| 미세직경 악관절경을 이용한 악관절 closed lock 환자의 치료 |
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이상화1, 최목균2, 정훈3 |
1가톨릭대학교 의과대학 치과학교실
2가톨릭대학교 의과대학 치과학교실
3정훈치과의원 |
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Sang-Hwa Lee1, Mok-Kyun Choie2, Hoon Chung3 |
1The Catholic University
2The Catholic University
3Chung Hoon Dental Clinic |
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| Abstract |
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Visually guided irrigation and lysis(VGIL) using temporomandibular joint(TMJ) arthroscope is useful for decreasing pain and increasing the functional mobility of TMJ. Also it demonstrated similar effectiveness comparing with arthrocentesis. Arthroscopy permits intracapsular inspection that is imperative not only for identification of morphological characteristics of joint space, but also for adequate irrigation and lysis of specific joint space. Conventional 2.3mm diameter arthroscope with 2.7mm catheter was too wide. So it was traumatic and uncomfortable to manipulate on temporomandibular joint space, especially on TMJ internal derangement patient with reduced space. We report our clinical experience on 6 TMJ closed lock patients who were treated with new 1.2mm fiberscope at Chung Hoon Dental Clinic between March 2003 and August 2003. Also we present clinical advantage & disadvantage of new system with literature review. |
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