Evidence map›Paper›PMID 42071206›Full record

ArticleBMC oral health2026

Management of temporomandibular joint dysfunction after orthodontic relapse using stabilization splints and clear aligners: a case report.

Alihan Özdemir, Erdal Bozkaya, Neslihan Üçüncü

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Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Alihan ÖzdemirDepartment of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey. alihanozdemir@gazi.edu.tr.
Erdal BozkayaDepartment of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
Neslihan ÜçüncüDepartment of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporomandibular joint dysfunction (TMD) is a common clinical condition characterized by discomfort in the masticatory muscles and temporomandibular joint, limitations in mandibular movements, and clicking or crepitating sounds during jaw motion. To our knowledge, few reports have described the management of TMD associated with orthodontic relapse and skeletal open bite using a staged approach involving stabilization splint therapy followed by miniscrew-assisted clear aligner treatment. Therefore, this case report provides clinically relevant information on the management of TMD associated with orthodontic relapse. CASE PRESENTATION: This case report presents a 26-year-old female patient with TMD and relapse in alignment after seven years of initial treatment. Clinical and radiographic evaluation revealed a skeletal open bite, Angle Class II division 1 subdivision malocclusion, 1 mm mandibular midline deviation, mild crowding in the lower arch, condylar deformation, and degenerative changes within the TMJ. In the treatment, a maxillary stabilization splint was used full-time for seven months. After splint treatment, orthodontic correction was planned with clear aligners, incorporating maxillary molar intrusion and distalization supported by miniscrew anchorage. At the end of treatment, a stable Class I molar relationship, ideal overjet and overbite, and coincident midlines were achieved. Cephalometric analysis demonstrated mandibular anterior rotation and improved sagittal and vertical relationships. Post-treatment CBCT showed reduced bony contact and a more homogeneous joint space on the evaluated sections, suggesting adaptive changes in condylar position and joint relationship. At the one-year follow-up, the patient maintained stable occlusion with no signs of relapse.

conclusionThis case report suggests that miniscrew-assisted clear aligner treatment following stabilization splint therapy may be a minimally invasive treatment option for patients with TMD and skeletal open bite. This treatment approach may also contribute to improvements in occlusal relationships and TMD-related symptoms.

Indexed as

Occlusal SplintsTemporomandibular Joint DisordersAdultBone ScrewsFemaleHumansMalocclusion, Angle Class IIOpen BiteRecurrenceTooth Movement TechniquesAlignersCBCTOrthodontic miniscrewRelapseTemporomandibular joint dysfunction

Identifiers

PMID42071206
PMCPMC13326365

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.