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J Korean Dent Assoc. 2023;61(5):344-357. Published online April 30, 2023.
DOI: https://doi.org/10.22974/jkda.2023.61.5.002
- 측두하악장애, 골관절염 환자의 교정치료;
교정 시 고려사항
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옥수민
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부산대학교 치의학전문대학원 구강내과학교실
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- Orthodontic Treatment of Patients with Temporomandibular Disorders, Degenerative Joint Disease; Before, During and After Treatment Considerations
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Soo-min Ok
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Department of Oral Medicine, Pusan National University, School of Dentistry, Dental Research Institute, Dental and Life Science Institute, Pusan National University Dental Hospital, Yangsan, Korea
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- Corresponding author: Soo-min Ok Tel: +82-55-360-5243, Fax: +82-55-360-5234, Email: oksoomin@pusan.ac.kr
- Received: January 9, 2023; Revised: January 16, 2023 Accepted: April 2, 2023.
- Abstract
- Signs and symptoms of Temporomandibular disorder(TMD) may appear before, during, or even after orthodontic treatment. It is recommended for all patients who visit clinics for orthodontic treatment to check the presence or absence of symptoms through a simple TMD evaluation and inform them of the results in advance.
Also, modifying the orthodontic treatment strategy depending on the presense of TMD is beneficial to patients.
In patients with weak physiologic tolerance who initially have no signs or symptoms of TMD, signs or symptoms may develop if the temporomandibular joint complexes fail to adapt to the changes following orthodontic treatment. To this end, periodic TMD inspections should be continued throughout treatment period and appropriate medical interventions for the temporomandibular joint should be performed. In addition, patients should be informed that it may be necessary to receive TMD treatment after stopping orthodontic treatment when TMD symptoms occur during orthodontic treatment, and that orthodontic treatment can be resumed when symptoms improve.
Keywords :Temporomandibular Disorders; Degenerative Joint Disease; Orthodontic Treatment
