PDF(Pubmed)
Abstract：
The Damon system is an effective, less-invasive treatment that provides orthodontic dentists with an adequate biomechanical process, offering a reduction in treatment time; patients with temporomandibular dysfunction present even greater complexity in their clinical picture, relying on clinical and radiographic differential diagnoses to facilitate a good prognosis. The objective was to apply the orthodontic treatment (Damon technique) to stabilize patients with temporomandibular dysfunction. The patient with premature loss of the first lower molars (36 and 46) experienced pathological alterations in the temporomandibular joints (TMJs) (bilaterally). The diagnosis was reached using the clinical history of temporomandibular joint disorders (diagnostic criteria) axis II: moderate pain (VAS) in muscles, moderate stress (Hamilton 51/60), lateral and panoramic cephalic radiographs, magnetic resonance imaging of bilateral TMJ, cephalometry, photographs, and models. Treatment with the Damon system is recommended to recover optimal functional occlusion in a short period, followed by referral for oral rehabilitation as an adjunct to the treatment plan. The verticalization of the second molars, maximum optimal intercuspidation, appropriate overbite and overjet, and pain control in the TMJ were evaluated. Stabilization of the disc condyle complex by eliminating interference and premature points of contact providing cervical/cranio/mandibular balance.
摘要：
Damon系统是有效的,微创治疗，为正畸牙医提供足够的生物力学过程，减少治疗时间；颞下颌关节功能障碍患者的临床表现更加复杂，依靠临床和影像学鉴别诊断来促进良好的预后。目的是应用正畸治疗（Damon技术）来稳定颞下颌关节功能障碍患者。第一下磨牙过早丢失（36和46）的患者在颞下颌关节（TMJ）（双侧）发生了病理性改变。使用颞下颌关节紊乱病的临床病史（诊断标准）轴II：肌肉中度疼痛（VAS），中等应力（汉密尔顿51/60），侧面和全景头部射线照片，双侧TMJ的磁共振成像，头颅测量,照片,和模型。建议使用Damon系统进行治疗，以在短时间内恢复最佳功能闭塞，随后转诊口腔康复作为治疗计划的辅助手段.第二磨牙的垂直化，最大最佳插入，适当的过咬和过喷，并评估TMJ的疼痛控制。通过消除干扰和过早的接触点来稳定椎间盘髁复合体，从而提供颈/颅/下颌平衡。
