지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 331 - 335 (5page)
이용수
초록· 키워드
오류제보하기
Clinical limitations following closed reduction of an intracapsular condylar fracture include a decrease in maximum mouth opening, reduced range of mandibular movements such as protrusion/lateral excursion, and reduced occlusal stability. Anteromedial and inferior displacement of the medial condyle fragment by traction of the lateral pterygoid muscle can induce bone overgrowth due to distraction osteogenesis between the medial and lateral condylar fragments, causing structural changes in the condyle. In addition, when conventional maxillomandibular fixation (MMF) is performed, per-sistent interdental contact sustains masticatory muscle hyperactivity, leading to a decreased vertical dimension and premature contact of the posterior teeth. To resolve the functional problems of conventional closed reduction, we designed a novel method for closed reduction through protrusive MMF for two weeks. Two patients diagnosed with intracapsular condylar fracture had favorable occlusion after protrusive MMF without premature contact of the posterior teeth. This particular method has two main advantages. First, in the protrusive position, the lateral condylar fragment is moved in the anterior-inferior direction closer to the medial fragment, minimizing bone formation between the two fragments and preventing structural changes. Second, in the protrusive position, posterior disclusion occurs, preventing masticatory muscle hyperactivity and the subsequent gradual decrease in ramus height.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Alajbeg IZ / 2006 / The influence of age and dental status on elevator and depressor muscle activity / J Oral Rehabil 33 : 94 ~ 101
Assael LA / 2003 / Open versus closed reduction of adult mandibular condyle fractures: an alternative interpretation of the evidence / J Oral Maxillofac Surg 61 : 1333 ~ 133
Brandt MT / 2003 / Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management /
Canter HI / 2007 / Botulinum toxin in closed treatment of mandibular condylar fracture / Ann Plast Surg 58 : 474 ~ 478
Cascone P / 1999 / Condylar fractures during growth: follow-up of 16 patients / J Craniofac Surg 10 : 87 ~ 92
Assael LA / 2003 / Open versus closed reduction of adult mandibular condyle fractures: an alternative interpretation of the evidence / J Oral Maxillofac Surg 61 : 1333 ~ 133
Brandt MT / 2003 / Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management /
Canter HI / 2007 / Botulinum toxin in closed treatment of mandibular condylar fracture / Ann Plast Surg 58 : 474 ~ 478
Cascone P / 1999 / Condylar fractures during growth: follow-up of 16 patients / J Craniofac Surg 10 : 87 ~ 92
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