Intermaxillary elastic traction applied to three adult open-bite patients

Generally it is more difficult to treat adult patients suffering from open-bite because of relapse occurrence. Recently we had a good result in treatment of open bite by application of intermaxillary elastic traction with bite splint. For treatment of three cases diagnosed as arthrosis of the tempor...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 31; no. 6; pp. 1561 - 1568
Main Authors OKA, Masuichiro, NAKAZATO, Kazunari, MUKAE, Fujio, TAKENOSHITA, Yasuharu
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 1985
Subjects
intermaxillary elastic traction
Open bite
TMJ arthrosis
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.31.1561

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Abstract Generally it is more difficult to treat adult patients suffering from open-bite because of relapse occurrence. Recently we had a good result in treatment of open bite by application of intermaxillary elastic traction with bite splint. For treatment of three cases diagnosed as arthrosis of the temporomandibular joint with open bite, this method was indicated. Intermaxillary elastic traction was made for 28 days to 2 months. Improvement in open bite was attained in 10 to 21 days. To prevent the relapse after closing open bite, we instructed them to use a chin cap during the night at least for half a year. None of these cases had relapse of open-bite or TMJ arthrosis. As improvement mechanism, it was considered that open bite closing was obtained by inclination of upper anterior upward. So we can conclude that this method was useful for treatment of the open-bite patient with a normal molar occlusion.
AbstractList Generally it is more difficult to treat adult patients suffering from open-bite because of relapse occurrence. Recently we had a good result in treatment of open bite by application of intermaxillary elastic traction with bite splint. For treatment of three cases diagnosed as arthrosis of the temporomandibular joint with open bite, this method was indicated. Intermaxillary elastic traction was made for 28 days to 2 months. Improvement in open bite was attained in 10 to 21 days. To prevent the relapse after closing open bite, we instructed them to use a chin cap during the night at least for half a year. None of these cases had relapse of open-bite or TMJ arthrosis. As improvement mechanism, it was considered that open bite closing was obtained by inclination of upper anterior upward. So we can conclude that this method was useful for treatment of the open-bite patient with a normal molar occlusion.
Author TAKENOSHITA, Yasuharu
NAKAZATO, Kazunari
OKA, Masuichiro
MUKAE, Fujio
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  fullname: TAKENOSHITA, Yasuharu
  organization: Second Department of Oral Surgery, Faculty of Dentistry, Kyushu University
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References 8) 伊藤学而: 開咬の診断. 歯界展望58: 251-260 1981.
19) 杉浦正己, 小池一喜: 顎関節症の心身医学的療法. 臼歯評論425: 72-82 1978.
11) 田中進平, 三品明, 他: 開咬の形態的研究 (第3報)-III級の開咬-I+II級の開咬とIII級の開咬の比較 (抄). 日矯歯誌40: 436 1981.
14) 川本達雄: 開咬の器械的矯正治療法. 歯界展望 58: 271-278 1981.
6) Bjork, A. Variations in the growth pattern of the human mandible; Longitudinal radiographic study by the implant method. J Dent Res 42: 400-411 1963.
5) 河田照茂, 宇山一正: 開咬の臨床 (治療). 歯界展望58: 219-226 1981.
25) 泉祐幸: 顎間固定下におけるサル顎関節円板微細損傷の治癒に関する実験的研究. 口病誌49: 378-417 1981.
12) Hellsing, G. and Holmlund, A.: Arthroscopy of the temporomandibular joint. Int J Oral Surg 13: 69-74 1984.
10) 三品明, 田中進平, 他: 開咬の形態的研究 (第2報)-I+II級の開咬-(抄). 日矯歯誌40: 436 1981.
4) Walker, R. V.: Oral Surgery. Ist Ed, E &S 249 Livingstonc, Edinburgh and London, 1970, p1-7.
13) 大西正俊: 顎関節鏡視法の開発とその臨床応用. 口科誌31: 487-512 1982.
17) 大橋靖: 開咬の外科的矯正治療. 歯界展望58: 289-297 1981.
9) 広瀬久三, 望月幹久, 他: 成長期の骨格性開咬患者に用いた顎外力の効果について. 日矯歯誌40: 356-377 1981.
26) Tam, J. C.: Open-bite resulting from an untreatedright and left condylar fracture. Oral Surg 6: 805-811 1953.
20) 渡辺誠, 佐々木啓一, 他: 頸関節症のスプリント療法. 歯界展望63: 29-38 1984.
23) 沢田明, 金野勇: 顎関節症治療に対する新しい試み-エアークッションと犬歯誘導の応用-歯界展望63: 65-79 1984.
22) 川勝賢作, 高田和彰, 他: 顎関節症の臨床的研究. 第4報FKO様装置による治療成績について (抄). 日口外誌18: 677-678 1972.
18) 竹之下康治, 岡増一郎: 顎関節症の薬物療法. 耳鼻臨床73: 1806-1808 1980.
