Temporomandibular disorder in a child

P E Schneider1, S E Mohamed, R D Olinde

  • 1Department of Pediatric Dentistry, Louisiana State University, School of Dentistry, New Orleans 70119.

Insights

Temporomandibular (TM) disorders are rare in children, often stemming from developmental issues or muscle imbalances. This case study details a two-year progression of a TM disorder in an infant, highlighting key symptoms and diagnostic considerations.

Area of Science:

  • Pediatric dentistry
  • Craniofacial anomalies
  • Temporomandibular joint (TMJ) disorders

Background:

  • Temporomandibular (TM) disorders are infrequently diagnosed in pediatric populations.
  • Etiologies can include developmental interferences, malocclusion, and masticatory muscle dysfunction.
  • Symptoms often manifest as facial pain, otalgia, headaches, and joint sounds during jaw movement.

Observation:

  • This study presents a comprehensive two-year clinical course of a TM disorder.
  • The condition initially presented symptoms in a six-month-old infant.
  • Detailed observations track the disorder's progression and impact over time.

Findings:

  • The case illustrates the potential for early-onset TM disorders in children.
  • It highlights the diverse and sometimes subtle initial presentations of pediatric TMJ issues.
  • The study documents the natural history of the disorder over a significant period.

Implications:

  • Early recognition and diagnosis of pediatric TM disorders are crucial for effective management.
  • Understanding the developmental trajectory of these disorders can inform treatment strategies.
  • This case provides valuable insights for clinicians managing pediatric craniofacial pain and dysfunction.

Related Concept Videos

Teeth01:15

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Tooth Anatomy01:21

Tooth Anatomy

The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...