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Retreating orthodontic failures: Part II

D Keller

    Journal of General Orthodontics
    |September 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    Some orthodontic treatments can cause temporomandibular joint (TMJ) problems, leading to treatment failure. This study presents a successful retreatment method for patients who developed TMJ disorders after initial orthodontic care.

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    Area of Science:

    • Orthodontics
    • Temporomandibular Joint Disorders (TMJD)

    Background:

    • Previous orthodontic treatments by specialists failed for 44 patients due to functional reasons.
    • Some orthodontic methods were previously shown to initiate temporomandibular joint (TMJ) problems.

    Purpose of the Study:

    • To present a successful retreatment method for patients with TMJ problems resulting from prior orthodontic treatment.
    • To address inadequacies in existing orthodontic methods that lead to unsatisfactory and unstable results.

    Main Methods:

    • Review of literature on TMJ function and orthodontic treatment impacts.
    • Identification of orthodontic treatments that disrupt the optimal functional relationship of the TMJ.
    • Application of a novel retreatment method for patients with failed orthodontic treatment and TMJD.

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    Main Results:

    • Conventional orthodontic methods can place pathologic forces on the TMJ, increasing the incidence of joint signs and symptoms.
    • The presented retreatment method demonstrated success in addressing TMJD in patients with prior failed orthodontic treatments.

    Conclusions:

    • Current orthodontic treatment guidelines may be flawed if they lead to patient structural damage.
    • A revised treatment approach is necessary to correct TMJ problems arising from inadequate orthodontic interventions.
    • The developed retreatment method offers a viable solution for managing TMJD post-orthodontic treatment.