Inter J Stomatol ›› 2009, Vol. 36 ›› Issue (5): 623-625.doi: 10.3969/j.issn.1673-5749.2009.05.038
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MAI Li -xiang 1,2, ZHANG Zhi -guang 1,3, WANG Da -wei 1,2
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Abstract: To stimulate condylar growth by twin-block is an appropriate way to treat Angle class Ⅱ malocclusion associated with mandibular skeletal retrusion. The adaptation of condylar cartilage to mandibular forward positioningconstitutes the fundamental rationale for orthodontic functional therapy, which partially contributes to the correction of jaw discrepancies by achieving mandibular growth modification. However, functional appliance therapydelivers more stable results when used at or after the peak of pubertal period while its effect is more equivocal and controversial on adult patients. In this article, the treatment principle of twin-block appliance, adaptable rebuildingin condylar process and glenoid fossa of the temporomandibular joint were reviewed, which help orthodontists to comprehend the mechanism of adaptable rebuilding of the temporomandibular joint induced by functionalappliance. This review also provides a basic theory, treatment opportunity and indication to recognize, diagnose, and treat patients with mandibular retrusion of Angle class Ⅱ malocclusion.
Key words: twin-block appliance, temporomandibular joint, adaptable rebuilding
MAI Li -xiang , ZHANG Zhi -guang , WANG Da -wei . Adaptable rebuilding of the temporomandibular joint after orthodontic treatment w[J].Int J Stomatol, 2009, 36(5): 623-625.
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