[HIMAWAN-5] Alterations in vertical dimensions can lead to temporomandibular joint disorder (TMD): A Case Report
[Abstract]
[Introduction]
The absence of a posterior tooth may lead to a reduction in occlusal vertical dimension (OVD), which is recognized as a contributing factor to temporomandibular joint disorder (TMD). The stomatognathic system naturally adapts to decreases in OVD, therefore if there is any decrease in OVD, stomatognathic system will adapts and could cause a temporomandibular joint disorder.
[Case Summary and Treatment Details]
34-year-old female came to Universitas Airlangga Dental Hospital with a chief complain of pain in right jaw, temple area, and around the ear for last 1 month. Pain increases when chewing food, opening mouth, and moving jaw forward or to the side. No clicking. Clinical examination: patient using fixed-fixed bridge in maxillary region and attachment retained partial denture on mandibular region with bad occlusion. Pain free opening 14mm, maximum unassisted opening 23mm, hard end feel. Pain on palpation on right side M. Temporalis, M. Masseter, and TMJ. The diagnoses are myalgia, right arthralgia, disc displacement without reduction with limited opening. The patients have agreed this case to presented.
[Progress and Discussion]
First visit, patient assessment with DC/TMD, and prescribed with pain reliever, anterior jig, and N-position exercise. Second visit, mouth opening increased and impression for occlusal splint fabrication was done.1 Control 2 weeks after using occlusal splint there are major improvement on mouth opening and pain decreases a lot.2 Definitive treatment plan was with overlay partial denture with increasing 0.5 mm OVD in posterior.3,4
[References]
1. Wassel RW., Adams N., Kelly PJ. 2006. The treatment of temporomandibular disorders with stabilizing splints in general dental practice: one-year follow-up. J Am Dent Assoc. 137(8);1089-98.
2. Gugucevski L., Gigovski N., Mijoska A., Zlatanovska K., Arsova-Gigovska A. 2017. Temporomandibular disorders treatment with correction of decreased occlusal vertical dimension. J Med Sci 5(7);983-63.
3. Moreno-Hay I., Okeson JP. 2015. Does altering the occlusal vertical dimension produce temporomandibular disorders: A literature review. J Oral Rehabilitation Vol. 42; 875-82.
4.Yang HY., Yang TC., Wang TM., Lin LD. 2019. Mandibular Overlay Removable Partial Denture for Restoration of Worn Dentition: A Case Report. J Prost Implantology 8(3):23-8.
[Introduction]
The absence of a posterior tooth may lead to a reduction in occlusal vertical dimension (OVD), which is recognized as a contributing factor to temporomandibular joint disorder (TMD). The stomatognathic system naturally adapts to decreases in OVD, therefore if there is any decrease in OVD, stomatognathic system will adapts and could cause a temporomandibular joint disorder.
[Case Summary and Treatment Details]
34-year-old female came to Universitas Airlangga Dental Hospital with a chief complain of pain in right jaw, temple area, and around the ear for last 1 month. Pain increases when chewing food, opening mouth, and moving jaw forward or to the side. No clicking. Clinical examination: patient using fixed-fixed bridge in maxillary region and attachment retained partial denture on mandibular region with bad occlusion. Pain free opening 14mm, maximum unassisted opening 23mm, hard end feel. Pain on palpation on right side M. Temporalis, M. Masseter, and TMJ. The diagnoses are myalgia, right arthralgia, disc displacement without reduction with limited opening. The patients have agreed this case to presented.
[Progress and Discussion]
First visit, patient assessment with DC/TMD, and prescribed with pain reliever, anterior jig, and N-position exercise. Second visit, mouth opening increased and impression for occlusal splint fabrication was done.1 Control 2 weeks after using occlusal splint there are major improvement on mouth opening and pain decreases a lot.2 Definitive treatment plan was with overlay partial denture with increasing 0.5 mm OVD in posterior.3,4
[References]
1. Wassel RW., Adams N., Kelly PJ. 2006. The treatment of temporomandibular disorders with stabilizing splints in general dental practice: one-year follow-up. J Am Dent Assoc. 137(8);1089-98.
2. Gugucevski L., Gigovski N., Mijoska A., Zlatanovska K., Arsova-Gigovska A. 2017. Temporomandibular disorders treatment with correction of decreased occlusal vertical dimension. J Med Sci 5(7);983-63.
3. Moreno-Hay I., Okeson JP. 2015. Does altering the occlusal vertical dimension produce temporomandibular disorders: A literature review. J Oral Rehabilitation Vol. 42; 875-82.
4.Yang HY., Yang TC., Wang TM., Lin LD. 2019. Mandibular Overlay Removable Partial Denture for Restoration of Worn Dentition: A Case Report. J Prost Implantology 8(3):23-8.