A Case of Open Bite by Mandibular Retrusion Treated with Oral Rehabilitation

  • Yamamoto Satoru
    Department of Oral Functional Prosthodontics, Division of Oral Functional Science, Graduate School of Dental Medicine, Hokkaido University

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  • 下顎の後退による開咬に対して咬合再構成を行った症例

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Abstract

Patient: A 58-year-old female with the chief complaints of trismus and pain around the left temporomandibular joint. The mandibular position was deviated backward and tooth contact was not found in the anterior region. As a result, the mandibular position was unstable. Therefore it was stabilized by splint therapy, followed by behavioral and cognitive therapies, and the occlusion was reconstructed thereafter.<br>Discussion: It was thought that recovery of occlusal contact in the whole jaw, including the anterior region, and adequate setting of anterior guidance resulted in stability of the mandibular position, and guidance for parafunction prevented a relapse of the symptoms.<br>Conclusion: In this case, as a result of stabilization of the mandibular position by an occlusal splint followed by behavioral and cognitive therapies and occlusal reconstruction, a favorable prognosis was obtained.

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