jaw surgery proposed but not accepted.

A TMD case treated using micro-implants

Motoyasu Taguchi

The patient presented with crowding. Examination of the temporomandibular joints revealed joint sounds in the right joint and a reduced size of the right condyle. The mandible shifted to the right with splint therapy, resulting in a severe open bite. Orthognathic surgery was proposed but not accepted by the patient. The treatment plan included upper first and lower second bicuspid extraction , use of micro-implants for reinforcement of anchorage and upper molar intrusion.
Age at initial examination: 20y7m
Sex: Female
Chief complaint: Crowding
Medical history: Allergic rhinitis
Family history: N/A