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Combined Therapy for Associated Orofacial Disorders-A Challenging Case Report
Denise Fernandes Barbosa1, Laura Fernandes Bana2, Fausto Berzin2
1Division of Surgical Sciences, Department of Otorhinolaryngology, School of Medical Sciences, University of Campinas, UNICAMP, Campinas, São Paulo, Brazil.
European Journal of Dentistry
|July 12, 2022
Summary
Temporomandibular joint (TMJ) dysfunction can cause pain and disrupt sleep. Neuro-occlusal rehabilitation with an occlusal splint improved this patient's pain, sleep, and quality of life.
Area of Science:
- Dental Medicine
- Physical Therapy
- Neurology
Background:
- Lifestyle habits are crucial for health promotion and disease prevention.
- Temporomandibular joint (TMJ) dysfunction can negatively impact sleep and overall well-being.
- Multidisciplinary approaches have advanced TMJ dysfunction treatment outcomes.
Purpose of the Study:
- To present a case study of a patient with TMJ dysfunction.
- To evaluate the effectiveness of neuro-occlusal rehabilitation in managing TMJ dysfunction symptoms.
- To highlight the link between occlusal balance, body posture, and quality of life.
Main Methods:
- A case report of a 37-year-old female physical educator with TMJ dysfunction, neck pain, tinnitus, and tooth tightening.
- Treatment involved inferior occlusal splint placement and selective occlusal adjustments guided by neuro-occlusal rehabilitation principles.
- Assessment of symptom relief, medication use, and perceived improvements in physical performance and sleep quality.
Main Results:
- The patient experienced significant relief from pain symptoms, including TMJ and neck pain, and tinnitus.
- Occlusal splint therapy and adjustments led to improved occlusal and body balance.
- The patient discontinued analgesic medication and reported enhanced physical performance, better sleep quality, and improved overall quality of life.
Conclusions:
- Neuro-occlusal rehabilitation, including occlusal splint therapy, can effectively manage TMJ dysfunction.
- Restoring functional balance through dental and physical interventions positively impacts patient well-being.
- Further analysis of disorder causes and effects is necessary for tailored diagnosis and treatment strategies.

