypertrophic chondrocytes, followed by diffuse and mild inflammatory reaction in the underlying marrow tissue. Therefore, it was suggested that this hypertrophic condyle lesion, OCD, be differentiated depending on radiological and histological features from ordinary condyle hyperplasia, osteochondroma, and osteoarthritis, and that the pathological confirmation of OCD may provide a reliable modality for dental and medical treatment of chronic and painful TMJ lesion.