Beruflich Dokumente
Kultur Dokumente
email: dr_goyal1982@yahoo.com
Abstract:
Aim: To treat the temporomandibular joint disorder conservatively to relieve pain and to
increased restricted mouth opening
Background: To a great extent treatment for TMJ disorder has been described by
several authors. Few of them suggested the conservative method using oral splint2,3,4.
Case Description: Two cases reported with restricted mouth opening and TMJ pain
while opening & chewing were successfully treated using soft oral splint made by 2mm
bioplast material on a vacuum forming machine.
Summary:
With the use of soft oral splint cases with disk displacement without
blockade
a) History :
disorder
b) Mandibular restriction: Restriction of
mouth opening and eccentric movements are common findings with
differentiated
because
their
Restriction
in
mouth
loading
of
joint,
f)
functional
the
For
diagnosis
opening
movement.
d) Acute
malocclusion.
As
stated
opening.
vary
mandible
involved.
is
to
the
muscles
for
any
If
the
deviations
discal
or
observed
according
deflection.
movement
(e.g.,
disc
manipulation
can
be
helpful
in
of the problem
Department
of
Orthodontics
&
Treatment:
Alginate Impression of the lower arch
made. Working cast poured with dental
stone. A 2mm Bioplast mandibular splint
fabricated on a vacuum machine (Fig.
5). The patient was instructed to wear
the appliance constantly for at least two
weeks, removing it only for oral hygiene
& having food. After two weeks when
by 1 mm to maintain opening in
posterior region by 2.5 mm. appliance
discontinued 4 month after insertion.
2mm of total bite opening was achieved.
Total duration of treatment was 6.5
month. Patient advised to continue the
appliance for retention.
Fig. 8 Bite opening of 1 mm after 2 month
Case 2:
A 21 year old Female patient reported in
the Department with the chief complaint
of pain in TMJ area. On examination
there was single opening click with
restricted mouth opening of 16mm
Fig. 6 Anterior bite plane
Treatment:
A 2mm Bioplast mandibular splint made
(Fig 10). The patient was instructed to
wear the appliance constantly for at
least two weeks, removing it only for
Fig. 9 Pretreatment reduced mouth opening (16mm)
of
OPG
and
TMJ
than
previous.
Appliance
was
relieved
from
pain
Conclusion:
2006;137;1108-1114
References:
1. Okeson
JP.
Management
of
JCO,2008: Feb(2); 84-97