Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report
Abstract Background This case report details a true hemifacial hyperplasia with temporomandibular joint ankylosis case managed through a multidisciplinary approach involving department of oral and maxillofacial surgery, orthodontics, and prosthodontics. Case presentation A 42-year-old female patient...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-024-05307-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846112033408286720 |
|---|---|
| author | Eun-Hack Andrew Choi Jun-Hyeong Bae Seeyoon Lee Jee Hwan Kim Loi Phuoc Nguyen Jun-Young Kim Sung-Hwan Choi |
| author_facet | Eun-Hack Andrew Choi Jun-Hyeong Bae Seeyoon Lee Jee Hwan Kim Loi Phuoc Nguyen Jun-Young Kim Sung-Hwan Choi |
| author_sort | Eun-Hack Andrew Choi |
| collection | DOAJ |
| description | Abstract Background This case report details a true hemifacial hyperplasia with temporomandibular joint ankylosis case managed through a multidisciplinary approach involving department of oral and maxillofacial surgery, orthodontics, and prosthodontics. Case presentation A 42-year-old female patient presented with a chief complaint of limited mouth opening. Clinically, the patient exhibited severe facial asymmetry due to hyperplasia of the left facial region. Cone-beam computed tomography findings revealed overgrowth of the left mandible, zygomatic bone, and maxillary bone including alveolar bone, along with bony ankylosis of the temporomandibular joint. To alleviate the restricted mouth opening, gap arthroplasty was initially performed. Additionally, alveoloplasty was carried out to address occlusal interference caused by the overgrown alveolar bone. Orthodontic treatment was conducted to reduce mandibular molar width and achieve proper overjet. For reconstruction of the left side occlusion, dental implants were placed using an implant surgical guide, followed by prosthetic rehabilitation. Total treatment duration was 48 months, resulting in stabilization of the patient’s occlusion. Conclusion By setting feasible goals through consultations among specialists from each department, based on three-dimensional simulations, successful and efficient occlusal rehabilitation can be achieved in a true hemifacial hyperplasia patient. |
| format | Article |
| id | doaj-art-3445a668e3704dcfa5180652519f91db |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-3445a668e3704dcfa5180652519f91db2024-12-22T12:52:00ZengBMCBMC Oral Health1472-68312024-12-0124111210.1186/s12903-024-05307-1Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case reportEun-Hack Andrew Choi0Jun-Hyeong Bae1Seeyoon Lee2Jee Hwan Kim3Loi Phuoc Nguyen4Jun-Young Kim5Sung-Hwan Choi6Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of DentistryDepartment of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of DentistryDepartment of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of DentistryDepartment of Prosthodontics, Yonsei University College of DentistryDepartment of Maxillofacial Surgery, University of Medicine and Pharmacy at Ho Chi Minh CityDepartment of Oral and Maxillofacial Surgery, Yonsei University College of DentistryDepartment of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of DentistryAbstract Background This case report details a true hemifacial hyperplasia with temporomandibular joint ankylosis case managed through a multidisciplinary approach involving department of oral and maxillofacial surgery, orthodontics, and prosthodontics. Case presentation A 42-year-old female patient presented with a chief complaint of limited mouth opening. Clinically, the patient exhibited severe facial asymmetry due to hyperplasia of the left facial region. Cone-beam computed tomography findings revealed overgrowth of the left mandible, zygomatic bone, and maxillary bone including alveolar bone, along with bony ankylosis of the temporomandibular joint. To alleviate the restricted mouth opening, gap arthroplasty was initially performed. Additionally, alveoloplasty was carried out to address occlusal interference caused by the overgrown alveolar bone. Orthodontic treatment was conducted to reduce mandibular molar width and achieve proper overjet. For reconstruction of the left side occlusion, dental implants were placed using an implant surgical guide, followed by prosthetic rehabilitation. Total treatment duration was 48 months, resulting in stabilization of the patient’s occlusion. Conclusion By setting feasible goals through consultations among specialists from each department, based on three-dimensional simulations, successful and efficient occlusal rehabilitation can be achieved in a true hemifacial hyperplasia patient.https://doi.org/10.1186/s12903-024-05307-1True hemifacial hyperplasiaTemporomandibular joint ankylosisMultidisciplinary approachGap arthroplastyThree-dimensional simulation |
| spellingShingle | Eun-Hack Andrew Choi Jun-Hyeong Bae Seeyoon Lee Jee Hwan Kim Loi Phuoc Nguyen Jun-Young Kim Sung-Hwan Choi Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report BMC Oral Health True hemifacial hyperplasia Temporomandibular joint ankylosis Multidisciplinary approach Gap arthroplasty Three-dimensional simulation |
| title | Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report |
| title_full | Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report |
| title_fullStr | Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report |
| title_full_unstemmed | Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report |
| title_short | Multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis: a case report |
| title_sort | multidisciplinary approach to occlusal rehabilitation in a patient with true hemifacial hyperplasia and temporomandibular joint ankylosis a case report |
| topic | True hemifacial hyperplasia Temporomandibular joint ankylosis Multidisciplinary approach Gap arthroplasty Three-dimensional simulation |
| url | https://doi.org/10.1186/s12903-024-05307-1 |
| work_keys_str_mv | AT eunhackandrewchoi multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT junhyeongbae multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT seeyoonlee multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT jeehwankim multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT loiphuocnguyen multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT junyoungkim multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport AT sunghwanchoi multidisciplinaryapproachtoocclusalrehabilitationinapatientwithtruehemifacialhyperplasiaandtemporomandibularjointankylosisacasereport |