List of Articles by Author
- Badel T, Alajbeg I [Iva], Marotti M, Kocijan Lovko S. Temporomandibular Joint Disorder Therapy by Occlusal Splint: A Case Report. Acta Stomatol Croat. 2008;42(3):283-91.
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Title in English: |
Temporomandibular Joint Disorder Therapy by Occlusal Splint: A Case Report |
Title in Croatian: |
Terapija poremećaja čeljusnog zgloba okluzijskom udlagom: prikaz slučaja |
Type of Article: |
case report |
MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS JAW RELATION RECORD OCCLUSAL SPLINT |
Abstract: |
Temporomandibular disorder is the term that includes all functional disturbances of temporomandibular joint and masticatory muscles. This paper deals with one of the most common types of temporomandibular disorders that is articular disc displacement into an anterior position or so called articular disc dislocation. The most common risk factor related to this disorder is trauma. This can be a macrotrauma, such as an impact into the jaw, or microtrauma, which is related to chronic muscle hyperactivity or the occlusal instability. Magnetic resonance imaging is used for noninvasive evaluation of temporomandibular joints and soft tissues. Although irreversible therapeutic means are recommended for temporomandibular disorder treatment, the most common dental treatment is reversible and noninvasive which implies occlusal stabilization splint fabrication. This paper reports a case of a female patient with anterior articular disc displacement of her left temporomandibular joint and the treatment by a stabilization splint in order to obtain functional effi ciency of her masticatory system. |
- Badel T, Pandurić J, Marotti M, Kocijan Lovko S. Temporomandibular Joint Disorder in an Otalgia Patient. Acta Stomatol Croat. 2006;40(2):175-81.
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Title in English: |
Temporomandibular Joint Disorder in an Otalgia Patient |
Title in Croatian: |
Poremećaj čeljusnog zgloba pacijentice s otalgijom |
Type of Article: |
case report |
MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS MAGNETIC RESONANCE SPECTROSCOPY EARACHE ANXIETY DENTURES |
Abstract: |
Often wrong judgment of unspecifi c otological symptoms, caused by some types of temporomandibular disorders, is based on the connection in the embryonic development of the temporomandibular joint (TMJ) and the ear. This is a report of a female patient who was previously treated by the ear-nose-throat specialist because of otalgia, but it was concluded that she had some TMJ pathology. Clinical examination and magnet resonance of the TMJs confi rmed anterior slide of the disc. Since the patient has fi ve-year-old complete dentures, new ones were fabricated. The symptoms recede, and for the patient the most important thing was that the pain disappeared. With regards to her age, acquired anodontia and impossible restitutio ad integrum treatment, she was instructed how to support the painless functional status of her masticatory system. |
- Badel T, Pandurić J, Kraljević-Šimunković S, Marotti M, Kocijan Lovko S, Šutalo J. Temporomandibular Disorders in a Patient With Anxiety. Acta Stomatol Croat. 2003;37(3):306-7.
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Title in English: |
Temporomandibular Disorders in a Patient With Anxiety |
Title in Croatian: |
Temporomandibularna disfunkcija u pacijentice s anksioznošću |
Type of Article: |
congress abstract |
MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + therapy ANXIETY |
Abstract: |
A patient (28 yrs. old) during the last year has noticed wear facets on the teeth and also symptoms of temporomandibular disorders (TMD) - pain, limitation of mandibular movements, and also clicking in the right temporomandibular joint (TMJ). The pain was evaluated with analog-visual scale (0 - 10) = 7. Case history revealed the presence of mental trauma four years ago, which had caused the increase of anxiety and occurrence of panic attacks. By means of manual functional analysis myofacial pain and anterior disc displacement without reduction in the right TMJ was determined and confirmed with electronic axiography and magnetic resonance imaging (MRI). As a consequence of excessive teeth wear the interfering contacts in laterotrusive movements of mandibule were established. Anxiety was confirmed with psychological measuring instrument State-Trait Anxiety Inventory. For the initial treatment the fabrication of Michigan splint was indicated. After 2 months improvement in clinical condition was achieved. Stronger pain was only during larger mouth opening. In the right TMJ crepitation was found. In the last few months she took irregularly prescribed anxiolytic drugs. She still feels anxious, tense and insecure. After 9 months the anterior disc dislocation without reduction and with present signs of subchondral degeneration and condylar aplation in the right TMJ was established with controlling MRI. Orthopedic stability of TMJs was established with definitive occlusal treatment (restoration of wear teeth tissues with composite fillings). Because of accompanying osteoarthritis and better stabilisation of TMJs as well as teeth protection from bruxism a stabilisation splint was fabricated. Bruxism is a pathophysiological disorder of unclear aetiology. The most noticeable sign of bruxism is excessive teeth wear which can cause pathological occlusal relationships. The mechanism of aetiopathogenesis of TMD is insufficiently explained and occlusion is considered to be a secondary aetiological factor. Anxiety can be a pathophysiological factor of bruxism and can lead to persistence of chronic temporomandibular pain. |
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