An Orthodontic Approach for Garre’s Sclerosing Osteomyelitis of the Mandible
| Autor: | Cristian Dinu, Ioan Barbur, Gabriel Armencea, Alexandra Iulia Aghiorghiesei, Simion Bran, Adina Maria Barbur, Horia Opris, Mihaela Baciut, Grigore Baciut, Tudor-Sergiu Suciu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
mixed dentition Health Toxicology and Mutagenesis lcsh:Medicine Case Report 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine 030212 general & internal medicine Garre's sclerosing osteomyelitis Permanent teeth Orthodontics functional therapy business.industry Osteomyelitis lcsh:R Public Health Environmental and Occupational Health Mandible osteomyelitis 030206 dentistry medicine.disease Temporomandibular joint stomatognathic diseases medicine.anatomical_structure Tongue thrust Orthopedic surgery Overeruption business orthodontics |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 3159, p 3159 (2021) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | The nonsuppurative osteomyelitis of the mandible is a rare condition that can occur in children due to low-grade inflammatory processes, dental cavities, periodontal lesions as well as the eruption process of the teeth. We submit a case report involving the orthodontic management of a 9-year-old female patient who presented in our service in the mixed dentition period with diagnosed Garre’s sclerosing osteomyelitis of the entire mandibular body. After a full work-up, the following symptoms and signs were noted: bilateral temporomandibular joint (TMJ) pain, loss of the leeway space, anterior open bite, distalization of the secondary maxillary right canine, nail biting and tongue thrust. Our orthodontic objectives were to relieve the TMJ pain, limit the eruption process of the teeth and to diminish the evolution of the osteomyelitis, reduce the growth of the inferior lower third of the face and to prevent further invasive treatment of the patient. In the first phase of treatment, we established a centric relationship using an orthopedic appliance (occlusal splint) and physiotherapy to deprogram the muscles and the TMJ. Throughout the second phase of treatment, we used orthopedic appliances to inhibit the overeruption of the secondary molars. After another year of treatment, the osteomyelitis lesions were under control with the permanent teeth in final position, good facial esthetic and as a functional result, no root resorption. We can conclude that by using low physiological forces to direct and control the growth pattern, good results could be obtained in stabilizing and controlling the sclerosing osteomyelitis of the mandible. |
| Databáze: | OpenAIRE |
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