The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Re-restoration of temporomandibular joint disorder acquired after implant prosthetic restoration using T-Scan: A case report

임플란트 보철 수복 후 발생한 악관절 장애 환자의 T-Scan 분석을 이용한 재수복 증례

  • Joo, Se-Jin (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Kang, Dong-Wan (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Ho-Sun (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Jin, Soo-Yoon (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Gyeong-Je (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 주세진 (조선대학교 치과대학 치과보철학교실) ;
  • 강동완 (조선대학교 치과대학 치과보철학교실) ;
  • 이호선 (조선대학교 치과대학 치과보철학교실) ;
  • 진수윤 (조선대학교 치과대학 치과보철학교실) ;
  • 이경제 (조선대학교 치과대학 치과보철학교실)
  • Received : 2016.04.12
  • Accepted : 2016.06.03
  • Published : 2016.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

In cases of extensive prosthetic restoration, correction of occlusal contact is often needed, as it is the essential component for a successful restoration. If occlusal contact is given incorrectly, various symptoms of occlusal trauma can occur of which temporomandibular joint disorder (TMD) is one of them. As one of the common symptoms of TMD, patients may suffer with masticatory muscle disorder and temporomandibular joint pain. This case presents satisfactory results for the improvement of masticatory muscles and temporomandibular joint pain of a TMD patient, caused by incorrect occlusal contact of the restoration, by replacing the prosthesis after occlusion correction.

광범위한 보철 수복에서 교합접촉의 재설정이 필요한 경우가 많이 있으며, 교합접촉은 보철물 성공의 필수요소이다. 만약 교합접촉 관계가 잘못 부여된다면 다양한 교합외상의 증상이 발생할 수 있으며, 악관절 장애도 그 중 하나이다. 이런 악관절 장애의 흔한 증상의 하나로 저작근 장애 및 악관절 부위 통증이 발생될 수 있으며 이는 환자에게 많은 고통을 준다. 본 증례는 보철물의 잘못된 교합접촉으로 인한 지속적 악관절 통증을 가진 환자에서 교합 재설정한 보철물로 재수복하여 저작근 및 악관절 통증이 개선되는 등의 만족스러운 결과를 얻어 이를 보고하는 바이다.

Keywords

References

  1. Dawson PE. Position paper regarding diagnosis, management, and treatment of temporomandibular disorders. The American Equilibration Society. J Prosthet Dent 1999;81:174-8. https://doi.org/10.1016/S0022-3913(99)70245-3
  2. Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders. J Am Dent Assoc 1983;106:75-7. https://doi.org/10.14219/jada.archive.1983.0020
  3. Goldstein BH. Temporomandibular disorders: a review of current understanding. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:379-85. https://doi.org/10.1016/S1079-2104(99)70048-X
  4. Beard CC, Clayton JA. Effects of occlusal splint therapy on TMJ dysfunction. J Prosthet Dent 1980;44:324-35. https://doi.org/10.1016/0022-3913(80)90021-9
  5. Mizui M, Nabeshima F, Tosa J, Tanaka M, Kawazoe T. Quantitative analysis of occlusal balance in intercuspal position using the T-Scan system. Int J Prosthodont 1994;7:62-71.
  6. Ekberg E, Vallon D, Nilner M. The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain 2003;17:133-9.
  7. Nilner M, Ekberg E, Doepel M, Andersson J, Selovuo K, Le Bell Y. Short-term effectiveness of a prefabricated occlusal appliance in patients with myofascial pain. J Orofac Pain 2008;22:209-18.
  8. Doepel M, Nilner M, Ekberg E, LE Bell Y. Long-term effectiveness of a prefabricated oral appliance for myofascial pain. J Oral Rehabil 2012;39:252-60. https://doi.org/10.1111/j.1365-2842.2011.02261.x
  9. Jung DW, Chung AY, Kim ST. Management of temporomandibular disorder. J Dent Rehabil Appl Sci 2012;28:441-52.
  10. Son MK, Kim HJ, Kang DW, Chung CH. Clinical application of T-scan III system. Oral Biol Res 2011;35:161-7. https://doi.org/10.21851/obr.35.2.201109.161
  11. Hirano S, Okuma K, Hayakawa I. In vitro study on accuracy and repeatability of the T-Scan II system. Kokubyo Gakkai Zasshi 2002;69:194-201. https://doi.org/10.5357/koubyou.69.194
  12. Yamamura M, Takahashi A, Aoki H, Takeuchi N, Endo Y, Tamaki K, Sano Y, Fujiwara S, Fujita T, Kusunoki S. A study on display and accuracy of occlusal contacts by means of T-Scan System. Kanagawa Shigaku 1990;25:236-41.
  13. Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M. Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent 2004;92:190-5. https://doi.org/10.1016/j.prosdent.2004.05.013
  14. Troeltzsch M, Troeltzsch M, Cronin RJ, Brodine AH, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. J Prosthet Dent 2011;105:410-7. https://doi.org/10.1016/S0022-3913(11)60084-X
  15. Celic'R, Jerolimov V. Association of horizontal and vertical overlap with prevalence of temporomandibular disorders. J Oral Rehabil 2002;29:588-93. https://doi.org/10.1046/j.1365-2842.2002.00865.x
  16. Gesch D, Bernhardt O, Kirbschus A. Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: a systematic review of population-based studies. Quintessence Int 2004;35:211-21.
  17. Kirveskari P, Jamsa T, Alanen P. Occlusal adjustment and the incidence of demand for temporomandibular disorder treatment. J Prosthet Dent 1998;79:433-8. https://doi.org/10.1016/S0022-3913(98)70158-1

Cited by

  1. An epidemiological study on the prevalence of temporomandibular disorder and associated history and problems in Nepalese subjects vol.18, pp.1, 2016, https://doi.org/10.17245/jdapm.2018.18.1.27