A 36-YEAR-OLD FEMALE PATIENT TREATED WITH AN OCCLUSAL SPLINT: A CASE REPORT

Acta Medica Medianae Pub Date : 2023-09-15 DOI:10.5633/amm.2023.0312

Frosina Volcheski, Jasna Petrovska, Elena Aleksova Noveska, Valdeta Osmani

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Abstract

This article describes a case of a 36-year-old female patient who sought help due to long-lasting pain in the temporomandibular joint (TMJ) region. Clinical examination revealed pain on the left side in the region of TMJ, and pain on opening, chewing, and palpation. Also, deviation to the right, and clicking on opening were present. A painful sensation on the left masseter muscle was detected on palpation. The diagnosis was established according to the functional analysis, clinical examination, and obtained anamnestic data. The decision was stabilizing occlusal splint to be administered in combination with exercises, physiotherapy, and symptoms-relieving analgesic treatment if needed. This protocol aimed to alleviate the painful symptomatology and enable relaxation of the muscles of mastication to some degree, before orthodontic treatment. This would obtain a solid basis for stable orthodontic treatment outcomes. Based on the case of the presented patient, it can be concluded that temporomandibular joint disorders (TMJD) can be treated with occlusal splint therapy in combination with exercises and physiotherapy. Acta Medica Medianae 2023;62(3):81-87.

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用咬合夹板治疗一名 36 岁女性患者：病例报告

本文描述了一例因颞下颌关节（TMJ）区域长期疼痛而求医的 36 岁女性患者。临床检查显示，颞下颌关节区域左侧疼痛，张口、咀嚼和触诊时疼痛。此外，还出现向右偏斜和张口时咔哒声。触诊时发现左侧咀嚼肌有疼痛感。诊断是根据功能分析、临床检查和获得的病史资料确定的。医生决定在使用稳定咬合夹板的同时进行锻炼、理疗，并在必要时进行缓解症状的镇痛治疗。该方案的目的是在正畸治疗前减轻疼痛症状，使咀嚼肌得到一定程度的放松。这将为取得稳定的正畸治疗效果奠定坚实的基础。根据该患者的病例，可以得出结论：颞下颌关节紊乱症（TMJD）可以通过咬合夹板疗法结合运动和理疗来治疗。Medianae 医学杂志》2023;62(3):81-87。

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Acta Medica Medianae

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16 weeks