[Skeletal anchorage combined orthodontic treatment of temporomandibular disorder].

Temporomandibular disorder is the most common form of orofacial pain. Today it affects 15% of the adult population and 7% of adolescents. It is characterised by pain originating from the muscles and/or the temporomandibular joint and vocal symptoms accompanying jaw movements, as well as muscle fatigue, lockjaw and tooth wear. Chronic pain due to jaw dysfunction can lead to the deterioration of the patient’s psychological state and negatively affect their quality of life. As the temporomandibular joint is closely related to dentition, any modification of the existing bite must be taken into account from gnathological aspects. Orthodontic treatment can also be seen as a guided change of occlusion, and therefore the greatest possible attention should be paid to maintaining the stability of the temporomandibular joint (orthopaedic stability) when planning treatment, as this is closely related to joint health. If gnathological considerations are not met during treatment planning, altered bite position may lead to craniomandibular dysfunction; on the other hand, restoring stability may be an effective way to reduce symptoms. The aim of our case presentation and brief summary of the literature is to provide an overview of the pathology of temporomandibular joint complaints due to orthopaedic instability, the characteristics and symptomatology of stable and unstable occlusion, and the possible prevention and therapeutic options for temporomandibular joint dysfunction. Orv Hetil. 2024; 165(37): 1472–1477.