Orthodontic finalization following therapy with an anterior repositioning splint.
After phase I splint therapy for the management of posterior condylar displacement, it is not unusual to find that a posterior open bite has been created. Finalization of a new occlusal position may be effected via occlusal equilibration, prosthodontics, orthodontics, orthognathic surgery, or a combination of these procedures. Stabilizing the occlusion with orthodontics in the new orthopedic jaw position requires a systemic approach. This article outlines a strategy for orthodontic finalization in phase II therapy. The splint-guided position is maintained while intra-arch and interarch malocclusions are corrected. The objective in treatment of posterior condylar displacement via splint therapy and orthodontics lies in the provision of a sound condylar position and the movement of the teeth and mandible into a stable and esthetic position.
Lew
K K
KK
Faculty of Dentistry, National University of Singapore.
D000293:Adolescent; D000328:Adult; D003724:Dental Arch / Q000473:pathology; D005260:Female; D006801:Humans; D007180:Incisor; D008310:Malocclusion / Q000209:etiology / Q000628:therapy*; D008335:Mandibular Condyle / Q000503:physiopathology; D017090:Occlusal Splints; D017289:Orthodontic Appliances, Functional; D009971:Orthodontics, Corrective / Q000379:methods*; D010347:Patient Care Planning; D013705:Temporomandibular Joint Disorders / Q000628:therapy*