Testemunho - Helena Matos

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

DIAGNOSIS

RIGHT TMJ:

> PREVIOUS DISC DISPLACEMENT WITHOUT REDUCTION WITH OSTEOARTHRITIS WITH SUBCHONDRAL CYSTS AND FLATTENING OF THE CONDYLE

LEFT TMJ:

> SEM ALTERAÇÕES
> CONTRATURA MUSCULAR GRAU 2

TREATMENT

> OPEN RIGHT TMJ SURGERY - FUNCTIONAL CONDYLECTOMY WITH JOINT REPLACEMENT

> LYSIS AND WASHOUT ARTHROCENTESIS WITH LEFT TMJ VISCOSUPPLEMENTATION

> 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

“ THE PAIN JUST DISAPPEARED. ”

Helena Matos

Testemunho - Helena Matos

TEAM IN CHARGE

Prof. Doutor David Ângelo
Dr. David Sanz

SEE OTHER CASES OF TEMPOROMANDIBULAR DYSFUNCTION

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