title: Full-mouth rehabilitation following treatment of temporomandibular disorders and teeth-related signs and symptoms.
abstract: The literature is replete with theories regarding temporomandibular disorders (TMD). However, there is a paucity of information concerning perceived malocclusion and other teeth-related signs and symptoms after full-mouth rehabilitation. This clinical study was designed to evaluate the perception of TMD patients concerning perceived malocclusion and other teeth-related signs and symptoms after full-mouth rehabilitation guided by the Mental Analog Scale (MAS). Among 38 patients referred for full-mouth rehabilitation, 20 were diagnosed as having TMD after reviewing a questionnaire, recording the major complaints and symptoms, in addition to performing comprehensive clinical examination. Nonsurgical therapy was performed, including fabricating an anterior programming device, a centric relation occlusal device and finally full-mouth rehabilitation by means of placing crowns on all upper and/or lower teeth. All full-mouth rehabilitation procedures were performed using a fully adjustable articulator and mandibular movements were recorded following pantographic tracings. After full-mouth rehabilitation, the patients were followed up at 1, 2, 4, 6, 9, and 12-month intervals, and the major signs and symptoms were recorded along with adjunctive teeth-related signs and symptoms. Fisher exact probability tests were applied to analyze the results (P<.05). Statistical comparisons of the MAS responses before and after treatment (at 1-month recall) showed significant improvement (P<.05) for all teeth-related signs and symptoms except for bruxism (P=.0699). Further improvement was noted at the 4-month recall period. However, these improvements were not statistically significant for all teeth-related signs and symptoms. No further change was noted after the 4-month recall period. There was a marked reduction in perceived malocclusion and adjunctive teeth-related signs and symptoms during function, only after performing occlusal equilibration of the final restorations.
authors.affiliation: College of Dentistry, King Saud University, PO. Box 60169, Riyadh 11545, Saudi Arabia. hammadfp@yahoo.com
authors.forename: Ihab A
authors.initials: IA
authors.lastname: Hammad
authors.forename: N Joseph
authors.initials: NJ
authors.lastname: Nassif
authors.forename: Ziad A
authors.initials: ZA
authors.lastname: Salameh
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002012:Bruxism / Q000628:therapy; D016302:Centric Relation; D003442:Crowns; D003725:Dental Articulators; D003768:Dental Occlusion, Centric; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000628:therapy; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D009065:Mouth Rehabilitation; D009068:Movement; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D017060:Patient Satisfaction; D013705:Temporomandibular Joint Disorders / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*