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Tipo: Artigo de Periódico
Título: Joint disorder: nonreducing disc displacement with mouth opening limitation - report of a case
Autor(es): Corrêa, Hellen Cordeiro
Freitas, Ana Carolina Stevaneli
Silva, Anísio Lima da
Coêlho, Túlio Kalife
Castillo, Daisilene Baena
Vinholi, Gustavo Helder
Abstract: The internal derangement of the temporomandibular joint (TMJ) represents 8% of all cases of temporomandibular disorders (TMD) posing difficulties to establish an accurate diagnosis and treatment because of its low prevalence. This article presents the case of an 18-year-old Caucasian female patient who came to our Orofacial Pain and TMD Outpatient Service with complaints of intense pain on the right TMJ and limitation of mouth opening (maximum interincisal opening of 29 mm) with deviation to right, which she had been experiencing for the past 3 years. After a detailed clinical interview, a diagnosis hypothesis of nonreducing disc displacement with mouth opening limitation was established. The proposed treatment consisted of intra-joint infiltration with anesthetic in the right TMJ followed by jaw manipulation to recapture the articular disc, which was impeding the complete translation movement of the affected TMJ. After jaw manipulation, a new evaluation was done and showed the re-establishment of jaw dynamics with mouth opening and closing without deviation to the right side, clicking, opening limitation or pain. The patient was followed up at 6 months intervals. Two years after treatment, the patient was reevaluated and her mandibular range of motion without aid increased to 54 mm with no clicking, deviation to right, trismus or pain on the TMJ, indicating success of the treatment approach without recurrence of the pathology.
Palavras-chave: Temporomandibular
Disc displacement
Mouth opening imitation
Editor: Journal of Applied Oral Science
Citação: CORREA, Hellen Cordeiro et al . Joint disorder: nonreducing disc displacement with mouth opening limitation - report of a case. J. Appl. Oral Sci., Bauru, v. 17, n. 4, Aug. 2009 . Available from <>. access on 12 July 2011. doi: 10.1590/S1678-77572009000400014.
Tipo de acesso: Acesso Aberto
Identificador DOI: 10.1590/S1678-77572009000400014
Data do documento: 2009
Aparece nas coleções:FAODO - Artigos publicados em periódicos

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