Abstract
This article reports the successful surgical-orthodontic treatment of an elderly patient with dentofacial deformity and signs and symptoms of temporomandibular disorder (TMD). The patient was a 63-year-old woman with a concave profile due to mandibular protrusion. To correct skeletal deformities, the mandible was posteriorly repositioned by employing intraoral vertical ramus osteotomy (IVRO) following presurgical orthodontic treatment. After active treatment for 31 months, the facial profile was significantly improved and satisfactory occlusion was achieved. In addition, TMD symptoms of clicking sounds on the left side and difficulty in mouth opening were resolved. Regarding the findings of magnetic resonance imaging, anterior disc displacement in the opening phase was improved in the temporomandibular joint on the left side. Furthermore, stomatognathic functions were also improved without any aggravation of age-related problems. In conclusion, surgical repositioning of the mandible using IVRO leads to both morphological and functional improvements even in elderly patients.
| Original language | English |
|---|---|
| Pages (from-to) | 345-349 |
| Number of pages | 5 |
| Journal | Acta Medica Okayama |
| Volume | 64 |
| Issue number | 5 |
| Publication status | Published - 2010 |
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Keywords
- Elderly patient
- Intraoral vertical ramus osteotomy
- Orthodontics
- Temporomandibular disorder
ASJC Scopus subject areas
- Medicine(all)
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Intraoral vertical ramus osteotomy improved the stomatognathic function in an elderly patient with mandibular protrusion : A case report. / Ishihara, Yoshihito; Kuroda, Shingo; Kawanabe, Noriaki; Takano-Yamamoto, Teruko; Yamashiro, Takashi.
In: Acta Medica Okayama, Vol. 64, No. 5, 2010, p. 345-349.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intraoral vertical ramus osteotomy improved the stomatognathic function in an elderly patient with mandibular protrusion
T2 - A case report
AU - Ishihara, Yoshihito
AU - Kuroda, Shingo
AU - Kawanabe, Noriaki
AU - Takano-Yamamoto, Teruko
AU - Yamashiro, Takashi
PY - 2010
Y1 - 2010
N2 - This article reports the successful surgical-orthodontic treatment of an elderly patient with dentofacial deformity and signs and symptoms of temporomandibular disorder (TMD). The patient was a 63-year-old woman with a concave profile due to mandibular protrusion. To correct skeletal deformities, the mandible was posteriorly repositioned by employing intraoral vertical ramus osteotomy (IVRO) following presurgical orthodontic treatment. After active treatment for 31 months, the facial profile was significantly improved and satisfactory occlusion was achieved. In addition, TMD symptoms of clicking sounds on the left side and difficulty in mouth opening were resolved. Regarding the findings of magnetic resonance imaging, anterior disc displacement in the opening phase was improved in the temporomandibular joint on the left side. Furthermore, stomatognathic functions were also improved without any aggravation of age-related problems. In conclusion, surgical repositioning of the mandible using IVRO leads to both morphological and functional improvements even in elderly patients.
AB - This article reports the successful surgical-orthodontic treatment of an elderly patient with dentofacial deformity and signs and symptoms of temporomandibular disorder (TMD). The patient was a 63-year-old woman with a concave profile due to mandibular protrusion. To correct skeletal deformities, the mandible was posteriorly repositioned by employing intraoral vertical ramus osteotomy (IVRO) following presurgical orthodontic treatment. After active treatment for 31 months, the facial profile was significantly improved and satisfactory occlusion was achieved. In addition, TMD symptoms of clicking sounds on the left side and difficulty in mouth opening were resolved. Regarding the findings of magnetic resonance imaging, anterior disc displacement in the opening phase was improved in the temporomandibular joint on the left side. Furthermore, stomatognathic functions were also improved without any aggravation of age-related problems. In conclusion, surgical repositioning of the mandible using IVRO leads to both morphological and functional improvements even in elderly patients.
KW - Elderly patient
KW - Intraoral vertical ramus osteotomy
KW - Orthodontics
KW - Temporomandibular disorder
UR - http://www.scopus.com/inward/record.url?scp=78149427234&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78149427234&partnerID=8YFLogxK
M3 - Article
VL - 64
SP - 345
EP - 349
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 5
ER -