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KMID : 0362720130510060302
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Journal of the Korean Dental Association
2013 Volume.51 No. 6 p.302 ~ p.312
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The relationship between the?transverse discrepancy of the jaws and asymmetric growth of the condyles in children
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Lee Ji-Na
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Abstract
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It has been established that disk displacement of the temporomandibular joint(TMJ) can cause mandibular asymmetry in growing subjects. One of the causes of internal derangement of TMJ seems to be the result of poor positioning of the joint structure in unilateral cross bite, and the subsequent occlusal trauma transferred to the functioning unit of the mandible, the joint and disc. Transverse discrepancy of the maxillary and the mandibular posterior dentoalveolar units was often found in mandibular asymmetric subjects. Most of the asymmetry in growing subjects becomes worse with further growth if left untreated. However once sufficient posterior overjet is gained through orthodontic treatment, many cases have shown improvement in facial asymmetry. Furthermore, the position of condyles in computed tomogram(con-beam CT) changed from anatomically unfavorable position to more concentric position.
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KEYWORD
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Transeverse discrepancy, TMJ disc displacement, Facial Asymmetry, CT evaluation
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