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J Korean Dent Assoc > Volume 61(11); 2023 > Article
CASE REPORT
Journal of Korean Dental Association 2023;61(11):731-741.
DOI: https://doi.org/10.22974/jkda.2023.61.11.005    Published online October 31, 2023.
턱관절의 골관절염으로 발생한 편측 구치부 개교증 환자에서 턱관절 세정술과 악간 견인 장치를 이용한 치료의 증례보고
최유성  , 곽현진  , 김소현  , 송인재  , 남윤주  , 김복주  , 김정한  , 김철훈 
동아대학교 의과대학 구강악안면외과학교실
Arthrocentesis and intermaxillary traction appliance in a patient with unilateral posterior open bite caused by temporomandibular osteoarthritis : A Case Report
You-Seong Choi  , Hyun-Jin Kwak  , So-Hyeon Kim  , In-Jae Song  , Yoon-Ju Nam  , Bok-Joo Kim  , Jung-Han Kim  , Chul-Hoon Kim 
Department of Oral and Maxillofacial Surgery, College of Medicine, Dong-A University
Correspondence:  Chul-Hoon Kim, Tel: +82-51-240-5470, Fax: +82-51-241-5475, 
Email: bbp2000@dau.ac.kr
Received: 17 July 2023   • Revised: 27 July 2023   • Accepted: 4 October 2023
Abstract
Osteoarthritis in the temporomandibular joint (TMJ) affects surrounding soft and hard tissues including cartilage, sub-chondral bone, and synovial membrane, causing TMJ remodeling and articular cartilage abrasion. When degenerative bone changes worsen in some patients with osteoarthritis, facial skeletal remodeling occur such as chin deviation, malocclusion. In patients with TMJ osteoarthritis, it is important to expand the joint space and decompress it. When pathological changes in the joint are observed, minimally invasive treatment such as intra-articular injection and arthrocentesis can be performed. An intermaxillary traction appliance can be applied for a short period of time to patients with TMJ osteoarthritis with oc-clusal changes. The purpose of this report is to review the case using arthrocentesis and intermaxillary traction appliance along with conservative treatment in a patient with unilateral posterior open bite caused by temporomandibular disorder(osteoarthritis), and to report the importance of appropriate diagnosis and treatment of temporomandibular disorder.
Key Words: Temporomandibular disorder; Osteoarthritis; Occlusal change; Arthrocentesis; Intermaxillary traction appliance
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ORCID iDs

You-Seong Choi
https://orcid.org/0000-0002-5022-8340

Hyun-Jin Kwak
https://orcid.org/0000-0002-0110-0826

So-Hyeon Kim
https://orcid.org/0000-0002-4953-9627

In-Jae Song
https://orcid.org/0009-0004-6930-6953

Yoon-Ju Nam
https://orcid.org/0009-0007-3483-7377

Bok-Joo Kim
https://orcid.org/0000-0002-7482-8738

Jung-Han Kim
https://orcid.org/0000-0002-3469-6136

Chul-Hoon Kim
https://orcid.org/0000-0002-2719-1922

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