Testemunho - Beatriz Abreu
 
 
 

Beatriz

 
LEARN ABOUT THE CASE OF BEATRIZ ABREU
 
 
 
 
 

CLINICAL CASE OF TEMPOROMANDIBULAR DISORDER

 
 

SUMMARY OF PATIENT HISTORY

 
About a year ago it started with several episodes of TMJ blockage, more to the right. The blocks were more intense during chewing and associated with pain. Drilling was recommended by dentistry but the patient was unable to tolerate this. Feels a worsening of the clicks. Denies limitation of mouth opening and denies difficulty in chewing.
 
 
 
 
 
 
 
 
 
 
 
 

MAIN COMPLAINTS

 
> TMJ clicks
> TMJ blocks
> Right TMJ pain 5/10 VAS
> Left TMJ pain 4/10 VAS
 

SUMMARY OF THE OBJECTIVE EXAMINATION

 
> 43mm AMO
> Right TMJ: G3 Synovitis (pain on mouth opening) with suspected disc displacement without reduction
> Left TMJ: Synovitis G1 with suspected disc displacement with reduction
> Grade 3 muscle contracture

 
 
 
 
 

DIAGNOSIS

 
RIGHT TMJ:
> PREVIOUS DISPLACEMENT OF DISC WITH NO REDUCTION WITH ARTICULAR SPILL
LEFT TMJ:
> DISPLACEMENT WITH REDUCTION WITH ARTICULAR SPILL
> GARDE 2 MUSCLE CONTRACTURE

 

TREATMENT

 
> BILATERAL OPEN DISC REPOSITIONING SURGERY
> BOTOX PROTOCOL
> STOMATOGNATHIC SYSTEM REHABILITATION

 
 
 
 
 
 
 
 

BEFORE AND AFTER

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

EVOLUTION OF PAIN IN THE LEFT AND RIGHT TEMPOROMANDIBULAR JOINT

 
 
 
 

EVOLUTION OF MOUTH OPENING

 
 
 
 

“ Agora já consigo comer o que me apetece. ”

 
Beatriz Abreu
 
 
 
Testemunho - Beatriz Abreu
 
 
 
 
 

Equipa Responsável

 
 
Prof. Doutor David Ângelo
 
 
 
Dr. David Sanz
 
 
 
 
 
 

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