Internal disorder in the temporomandibular joint in young patient : Conservative Treatment vs Surgical Treatment Part 1.
DOI:
https://doi.org/10.48208/HeadacheMed.2024.21Abstract
Abstract: The patient presents with algia in the left mandible and in the ocular region, specifically at the base of the orbit. Initially, after clinical examination, the suspicion was migraine associated with bruxism with internal joint disorder. After imaging exams by tomography and magnetic resonance imaging with T1, T2, and DP contrast, it was observed that in the left temporomandibular joint, there is disc displacement without reduction, and in the right temporomandibular joint, the disc shows partial recovery. After one year of using an interocclusal device, the patient shows improvement in pain symptoms; however, the disc has only slightly improved in recovery, suggesting the possibility of future open surgery for disc repositioning through discopexy.
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References
Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of Signs and Symptoms in Temporomandibular Disorders: Clinical Signs in Cases and Controls. The Journal of the American Dental Association. 1990;120(3):273-81.Doi 10.14219/jada.archive.1990.0043
Hwa TP, Brant JA. Evaluation and Management of Otalgia. Medical Clinics of North America. 2021;105(5):813-26.Doi 10.1016/j.mcna.2021.05.004
Shukla D, Muthusekhar MR. Efficacy of low-level laser therapy in temporomandibular disorders: A systematic review. National Journal of Maxillofacial Surgery. 2016;7(1).Doi 10.4103/0975-5950.196127
Chen J, Huang Z, Ge M, Gao M. Efficacy of low‐level laser therapy in the treatment of TMDs: a meta‐analysis of 14 randomised controlled trials. Journal of Oral Rehabilitation. 2014;42(4):291-9.Doi 10.1111/joor.12258
Avaliação do efeito biomodulatório local e à distância por laserterapia infravermelha e vermelha na cicatrização de feridas cutâneas em dorso de rato [Internet]. A1. Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of Signs and Symptoms in Temporomandibular Disorders: Clinical Signs in Cases and Controls. The Journal of the American Dental Association. 1990;120(3):273-81.Doi 10.14219/jada.archive.1990.0043 DOI: https://doi.org/10.14219/jada.archive.1990.0043
Hwa TP, Brant JA. Evaluation and Management of Otalgia. Medical Clinics of North America. 2021;105(5):813-26.Doi 10.1016/j.mcna.2021.05.004 DOI: https://doi.org/10.1016/j.mcna.2021.05.004
Shukla D, Muthusekhar MR. Efficacy of low-level laser therapy in temporomandibular disorders: A systematic review. National Journal of Maxillofacial Surgery. 2016;7(1).Doi 10.4103/0975-5950.196127 DOI: https://doi.org/10.4103/0975-5950.196127
Chen J, Huang Z, Ge M, Gao M. Efficacy of low‐level laser therapy in the treatment of TMDs: a meta‐analysis of 14 randomised controlled trials. Journal of Oral Rehabilitation. 2014;42(4):291-9.Doi 10.1111/joor.12258 DOI: https://doi.org/10.1111/joor.12258
Avaliação do efeito biomodulatório local e à distância por laserterapia infravermelha e vermelha na cicatrização de feridas cutâneas em dorso de rato [Internet]. Available from: https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/2944
Hersh EV, Balasubramaniam R, Pinto A. Pharmacologic Management of Temporomandibular Disorders. Oral and Maxillofacial Surgery Clinics of North America. 2008;20(2):197-210.Doi 10.1016/j.coms.2007.12.005 DOI: https://doi.org/10.1016/j.coms.2007.12.005
Marlière DAA, Vicentin Calori MJA, Medeiros YdL, Santiago RC, Strujak G, Asprino L. Clinical outcomes of the discopexy using suture anchors for repositioning disc displacement in temporomandibular joints: Systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery. 2023;51(7-8):475-84.Doi 10.1016/j.jcms.2023.06.007 DOI: https://doi.org/10.1016/j.jcms.2023.06.007
Gonçalves JR, Cassano DS, Rezende L, Wolford LM. Disc Repositioning. Oral and Maxillofacial Surgery Clinics of North America. 2015;27(1):85-107.Doi 10.1016/j.coms.2014.09.007 DOI: https://doi.org/10.1016/j.coms.2014.09.007
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