2) 滝本和男監修: 開咬その基礎と臨床. 策1版, 医歯薬出版, 東京, 1979, 227-233頁.
15) 中川皓文: 成人における開咬の機能的治療法. 歯界展望58: 271-287 1981.
21) 高久邊: 変形性顎関節症の外科的療法と予後について. 日口外誌26: 436-447 1980.
24) 中富憲次郎, 津田武明, 他: 顎関節症の治療-咬合副子の試用について (抄). 日口外誌18: 678 1972.
7) Richardson, A.: A classification of open bites. Euro J Orthod 3: 289-296 1981.
3) 大西正俊: 顎関節症に対する顎間牽引療法について. デンタルダイヤモンド7: 168-172 1982.
16) 稲葉繁, 亀沢広嗣: 開咬の補綴的治療. 歯界展望58: 299-307 1981.
1) 宮原煕: 開咬治療の機序と治療効果の評価. 歯界展望58: 261-269 1981.
References_xml – reference: 12) Hellsing, G. and Holmlund, A.: Arthroscopy of the temporomandibular joint. Int J Oral Surg 13: 69-74 1984.
– reference: 13) 大西正俊: 顎関節鏡視法の開発とその臨床応用. 口科誌31: 487-512 1982.
– reference: 19) 杉浦正己, 小池一喜: 顎関節症の心身医学的療法. 臼歯評論425: 72-82 1978.
– reference: 26) Tam, J. C.: Open-bite resulting from an untreatedright and left condylar fracture. Oral Surg 6: 805-811 1953.
– reference: 8) 伊藤学而: 開咬の診断. 歯界展望58: 251-260 1981.
– reference: 21) 高久邊: 変形性顎関節症の外科的療法と予後について. 日口外誌26: 436-447 1980.
– reference: 9) 広瀬久三, 望月幹久, 他: 成長期の骨格性開咬患者に用いた顎外力の効果について. 日矯歯誌40: 356-377 1981.
– reference: 15) 中川皓文: 成人における開咬の機能的治療法. 歯界展望58: 271-287 1981.
– reference: 20) 渡辺誠, 佐々木啓一, 他: 頸関節症のスプリント療法. 歯界展望63: 29-38 1984.
– reference: 10) 三品明, 田中進平, 他: 開咬の形態的研究 (第2報)-I+II級の開咬-(抄). 日矯歯誌40: 436 1981.
– reference: 6) Bjork, A. Variations in the growth pattern of the human mandible; Longitudinal radiographic study by the implant method. J Dent Res 42: 400-411 1963.
– reference: 14) 川本達雄: 開咬の器械的矯正治療法. 歯界展望 58: 271-278 1981.
– reference: 18) 竹之下康治, 岡増一郎: 顎関節症の薬物療法. 耳鼻臨床73: 1806-1808 1980.
– reference: 3) 大西正俊: 顎関節症に対する顎間牽引療法について. デンタルダイヤモンド7: 168-172 1982.
– reference: 11) 田中進平, 三品明, 他: 開咬の形態的研究 (第3報)-III級の開咬-I+II級の開咬とIII級の開咬の比較 (抄). 日矯歯誌40: 436 1981.
– reference: 4) Walker, R. V.: Oral Surgery. Ist Ed, E &S 249 Livingstonc, Edinburgh and London, 1970, p1-7.
– reference: 7) Richardson, A.: A classification of open bites. Euro J Orthod 3: 289-296 1981.
– reference: 17) 大橋靖: 開咬の外科的矯正治療. 歯界展望58: 289-297 1981.
– reference: 1) 宮原煕: 開咬治療の機序と治療効果の評価. 歯界展望58: 261-269 1981.
– reference: 24) 中富憲次郎, 津田武明, 他: 顎関節症の治療-咬合副子の試用について (抄). 日口外誌18: 678 1972.
– reference: 16) 稲葉繁, 亀沢広嗣: 開咬の補綴的治療. 歯界展望58: 299-307 1981.
– reference: 22) 川勝賢作, 高田和彰, 他: 顎関節症の臨床的研究. 第4報FKO様装置による治療成績について (抄). 日口外誌18: 677-678 1972.
– reference: 23) 沢田明, 金野勇: 顎関節症治療に対する新しい試み-エアークッションと犬歯誘導の応用-歯界展望63: 65-79 1984.
– reference: 25) 泉祐幸: 顎間固定下におけるサル顎関節円板微細損傷の治癒に関する実験的研究. 口病誌49: 378-417 1981.
– reference: 2) 滝本和男監修: 開咬その基礎と臨床. 策1版, 医歯薬出版, 東京, 1979, 227-233頁.
– reference: 5) 河田照茂, 宇山一正: 開咬の臨床 (治療). 歯界展望58: 219-226 1981.
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StartPage 1561
SubjectTerms intermaxillary elastic traction
Open bite
TMJ arthrosis
Title Intermaxillary elastic traction applied to three adult open-bite patients
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