Summary
In this case report, crowding malocclusion with TMJ (temporomandibular joint) closed lock was treated with modified offset archwire (MOAW) and multi-loop edgewise archwire (MEAW). Owing to the TMD (temporomandibular disorder) problems, we decided to extract the lower third and upper second molars. Crowding in the upper and lower arches was successfully treated with the improvement of TMD. Condylar movement was improved by orthodontic treatment with ΔY shift noted on condylographic evaluation. Two years after the treatment, the occlusion was fairly stable.
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Artun J, Hollender LG, Truelove EL. Relationship between orthodontic treatment, condylar position, and internal derangement in the temporomandibular joint. Am J Orhtod Dentofacial Orthop 1992;101:48–53
Burden D, Johnston C, Kennedy D, Harradine N, Stevenson M. A cephalometric study of Class II malocclusion treated with mandibular surgery. Am J Orthod Dentofacial Orthop 2007;131:1–8
Conti PC, dos Santos CN, Kogawa EM, de Castro Ferreira Conti AC, de Araujo Cdos R. The treatment of painful temporomandibular joint clicking with oral splints: a randomized clinical trial. J Am Dent Assoc 2006;137:1108–14
Ellis CP. Category 6: Class II devision 1 malocclusion treated with extraction of permanent teeth. Am J Orthod Dentofacial Orthop 2005;128:231–40
Gonzalez-Garcia R, Rodriquez-Camopo FJ, Monje F, Sastre-Perez J, Gil-Diez Usandizaga JL. Operative versus simple arthroscpic surgery for chronic closed lock of the temporomandibular joint: a clinical study of 344 arthroscopic procedures. Int J Oral Maxillofac Surg 2008;37:790–6
Greatrex PA, Sampson WJ, Richards LC, Twelftree CC. The extraction of permanent second molars and its effect on the dentofacial complex of patients treated with the Tip-Edge appliance. Eur J Orthod 2002;24:501–18
Janson G, Barros SE, de Freitas MR, Henriques JF, Pinzan A. Class II treatment efficiency in maxillary premolar extraction and nonextraction protocols. Am J Orthod Dentofacial Orthop 2007;132:490–8
Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. Angle Orthod 1987;57:290–321
Kurita H, Kurashina K, Ohtsuka A. Efficacy of a mandibular manipulation technique in reducing the permanently displaced temporomandibular joint disc. J Oral Maxillofac Surg 1999;57:784–7
Murakami K, Moriya Y, Goto K, Segami N. Four-year follow-up study of temporomandibular joint arthroscopic surgery for advanced stage internal derangements. J Oral Maxillofac Surg 1996;54:285–90
Ohnuki T, Fukuda M, Nakata A, Nagai H, Takahashi T, Sasano T, Miyamoto Y. Evaluation of the position, mobility, and morphology of the disc by MRI before and after four different treatments for temporomandibular joint disorders. Dentomaxillofac Radiol 2006;35:103–9
Onodera K, Kawagoe T, Sasaguri K, Quismundo CP, Sato S. The use of a BruxChecker in the evaluation of different grinding patterns during sleep bruxism. Cranio 2006;24:292–9
Owen AH III. Unexpected temporomandibular findings during fixed appliance therapy. Am J Orhtod Dentofacial Orthop 1998;113:625–31
Pangrazio-Kulbersh V, Berger JL, Kaczynski R, Shunock M. Stability of skeletal Class II correction with 2 surgical techniques: the sagittal splint ramus osteotomy and the total mandibular subapical alveolar osteotomy. Am J Orhtod Dentofacial Orthop 2001;120:134–43
Rusanen J, Pirttiniemi P, Tervonen O, Raustia A. MRI of TMJ in patients with severe skeletal malocclusion following surgical/orthodontic treatment. Cranio 2008;26:182–90
Schmitter M, Zahran M, Duc JM, Henschel V, Rammelsberg P. Conservative therapy in patients with anterior disc displacement without reduction using 2 common splints: a randomized clinical trial. J Oral Maxillofac Surg 2005;63:1295–303
Slavicek R. Clinical and instrumental functional analysis for diagnosis and treatment planning. Part 6. Computer-aided diagnosis and treatment planning system. J Clin Orthod 1988;22:718–29
Slavicek R. Clinical and instrumental functional analysis for diagnosis and treatment planning. Part 7. Computer-aided axiography. J Clin Orthod 1988;22:776–87
Suzuki K, Mito T, Ishizaki K, Sato S. Mandibular lateral translation during symmetric mandibular function in relation to patterns of intracapsular derangement of TMJ. J Stomato Occl Med 2009;2:16–23
Waters D, Harris EF. Cephalometric comparison of maxillary second molar extraction and nonextraction treatments in patients with Class II malocclusion. Am J Orthod Dentofacial Orthop 2001;120:608–13
Williamson EH, Sheffield JW. The treatment of internal derangement of the temporomandibular joint: a survey of 300 cases. Cranio 1987;5:120–4
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Kawagoe, T., Akimoto, S. & Sato, S. Orthodontic treatment of severe crowding malocclusion with temporomandibular joint closed-lock by means of multi-loop edgewise archwire: a case report. J. Stomat. Occ. Med. 3, 49–60 (2010). https://doi.org/10.1007/s12548-010-0041-9
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DOI: https://doi.org/10.1007/s12548-010-0041-9