In the treatment of orthodontic patients with idiopathic condylar resorption, symptoms of temporomandibular joint disorders and constantly changing occlusions caused by an instability of mandibular position make it difficult for orthodontists to confirm definitive orthodontic diagnosis and treatment plans. Therefore, these patients' temporomandibular joint (TMJ) structures need to be stabilized with splint therapy before active tooth movement to identify and maintain the true mandibular position. For some idiopathic condylar resorption patients, orthognathic surgery can cause further resorption on the vulnerable condyles of the mandible; thus, effective orthodontic camouflage treatment after joint stabilization should be considered. During the orthodontic camouflage treatment, adverse loads on the TMJ structures, which could change the position of condyles, should be avoided, and TMJ-friendly mechanics must be applied.
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| http://dx.doi.org/10.1016/j.ejwf.2023.12.001 | DOI Listing |
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- The narrative review focuses on the rise of pediatric temporomandibular disorders (TMDs) in maxillofacial clinics, highlighting the need for updated treatment approaches.
- It discusses key categories of TMD, including myogenous and arthogenous pain, juvenile idiopathic arthritis (JIA), and reconstruction, emphasizing the importance of psychosocial management and cautious medication use in children.
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Histopathology of Idiopathic Condylar Resorption Differs From Temporomandibular Joint-Only Juvenile Idiopathic Arthritis.
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Chair, Department of Oral & Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, MA; Chief, Division of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:
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