scholarly journals Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Satheesh B. Haralur ◽  
Omar Saeed Al-Shahrani
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Psychological Trauma ◽  
Prosthesis Design ◽  
Mandibular Movement ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance

The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.

scholarly journals Aesthetic Treatment In Patient With Fractures Of Maxillary Central Incisor Teeth

DENTA ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 89
Author(s):  
Sinta Puspita
Keyword(s):  
Root Resorption ◽  
Temporomandibular Disorder ◽  
Psychological Trauma ◽  
Mandibular Movement ◽  
Posterior Teeth ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Conservative Faculty ◽  
And Function

<p><strong><em>Background : </em></strong><em>A common objective of anterior restorative dentistry is to establish anterior guidance between the maxillary and mandibular anterior teeth to disclude the posterior teeth during protrusive mandibular movement. Fracture anterior teeth leads to psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. The contour and shape of the labial surface are important for esthetic purpose; the palatal surface morphology is critical for harmonious function. Premature contact in palatal surface restoration is considered as contributing factor to temporomandibular disorder (TMD) symptoms. <strong>Purpose : </strong>Improve aesthetics and function of the patient's anterior teeth. <strong>Case : </strong>Male, 17 years old with poor aesthetic because of fracture anterior teeth 4 years ago. <strong>Case Management : </strong>Root canal treatment, treatment of root resorption, fiber post, custom post, indirect veener, zirconia crown and enameloplasty. <strong>Result : </strong>Better aesthetic and get the optimum function of his teeth.</em></p><p><em> </em></p><p><strong><em>Keyword:</em></strong><em> Aesthetic treatment, anterior fracture, zirconia crown, indirect venner</em></p><p><em> </em></p><p><strong><em>Correspondence:</em></strong><em> </em><em>Sinta Puspita</em><strong>, </strong><em>Department of </em>Conservative, Faculty of  Dentistry, Hang Tuah University, <em>Universitas Hang Tuah, Arif Rahman Hakim 150 Surabaya, </em><em>Phone</em><em> 031-5945864, 5912191,  Email:</em> <em><a href="mailto:[email protected]">[email protected]</a></em></p>

scholarly journals Evaluation of occlusal factors in patients with temporomandibular joint disorder

2012 ◽  
Vol 17 (6) ◽  
pp. 61-68 ◽  
Author(s):  
Max Dória Costa ◽  
Gontran da Rocha Torres Froes Junior ◽  
Carlos Neanes Santos
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Open Bite ◽  
Control Group ◽  
Temporomandibular Joint Disorder ◽  
Posterior Teeth ◽  
Posterior Crossbite ◽  
Asymptomatic Volunteers ◽  
Anterior Guidance ◽  
Joint Disorder

OBJECTIVE: The aim of this study was to determine the prevalence and the relation between the main occlusal factors and the temporomandibular disorder (TMD). METHODS: We analyzed 100 patients (50 diagnosed with TMD and 50 asymptomatic volunteers, control group) through a questionnaire that classified TMD as absent, mild, moderate and severe. Then, an evaluation was made of intraoral occlusal factors: Absence of posterior teeth, wear facets, overjet, overbite, open bite, posterior crossbite, sagittal relationship (Class I, II and III), centric relation discrepancy for maximum intercuspation, anterior guidance and balancing occlusal interference. The c² examined the association between TMD and considered occlusal variables. RESULTS: The prevalence of studied occlusal factors was higher in patients with moderate and severe TMD. Statistically significant results were found on: Absence of five or more posterior teeth, overbite and overjet greater than 5 mm, edge-to-edge bite, posterior crossbite, Class II and III, the absence of effective anterior guide and balancing side interferences. CONCLUSIONS: Indeed, it is concluded that there is a relationship between TMD and occlusal factors, however it can not be told to what extent these factors are predisposing, precipitating or perpetuating the disease. Therefore, despite its multifactorial etiology, one can not neglect the occlusal analysis of these patients.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals Restoration of the anterior guide with the fixed prosthesis

2021 ◽  
Vol 8 (2) ◽  
pp. 019-025
Author(s):  
Sihem Hajjaji ◽  
Shayma Karray ◽  
Hayet Hajjemi ◽  
Abdelatif Boughzela
Keyword(s):  
Clinical Case ◽  
Test Phase ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Fixed Prosthesis ◽  
Masticatory System ◽  
Functional Movements ◽  
Mandibular Kinematics

The anterior guide is a functional entity, which is part of the set of guidance provided by the dento-dental joints to the mandibular kinematics, essential for the establishment of harmonious occlusal relations. The anterior guide is a key to understanding and reconstructing the occlusion, playing both a role of protecting the posterior teeth and guiding the functional movements of the mandible. Currently, it also represents an “exteroceptive feeler” creating a cone of access to the occlusion in intercuspation. The restoration of functional and protective anterior guidance is therefore essential for the balance of the masticatory system. This rehabilitation can only be achieved by examining and accurately diagnosing the occlusion relationships maintained by the anterior teeth, associated with a reasoned therapeutic approach validated by a test phase. After a brief description of the anterior function and its role, this article aims to detail, through a clinical case, the procedure to follow for the restoration of a functional anterior guide.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

scholarly journals Effect of Prolonged Endodontic Treatment on Temporomandibular Joint and Masticatory Muscles

