측두하악장애, 골관절염 환자의 교정치료; 교정 시 고려사항
Orthodontic Treatment of Patients with Temporomandibular Disorders, Degenerative Joint Disease; Before, During and After Treatment Considerations
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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.
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.
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