A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report

This paper describes a case of a young patient who sought help because of pain in the right temporomandibular joint (TMJ). She also reported increasing of pain during chewing. Clinical examination revealed limited mouth opening with uncorrected deviation to the ipsilateral side. Palpation of the lat...

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Main Authors: Ema Vrbanović, Iva Alajbeg
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2017-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/275473
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author Ema Vrbanović
Iva Alajbeg
author_facet Ema Vrbanović
Iva Alajbeg
author_sort Ema Vrbanović
collection DOAJ
description This paper describes a case of a young patient who sought help because of pain in the right temporomandibular joint (TMJ). She also reported increasing of pain during chewing. Clinical examination revealed limited mouth opening with uncorrected deviation to the ipsilateral side. Palpation of the lateral pole of the right condyle discovered crepitus, and maximum assisted opening elicited a report of “familiar pain”. The diagnosis of osteoarthritis of the TMJ (RDC / TMD criteria, Axis I, Group III) was confirmed by CBCT of TMJ. There is no “gold standard” for the management of TMD, but the need for TMD treatment has to be based on precise indications related to the presence of pain, limitation in function of the lower jaw and signs of degenerative joint disease. Conservative, reversible therapeutic procedures are considered as the first choice for TMD treatment and their task is to improve the function of the entire masticatory system. In this case patient was treated with the combination of physical therapy and stabilization splint, in order to reduce the pain and restore the normal function of the lower jaw. At 6 months’ follow-up symptoms have almost completely disappeared, while 3 years later, the patient still has no significant subjective symptoms. In the present case non-invasive therapy was sufficient to bring, otherwise recurrent nature of osteoarthritis, in complete remission and keep it like that for years.
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spelling doaj.art-06801933102e4d72a5a3800d1f506efc2024-04-15T14:24:19ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102017-01-0151323223910.15644/asc51/3/7A Young Patient with Temporomandibular Joint Osteoarthritis: Case ReportEma Vrbanović0Iva Alajbeg1PhD student, School of Dental Medicine, University of Zagreb, CroatiaDepartment of Prosthodontics, School of Dental Medicine, University of Zagreb, CroatiaThis paper describes a case of a young patient who sought help because of pain in the right temporomandibular joint (TMJ). She also reported increasing of pain during chewing. Clinical examination revealed limited mouth opening with uncorrected deviation to the ipsilateral side. Palpation of the lateral pole of the right condyle discovered crepitus, and maximum assisted opening elicited a report of “familiar pain”. The diagnosis of osteoarthritis of the TMJ (RDC / TMD criteria, Axis I, Group III) was confirmed by CBCT of TMJ. There is no “gold standard” for the management of TMD, but the need for TMD treatment has to be based on precise indications related to the presence of pain, limitation in function of the lower jaw and signs of degenerative joint disease. Conservative, reversible therapeutic procedures are considered as the first choice for TMD treatment and their task is to improve the function of the entire masticatory system. In this case patient was treated with the combination of physical therapy and stabilization splint, in order to reduce the pain and restore the normal function of the lower jaw. At 6 months’ follow-up symptoms have almost completely disappeared, while 3 years later, the patient still has no significant subjective symptoms. In the present case non-invasive therapy was sufficient to bring, otherwise recurrent nature of osteoarthritis, in complete remission and keep it like that for years.https://hrcak.srce.hr/file/275473Temporomandibular Joint DisordersOsteoarthritisOcclusal SplintsPhysical Therapy Specialty
spellingShingle Ema Vrbanović
Iva Alajbeg
A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
Acta Stomatologica Croatica
Temporomandibular Joint Disorders
Osteoarthritis
Occlusal Splints
Physical Therapy Specialty
title A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
title_full A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
title_fullStr A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
title_full_unstemmed A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
title_short A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report
title_sort young patient with temporomandibular joint osteoarthritis case report
topic Temporomandibular Joint Disorders
Osteoarthritis
Occlusal Splints
Physical Therapy Specialty
url https://hrcak.srce.hr/file/275473
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