Occlusal and functional evaluations in adults: a case report

Area of Science:

• Dentistry
• Orthodontics
• Temporomandibular Joint Disorders

Background:

• Mandibular asymmetry and temporomandibular dysfunction (TMD) can significantly impact oral function and patient well-being.
• Previous orthodontic treatment with first premolar extractions may complicate management.
• Effective management requires addressing underlying functional issues alongside occlusal correction.

Observation:

• An adult patient presented with significant mandibular asymmetry and symptoms of temporomandibular dysfunction.
• The patient had a history of four first premolar extractions and an incomplete prior orthodontic treatment.
• Assessment revealed issues with occlusion, jaw movements, and potentially tongue posture.

Findings:

• Implementing controlled tongue function and specific jaw posture management was crucial for treatment success.
• A combination of diagnostic assessments, including occlusion and jaw movement analysis, guided the therapeutic approach.
• Therapeutic interventions included a lower removable appliance and selective crown reshaping.

Implications:

• This approach highlights the importance of functional rehabilitation in managing complex orthodontic cases with TMD.
• Controlling tongue function and jaw posture can lead to a stable, functional occlusion and alleviate TMD symptoms.
• The described diagnostic and therapeutic methods offer a viable strategy for similar patient presentations.