Helena
learn about the case of Helena Matos
CLINICAL CASE OF TEMPOROMANDIBULAR DISORDER
SUMMARY OF PATIENT HISTORY
After tooth extraction, she started complaining of pain in her right ear area. She started using brace without improvement. Refers to long-term clicks. The pains have intensified and have not improved with anything.
MAIN COMPLAINTS
> Right TMJ pain: 8/10 VAS
SUMMARY OF THE OBJECTIVE EXAMINATION
> Maximum mouth opening 38 mm
> Right TMJ: G3 Synovitis (pain on mouth opening) with suspected disc displacement with reduction with osteoarthritis
> Left TMJ: No changes
> Grade 2 muscle contracture
> Right TMJ: G3 Synovitis (pain on mouth opening) with suspected disc displacement with reduction with osteoarthritis
> Left TMJ: No changes
> Grade 2 muscle contracture
DIAGNOSIS
RIGHT TMJ:
> PREVIOUS DISC DISPLACEMENT WITHOUT REDUCTION WITH OSTEOARTHRITIS WITH SUBCHONDRAL CYSTS AND FLATTENING OF THE CONDYLE
LEFT TMJ:
> WITHOUT CHANGES
> GRADE 2 MUSCLE CONTRACTURE
> PREVIOUS DISC DISPLACEMENT WITHOUT REDUCTION WITH OSTEOARTHRITIS WITH SUBCHONDRAL CYSTS AND FLATTENING OF THE CONDYLE
LEFT TMJ:
> WITHOUT CHANGES
> GRADE 2 MUSCLE CONTRACTURE
TREATMENT
> OPEN RIGHT TMJ SURGERY - FUNCTIONAL CONDYLECTOMY WITH JOINT REPLACEMENT
> LYSIS AND WASHOUT ARTHROCENTESIS WITH LEFT TMJ VISCOSUPPLEMENTATION
> BOTOX PROTOCOL
> STOMATOGNATHIC SYSTEM REHABILITATION
> LYSIS AND WASHOUT ARTHROCENTESIS WITH LEFT TMJ VISCOSUPPLEMENTATION
> BOTOX PROTOCOL
> STOMATOGNATHIC SYSTEM REHABILITATION
BEFORE AND AFTER
EVOLUTION OF PAIN IN THE LEFT AND RIGHT TEMPOROMANDIBULAR JOINT
EVOLUTION OF MOUTH OPENING
“ THE PAIN JUST DISAPPEARED. ”
Helena Matos
TEAM IN CHARGE
