Case report: treatment for a patient with a history of TMJ disorder.
Establishing a knowledge-based protocol for the treatment of orthodontic patients who report a history of temporomandibular dysfunction can alert the practitioner to potential treatment pitfalls before they happen. While the joints can be extremely adaptive, some individuals are subject to painful and/or limited function. Others have acquired condylar positions that, if not recognized, could lead to serious alterations in the original treatment plan. Combining a thorough diagnostic protocol with a therapeutic regimen that seeks to establish a stable condylar and occlusal position-prior to initiating treatment- is essential.
Grubb
J
J
Clinical Dentofacial Deformities Center, University of Southern California Department of Orthodontics, Los Angeles, USA. grubbster@earthlink.net
D000328:Adult; D002012:Bruxism / Q000150:complications / Q000628:therapy; D016302:Centric Relation; D003768:Dental Occlusion, Centric; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000150:complications / Q000628:therapy*; D008437:Maxilla / Q000601:surgery; D017090:Occlusal Splints; D009967:Orthodontic Appliances; D019340:Osteotomy, Le Fort; D010347:Patient Care Planning; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000295:instrumentation