A gentleman of thirty-three, in distant lands did seek,
Relief through skilled alignment, his pain’s enduring peak.
A 33-year-old male patient presented with pain in the right temporomandibular joint (TMJ) region and the right masseter region. Upon taking his medical history, it was noted that an implant had been placed on the lower left side 3-4 years ago following immediate extraction due to tooth decay. Additionally, another decayed tooth on the lower left side was removed and replaced with an all-ceramic bridge 2 years ago. Since then, he has been experiencing pain. The patient resides outside of India and frequently changes locations, which has prevented him from returning to his dentist for correction.
On examination, the patient first occluded on the left side before reaching the maximum intercuspal position (MIP). He had been previously advised to remove and replace the bridge. However, I decided to correct the occlusal contact, which subsequently corrected his bite and MIP. This adjustment allowed the patient to close at a single point, leading to significant improvements. To start with, relaxation of ipsilateral (same side) muscles brought harmony to the muscles and TMJ. Within half an hour, the patient experienced considerable relief.
A follow-up was conducted over one week, and the patient remained stable. He will return to us soon after his trip, and further updates will be provided.
Conclusion:
Correcting occlusion, especially on artificial crowns, can bring harmony to the muscles and TMJ.
Enjoy the case…
Critics and suggestions are welcome.
Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures
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