Intermaxillary traction using a splint with brackets to treat open bite in temporomandibular joint rheumatoid arthritis patients

Rheumatoid arthritis (RA) is a chronic inflammatory joint disease characterized by immunologic abnormalities. Although the temporomandibular joint (TMJ) can be involved, TMJ changes with RA are unclear, and an optimal treatment for open bite in patients with RA has not been established. We report a...

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Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 18; no. 2; pp. 143 - 147
Main Authors OKAMOTO, Toshihiro, ARAKAWA, Tadahiro, FUKADA, Kenji, KOMIYA, Chiyuki, KUWAZAWA, Takaho, OGIUCHI, Hideki
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 2006
Subjects
intermaxillary traction
rheumatoid arthritis
splint therapy
temporomandibular joint
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Summary:Rheumatoid arthritis (RA) is a chronic inflammatory joint disease characterized by immunologic abnormalities. Although the temporomandibular joint (TMJ) can be involved, TMJ changes with RA are unclear, and an optimal treatment for open bite in patients with RA has not been established. We report a new experimental conservative TMJ treatment for RA patients. The patients had RA associated with regression of the mandible and open bite. We used separate-type splints with surgical brackets and intermaxillary rubber traction. Clinical findings showed a decrease in the range of open bite and the anterior part of the mandible after intermaxillary rubber traction. We recommend the use of splints with surgical brackets as a conservative treatment for improving open bite and for preventing replacement of the mandible.
ISSN:0915-3004
1884-4308
DOI:10.11246/gakukansetsu1989.18.143