Combined Joint-Jaw-Occlusion therapy: a new theory and our protocol

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Abstract

Temporomandibular joint (TMJ) internal derangements, or TMJ disc displacement, is a commonly seen disease among adults, as well as children. It interacts with facial deformities and occlusion etiologically and pathologically, and the treatment often involves adjustment of occlusion as well. The aim of this article is to review relevant references and to introduce our combined methods of disc repositioning, occlusal therapy, orthodontics, and sometimes orthognathics, as the new Joint-Jaw-Occlusion (JJO) protocol, supported by sample case illustrations before the intervention and at follow-up. We analyze short- and long-term results of implementation JJO protocol in patients with various types of TMJ internal derangements and temporomandibular disc displacement. In our experience, the proposed protocol is a highly effective procedure, both functionally and cosmetically, and can help to avoid osteotomies.

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Ch. Yang

Shanghai Jiao Tong University School of Medicine

Author for correspondence.
Email: yangchi63@hotmail.com

Yang Chi – DDS, MD, Professor, Head of Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology

Dr. Chi Yang: Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; 639 Zhi Zao Ju Road, Shanghai, 200011, Peoples' Republic of China. Tel.: +86 21 23271699 5218; +86 21 23271699 5705.

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D. He

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru
He Dongmei – DDS, MD, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology  Китай

M. Chen

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Chen Minjie – DDS, MD, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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Sh. Zhang

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Zhang Shanyong – DDS, MD, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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Ya. Qiu

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Qiu Yating – DDS, MD, Attending, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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X. Zhang

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Zhang Xiaohu – DDS, MD, Attending, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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Zh. Ma

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Ma Zhigui – DDS, PhD, Attending, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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Q. Xie

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Xie Qianyang – DDS, Attending, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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P. Shen

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Shen Pei – DDS, Attending, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology 

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Yi. Hu

Shanghai Jiao Tong University School of Medicine

Email: fake@neicon.ru

Hu Yingkai – DDS, PhD student, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology

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Copyright (c) 2017 Yang C., He D., Chen M., Zhang S., Qiu Y., Zhang X., Ma Z., Xie Q., Shen P., Hu Y.

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