title: Conservative treatment of bilateral temporalis muscle hypertrophy in a pregnant woman.
abstract: BACKGROUND
  Hypertrophy of the masticatory muscles may affect the temporalis, masseter, and pterygoid muscles in several different combinations.
  
  
  METHODS
  A case of bilateral temporalis muscle hypertrophy, with masseter and pterygoid involvement, in a 26-year-old white woman in the fourth month of gestation is reported. Magnetic resonance imaging and physical examination were used for diagnosis. Hypertrophy was considered to be of acquired nature. The patient was managed using alternative, noninvasive methods.
  
  
  RESULTS
  After 2 months, visible reduction was observed. Clinical symptoms of muscle discomfort were also reported.
  
  
  CONCLUSIONS
  In the presented case, we were able to use an alternative, noninvasive form of treatment, which provided our patient with an overall improvement in physical and psychologic aspects.
authors.affiliation: Department of Dentistry, University of Grande Rio, Duque de Caxias, Rio de Janeiro, Brazil. carlosbuco@hotmail.com
authors.forename: Carlos Eduardo Lopes
authors.initials: CE
authors.lastname: Albuquerque
authors.forename: Roberto
authors.initials: R
authors.lastname: Prado
authors.forename: Cecilia Luiz
authors.initials: CL
authors.lastname: Pereira-Stabile
authors.forename: Antonio Mont'Alverne Lopes
authors.initials: AM
authors.lastname: Filho
mesh_terms: D000328:Adult; D002012:Bruxism / Q000150:complications; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008279:Magnetic Resonance Imaging; D008406:Masseter Muscle / Q000473:pathology; D017090:Occlusal Splints; D010808:Physical Examination; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011626:Pterygoid Muscles / Q000473:pathology; D020186:Sleep Bruxism / Q000150:complications; D013703:Temporal Muscle / Q000473:pathology*