Dentaltown July 2019 - 33
John Nosti
I definitely see things on the
Member Since: 02/23/04
CBCT that concern me, espePost: 14 of 85
cially on the patient's left TMJ.
Does her mandibular midline shift more to the left?
You must rule out TMJ as the culprit first before
doing any other teeth treatment, including orthognathic
surgery. An MRI would be crucial. The TMJ is the first
determinant of occlusion for a reason. ■
3/19/2019
justinudm
Can you explain what you
Member Since: 09/29/14
are seeing on the left condyle?
Posts: 15 and 18 of 85
I'm missing it. I'm not saying
this to argue, more to see what you are seeing.
I would need to see a pretreatment ceph and perform
a clinical exam for a possible functional shift before
coming to the same conclusion as the above statement.
What is most likely on the list of possibilities is divergent
jaws and a need for orthgnathic surgery. What you are
suggesting is further down the list. ■
3/20/2019
joymoeller
Soft tissues do not always
Member Since: 09/16/08
show up in many MRIs or
Post: 27 of 85
scans. Neither do habits.
Sometimes an open bite causes chewing changes, which
may affect the joint position. Myofunctional therapists-good ones-look at function of all the tissues,
why they developed and how to work collaboratively
with orthodontists, oral surgeons, TMJ specialists,
airway focused dentists, periodontists, ENTs, sleep
specialists and pulmonologists. ■
3/24/2019
Head online to learn more
about this case and follow
up on its progression
Check out this thread and read the useful
advice from other Townies, including surgical
considerations and how to best manage patient
expectations. To see this entire conversation, go
to dentaltown.com and under message boards,
search "Teen Has." This thread will be one of the
top results.
FREE FACTS, circle 32 on card
dentaltown.com \\ JULY 2019
33
http://zestdent.com
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Dentaltown July 2019
Table of Contents for the Digital Edition of Dentaltown July 2019
Dentaltown July 2019 - Intro
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Dentaltown July 2019 - 1
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