Orthodontic and surgical treatment of a patient with an ankylosed temporomandibular joint.
This article describes the surgical and orthodontic treatment of a girl with facial deformities and functional involvement. The left temporomandibular joint was ankylosed, and the lower third of the face was markedly deficient, with mandibular retrusion and severe laterognathism to the left side. Mouth-opening was limited, and the patient had problems speaking and chewing. Two surgical procedures had been performed previously at another institution. We treated the patient with condylar surgery while she was still growing, followed by orthodontic treatment and orthognathic surgery after growth was complete. Twelve-year follow-up records are presented.
Motta
Alexandre
A
Department of Orthodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil. alemotta@rjnet.com.br
Louro
Rafael Seabra
RS
Medeiros
Paulo José D'Albuquerque
PJ
Capelli
Jonas
J
D000844:Ankylosis / Q000150:complications / Q000209:etiology / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods; D001720:Birth Injuries / Q000150:complications; D016025:Bone Transplantation; D002508:Cephalometry / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000209:etiology / Q000628:therapy; D008334:Mandible / Q000601:surgery; D008337:Mandibular Fractures / Q000150:complications; D008409:Mastication; D019767:Maxillofacial Abnormalities / Q000150:complications* / Q000601:surgery / Q000628:therapy; D009971:Orthodontics, Corrective / Q000379:methods*; D013064:Speech Disorders / Q000209:etiology; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000209:etiology / Q000601:surgery*