Testemunho - Ana Costa
 
 
 

Ana

 
LEARN ABOUT THE CASE OF ANA COSTA
 
 
 
 
 

CLINICAL CASE OF TEMPOROMANDIBULAR DISORDER

 
 

SUMMARY OF PATIENT HISTORY

 
Extraction of central incisors when she was 16 years old. Superior all-on-6 with immediate loading 3 years ago when she started to hear asymptomatic joint sounds. A year ago, following oral rehabilitation, she began to experience painful clicks, first starting with right clicks that evolved to include clicks on the left. A new prosthesis was placed with partial improvement. She wore a splint for 3 months without improvement. In the past 6 months, this progressed to more pain and limited mouth movement. The daughter, a Medical Doctor, ordered an MRI.
 
 
 
 
 
 
 
 
 
 
 
 

MAIN COMPLAINTS

 
> Difficulty in chewing
> Progressively limited mouth opening
> RIGHT TMJ pain (8/10 - VAS)
> LEFT TMJ pain (8/10 - VAS)
> Muscle tension in the face

 

SUMMARY OF THE OBJECTIVE EXAMINATION

 
> Limited maximum mouth opening (19mm)
> Severe pain on palpation of the TMJs
> Bilateral clicking > Grade 2 muscle contracture
> No intraoral changes
 
 
 
 
 

DIAGNOSIS

 
RIGHT TMJ:
> ANTERIOR DISC DISPLACEMENT WITHOUT REDUCTION, TMJ OSTEOARTHROSIS
LEFT TMJ:
> ANTERIOR DISC DISPLACEMENT WITHOUT REDUCTION, TMJ OSTEOARTHROSIS
> GRADE 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

 
 
 
 

" SURGERY TO TREAT MY JAW DISORDER HAS CHANGED EVERYTHING, NOW I FEEL GOOD. "

 
Ana Costa
 
 
 
Testemunho - Ana Costa
 
 
 
 
 

TEAM IN CHARGE

 
 
Prof. Doutor David Ângelo
 
 
 
Dr. David Sanz
 
 
 
 
 
 

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