Abstract:
Pediatric temporomandibular joint (TMJ) disorders represent a broad range of congenital and acquired diagnoses. Dentofacial deformities, including facial asymmetry, retrognathism, and malocclusion, commonly develop. Compared with adult TMJ conditions, pain and articular disc pathology are less common. Accurate diagnosis is paramount in planning and prognostication. Several specific considerations apply in preparation for skeletal correction, including timing in relation to disease progression and growth trajectory, expectation for postcorrection stability, reconstructive technique as it applies to expected durability and need for future revision, management of occlusion, and need for ancillary procedures to optimize correction. This article reviews common conditions and treatment considerations.
摘要:
小儿颞下颌关节(TMJ)疾病代表了广泛的先天性和获得性诊断。牙面畸形,包括面部不对称,逆行,和错牙合,普遍发展。与成人TMJ条件相比,疼痛和关节盘病理较少见。准确的诊断在计划和预测中至关重要。几个具体的考虑适用于骨骼矫正的准备,包括与疾病进展和生长轨迹相关的时机,对校正后稳定性的期望,重建技术,因为它适用于预期的耐久性和未来修订的需要,闭塞的管理,并需要辅助程序来优化校正。本文回顾了常见的情况和治疗注意事项。