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

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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

SEE OTHER CASES OF TEMPOROMANDIBULAR DYSFUNCTION

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