2018 ◽  
Vol 9 (1) ◽  
pp. 38-42
Author(s):  
Aisha Wali ◽  
Talha M Siddiqui ◽  
Fatima Siddiqui ◽  
Damiya Naireen
Keyword(s):  
Temporomandibular Joint ◽  
Root Canal ◽  
Temporomandibular Disorder ◽  
Masticatory Muscles ◽  
Endodontic Treatment ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
The Social ◽  
The Status ◽  
Masticatory Apparatus

ABSTRACT Aims and objectives The objective of the study is to assess the outcome of lengthy root canal sessions (more than 2 hours) on temporomandibular joint (TMJ) and its associated structures. Materials and methods Totally, 250 patients who had undergone root canal treatment that lasted for more than 2 hours were examined for the status of TMJ and masticatory muscles. The second part of the examination was performed after 1 week to check for any pain and tenderness. Data were analyzed using Statistical Package for the Social Sciences (SPSS). Results Results showed that patients of older age suffered from more pain postoperatively. Similarly, women experienced more pain than males. Those patients who were treated for their posterior teeth complained of more pain than those treated for anterior teeth. Conclusion Prolonged root canal sessions result in longer and wider opening of mouth for longer period of time, thus causing harm to TMJ and associated masticatory structures and may give rise to sign and symptoms of temporomandibular disorder (TMD). Clinical significance It is prudent to break treatment sessions into shorter appointments and let patients relax during the treatment to prevent any extra stress on the TMJ and associated masticatory apparatus. How to cite this article Siddiqui TM, Wali A, Siddiqui F, Naireen D. Effect of Prolonged Endodontic Treatment on Temporomandibular Joint and Masticatory Muscles. World J Dent 2018;9(1):38-42.

scholarly journals The impact of occlusal support on temporomandibular disorders: a literature review

2021 ◽  
pp. 201010582110237
Author(s):  
Minh Son Nguyen ◽  
Mare Saag ◽  
Triin Jagomägi ◽  
Quang Hai Nguyen ◽  
Ülle Voog-Oras
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Aetiological Factor ◽  
Posterior Teeth ◽  
Number Of Teeth ◽  
Osseous Changes ◽  
Masticatory System ◽  
The Impact

Temporomandibular disorders are a multifactorial disease. Occlusal support and the number of teeth in dentition have significant effects on the masticatory system. The current study aims to review the role of occlusal support in association with findings of temporomandibular disorders. Data sources were PubMed, Web of Science and Google Scholar, with 1411 citations published over the period 1992–2019. The selection criteria stipulated that articles must have reported the association between the number of teeth, occlusal unit, occlusal support and temporomandibular disorders. A total of 15 full-text articles was finally accessed for eligibility in the current review. The studies on temporomandibular disorders were collected from various sources, including articles reporting temporomandibular disorder symptoms ( n=1), temporomandibular disorder signs ( n=5), temporomandibular joint osseous changes ( n=1), temporomandibular joint dysfunction using the Helkimo index ( n=2), and temporomandibular disorder classification ( n=6). Of these articles, significant associations were found between: the number of missing teeth and temporomandibular disorders ( n=5); the number of occlusal units and occlusal supports and temporomandibular disorders ( n=3); the position of the lost occlusal units and temporomandibular disorders ( n=1). Loss of the occlusal unit has more impact on temporomandibular disorders than the loss of posterior teeth. The total loss of unilateral occlusal support seems to be an aetiological factor for temporomandibular disorders, and maintenance of balanced posterior occlusal support has a role in the prevention and management of temporomandibular disorders.

scholarly journals Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

scholarly journals Acute Arthritis of the Temporomandibular Joint due to Lyme Disease: A Case Report and Literature Review

2021 ◽  
Author(s):  
Christina Weise ◽  
Matthias C. Schulz ◽  
Karin Frank ◽  
Marcel Cetindis ◽  
Bernd Koos ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Lyme Disease ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Relevant Literature ◽  
Maxillofacial Surgery ◽  
Delayed Diagnosis ◽  
Acute Arthritis

Abstract Lyme disease is the most frequent tick-borne infectious disease in Europe. It often presents with a wide variety of symptoms. For this reason, affection of the temporomandibular joint (TMJ) caused by Lyme disease (LD) can be misdiagnosed as a common temporomandibular disorder (TMD). The purpose of this case report of a 25-year old woman presenting to the Departments of Orthodontics and Maxillofacial Surgery with extensive symptoms of Temporomandibular Disorder is to illustrate the delayed diagnosis of Lyme disease, which was only made after extensive therapy of the temporomandibular joint. The specialist literature only reports a few cases of patients suffering from Lyme disease with TMJ manifestations. This case report and the relevant literature review aim to emphasize the importance of accurate request of medical history and differential diagnosis of acute TMJ arthritis and arthralgia. Early interdisciplinary diagnosis of Lyme disease and early antibiotic therapy are essential to avoid misdiagnosis and unnecessary, sometimes invasive, therapies.

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