Treatment of temporomandibular joint trauma following odontectomy

https://doi.org/10.22146/majkedgiind.78415

Intan Ruspita(1*), Haryo Mustiko Dipoyono(2)

(1) Department of Prosthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Department of Prosthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Temporomandibular Joint Disorder (TMD) is a non-dental musculoskeletal disorder that has a complex and multifactorial etiology. The most frequent symptoms are pain in the masticatory muscles, in front of the ears, and in the temporomandibular joint (TMJ); this disorder can also be accompanied by clicking sounds and locking. This study aimed to present a case report of temporomandibular joint trauma following odontectomy. A 22-year-old patient came with some complaints, namely pain in the TMJ, a clicking sound when opening and closing the mouth, and limited mouth opening. The symptoms started when the patient underwent odontectomy on all the four third molars, causing tightness around the jaw, pain, and clicking. However, she did not seek any treatment for these conditions until the pain became worse and disturbed her activities. The patient had to deal with limited mouth opening and severe migraines up to twice a day. During an examination, the patient was able to open her mouth without pain only 25 mm in width, with a maximum mouth opening of 35 mm. The therapy was done by constructing a 4-mm stabilization splint and educating the patient on how to reduce the pain. In fact, 2 months after the treatment and the use of stabilization splints, her complaints of TMJ pain and clicking sounds decreased, her mouth opening increased, and the migraines never came back. In this case, non-invasive treatment as the first-line therapy in patients with disc displacement with reduction and arthralgia can reduce the joint pain symptoms, and some of the symptoms have even disappeared.

Keywords


arthralgia; disc displacement with reduction; odontectomy; temporomandibular disorder

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References

1. Okeson JP. Management of temporomandibular disorders and occlusion,
8th ed. Missouri: Elsevier; 2020. 5-19.

2. Norton NS. Netter’s Head and Neck Anatomy For Dentistry, 3rd ed. Philadelphia: Elsevier; 2017. 242-250.

3. List T, Jensen RH. Temporomandibular disorders: Old ideas and new concepts.
Cephalalgia. 2017; 37(7): 692-704. doi: 10.1177/0333102416686302

4. Li DTS, Leung YY. Temporomandibular disorders: current concepts and controversies in diagnosis and management. Diagnostics (Basel). 2021; 11(3): 459. doi:10.3390/diagnostics11030459

5. Tjakkes GH, Reinders JJ, Tenvergert EM, Stegenga B. TMD pain: the effect on health related quality of life and the influence of pain duration. Health Qual Life Outcomes. 2010; 8: 46. doi: 10.1186/1477-7525-8-46

6. Pigozzi LB, Pereira DD, Pattussi MP, Moret-Tatay C, Irigaray TQ, Weber JBB, Grossi PK, Grossi ML. Quality of life in young and middle age adult temporomandibular disorders patients and asymptomatic subjects: a systematic review and meta-analysis. Health Qual Life Outcomes. 2021; 19(1): 83.
doi: 10.1186/s12955-021-01727-7

7. Juhl GI, Jensen TS, Norholt SE, Svensson P. Incidence of symptoms and signs of TMD following third molar surgery: a controlled, prospective study. J Oral Rehabil. 2009; 36(3): 199-209. doi: 10.1111/j.1365-2842.2008.01925.x

8. Bhardwaj A, Gupta S, Narula J. Mischievous mandibular third molars camouflaging temporomandibular joint disorders. J Korean Assoc Oral Maxillofac Surg. 2022; 48(3): 155-158. doi:10.5125/jkaoms.2022.48.3.155

9. Jasim HH. Effect of the impacted third molars on the development of temporomandibular joint (TMJ) clicking. J Int Oral Health. 2019; 11: 393-397. doi: 10.4103/jioh.jioh_310_18

10. Dolatabadi MA, Lassemi E. Trauma to the temporomandibular joint following tooth extraction via dental students. Trauma Mon. 2012; 16(4): 205.
doi: 10.5812/kowsar.22517464.3432

11. Susanti L. TMD: gangguan sendi rahang: memahami gejala, penyebab, serta kiat mencegah & mengatasinya. Kompas Media Nusantara; 2017.

12. Butts R, Dunning J, Pavkovich R, Mettille J, Mourad F. Conservative management of temporomandibular dysfunction: A literature review with implications for clinical practice guidelines (Narrative review part 2). J Bodyw
Mov Ther. 2017; 21(3): 541-548. doi: 10.1016/j.jbmt.2017.05.021

13. Gil-Martínez A, Paris-Alemany A, López-de-Uralde-Villanueva I, La Touche R. Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J Pain Res. 2018; 11: 571-587.
doi:10.2147/JPR.S127950

14. Abouelhuda AM, Khalifa AK, Kim YK, Hegazy SA. Non-invasive different modalities of treatment for temporomandibular disorders: review of literature. J Korean Assoc Oral Maxillofac Surg. 2018; 44(2): 43-51.
doi:10.5125/jkaoms.2018.44.2.43

15. Camila C.-T, Iturriaga V, Fuentes R, Thomas B. Management of arthralgia of
temporomandibular joint through the use of interocclusal pivot splint; A review. 2015; 31: 299-304.

16. Sharma S, Gupta DS, Pal US, Jurel SK. Etiological factors of temporomandibular joint disorders. Natl J Maxillofac Surg. 2011; 2(2):
116-119. doi:10.4103/0975-5950.94463

17. Al-Moraissi EA, Wolford LM, Ellis E, Neff A. The hierarchy of different treatments for arthrogenous temporomandibular disorders: A network meta-analysis of randomized clinical trials. J Craniomaxillofac Surg. 2020; 48: 9–23. doi: 10.1016/j.jcms.2019.10.004.

18. Machon V, Hirjak D, Lukas J. Therapy of the osteoarthritis of the temporomandibular joint. J Craniomaxillofac Surg. 2011; 39(2): 127-130. doi: 10.1016/j.jcms.2010.04.010

19. Maranini B, Ciancio G, Mandrioli S, Galiè M, Govoni M. The role of ultrasound in
temporomandibular joint disorders: an update and future perspectives. Front Med
(Lausanne). 2022; 9: 926573. doi:10.3389/fmed.2022.926573

20. Kapos FP, Exposto FG, Oyarzo JF, Durham J. Temporomandibular disorders: a review of current concepts in aetiology, diagnosis and management. Oral Surg. 2020; 13(4): 321-334. doi:10.1111/ors.12473



DOI: https://doi.org/10.22146/majkedgiind.78415

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