Pregled bibliografske jedinice broj: 1237638
Sudden, Severe, Idiopathic Occlusal Relationship Change Coexisting with Pain-Related Temporomandibular Disorders: A Case Report
Sudden, Severe, Idiopathic Occlusal Relationship Change Coexisting with Pain-Related Temporomandibular Disorders: A Case Report // Acta stomatologica Croatica, 56 (2022), 4; 405-416 doi:10.15644/asc56/4/7 (međunarodna recenzija, članak, stručni)
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Naslov
Sudden, Severe, Idiopathic Occlusal Relationship
Change Coexisting with Pain-Related
Temporomandibular Disorders: A Case Report
Autori
Alajbeg Z., Iva ; Meštrović, Senka ; Zlendić, Marko ; Trinajstić Zrinski, Magda ; Vrbanović, Ema
Izvornik
Acta stomatologica Croatica (0001-7019) 56
(2022), 4;
405-416
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni
Ključne riječi
temporomandibular joint dysfunction syndrome ; malocclusion ; open bite ; myalgia ; patient care planning
Sažetak
The article presents a case of a young female patient who sought help due to myofascial pain followed by a sudden occlusal change (anterior open bite (AOB)) that occurred shortly after the administration of a soft night guard that had been previously provided by a general dentist. Palpation of the masseter and temporal muscles elicited the presence of familiar pain. After magnetic resonance imaging of temporomandibular joints, which ruled out disc displacement, the final diagnosis was myalgia. Since the patient had myalgia and malocclusion, the therapy included treatment of both conditions. Temporomandibular disorders TMD management included a combination of pharmacotherapy, kinesiotherapy, and a stabilization splint. After TMD symptoms had resolved, the patient underwent an orthodontic evaluation. Cephalometric analysis revealed skeletal class II, retrognathic face, convex profile, and normal vertical growth pattern. Orthodontic treatment included a fixed appliance with vertical intermaxillary elastics. After 19 months of treatment, both sides achieved acceptable occlusion with Class I. Since the patient had myalgia and severe malocclusion, it was important to follow a systematic diagnostic and therapeutic workflow. Although it is impossible to establish a relationship between TMD symptoms and orthodontic therapy, patients who have TMD symptoms should have their pain resolved through a conservative treatment protocol before commencement of orthodontic treatment. The beginning of orthodontic therapy comes into consideration only when the TMD pain resolves.
Izvorni jezik
Engleski
Znanstvena područja
Dentalna medicina
POVEZANOST RADA
Projekti:
IP-2019-04-6211 - Povezanost genskih polimorfizama s temporomandibularnim poremećajima (GenPolTMD) (Alajbeg, Iva, HRZZ - 2019-04) ( CroRIS)
Ustanove:
Stomatološki fakultet, Zagreb,
Klinički bolnički centar Zagreb
Profili:
Senka Meštrović
(autor)
Marko Zlendić
(autor)
Ema Vrbanović
(autor)
Magda Trinajstić Zrinski
(autor)
Iva Alajbeg
(autor)
Poveznice na cjeloviti tekst rada:
Pristup cjelovitom tekstu rada doi hrcak.srce.hrPoveznice na istraživačke podatke:
ascro.hrCitiraj ovu publikaciju:
Časopis indeksira:
- Web of Science Core Collection (WoSCC)
- Emerging Sources Citation Index (ESCI)
- Scopus
- MEDLINE