Sato H, Fujii T, Uetani M, Kitamori H
Department of Removable Prosthodontics, Nagasaki University School of Dentistry, Japan.
Cranio. 1997 Jan;15(1):84-8. doi: 10.1080/08869634.1997.11745996.
A 42 year old female with temporomandibular disorders (TMD) was treated by anterior mandibular repositioning which was followed-up clinically and tomographically. The authors tomographically reconfirmed the mandibular repositioning and discovered a type of condyle remodeling which they had not seen previously. Although clinical signs and symptoms of TMD were removed and the condyle was centered tomographically by the anterior repositioning, the MRI image indicated the disk was displaced anteriorly and laterally. The results suggest that image analysis of temporomandibular joint (TMJ) is beneficial and careful application of the treatment for anterior repositioning is recommended.
一名患有颞下颌关节紊乱症（TMD）的42岁女性接受了下颌前复位治疗，并进行了临床和断层扫描随访。作者通过断层扫描再次确认了下颌复位情况，并发现了一种他们之前未曾见过的髁突重塑类型。尽管TMD的临床体征和症状已消除，且通过前复位髁突在断层扫描中居中，但MRI图像显示关节盘向前和向外侧移位。结果表明，颞下颌关节（TMJ）的图像分析是有益的，建议谨慎应用前复位治疗。
