Combined Orthodontic-Prosthetic Therapy of TMD Patients (Case Report)

摘要

A 25 year-old female came to the practice with symptoms typical of temporomandibular dysfunction. Clinical examination revealed that there were several teeth missing: 25, 26, 46. Dystopia of the right upper canine and several teeth rotations, titling and spaces caused by tooth loos were noticed. After utilizing a stabilization splint which relieved the original symptoms, orthodontic therapy, followed by prosthodontic work, was chosen as definitive therapy. Straight wire technique was applied using 0.22” Roth fixed braces. Nivelation was started with 0.14” wire and finished with 0.16” x 0.16” square wire. Procedure was conducted during a 3 month period. Then the canine was derotated and returned to its correct positon, using 0.16” round wire and finishing with 0.16” x 0.16” square wire. Whole the orthodontic treatment lasted for 11 months and provided solid ground for prosthodontic treatment. Prosthodontic treatment included two fixed prosthodontic restorations. One including abutments on teeth 24 and 27, and the other on teeth 45 and 47. Abrasive metal ceramic was choosen for those restorations. Restorations were made using articulator Artex NK and finally fitted in the mouth. The final result eliminated all symptoms of TMD and was aesthetically pleasing for tha patient.