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
> 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
> 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
> 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
> BOTOX PROTOCOL
> STOMATOGNATHIC SYSTEM REHABILITATION
BEFORE AND AFTER
EVOLUTION OF PAIN IN THE LEFT AND RIGHT TEMPOROMANDIBULAR JOINT
EVOLUTION OF MOUTH OPENING
“ now i can eat what i want ”
Beatriz Abreu
TEAM IN CHARGE
