Help required for this case – Discuss Dentistry https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/feed/ Tue, 02 Sep 2025 17:32:24 +0000 https://bbpress.org/?v=2.6.11 en-US https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14523 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14523 Tue, 18 Jan 2011 10:01:52 +0000 I would like to indicate a MRI, for this case, just OPG cant show soft tissue findings

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14524 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14524 Wed, 19 Jan 2011 10:49:36 +0000 Though not an important reason but i notice that the patient has silver fillings in al her molars, probably the high points were not taken care of at the right time this may have led to change in the dynamics of the TMJ system

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14525 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14525 Wed, 19 Jan 2011 12:21:39 +0000 sushantpatel_doc I dont think minor high points would cause so much of a problem but this cause cant be completely over-ruled either…You may ask the patient to apply hot water fomentation and prescribe muscle relaxants and analgesics for symptomatic relief..

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14526 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14526 Tue, 25 Jan 2011 08:00:39 +0000 Hi,

Although the problems looks chronic, needs a a proper diagnosis before any therapy is carried out.The diagnosis of the disease also requires a through knowlegde about both hard and soft tissue anatomy. The radiographs displayed here are having excellenet contrast, but are not contributory for the diagnosis. The soft tissue details are the part of TMJ and required to study in detail.I prefer you to go for specialized technique like MRI to study these details ad come to dignosis. After the diagnosis come to managemnet part. The management of TMJ problem more or less is symptomatic.

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14527 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14527 Tue, 25 Jan 2011 08:14:28 +0000 i had referred the pt. to an oral surgeon. The oral surgeon opined a conservative line of treatment. Oral surgeon prescribed hot water fomentations and restricted mouth opening for a few days. There was a slight deviation of the mandible on the left side op mouth opening. I taught the patient to open the mouth without deviation. The patient feels slightly better now. Altho she is unable to open her mouth fully.

More comments are welcome.

veeren

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14528 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14528 Tue, 25 Jan 2011 08:41:55 +0000 tirath dislocation of the condyles may b one of the cause..

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14529 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14529 Tue, 25 Jan 2011 10:23:54 +0000 Regarding management provided by oral surgeon i dont have any complaints, everyone has their own way of treatring these cases. Regarding mouth opening as you have told she can open her mouth to ceratain extent that is really good response, may be due to young age also where healing is faster. when you come to opening the mouth widely she will be able to open the mouth after some time without discomfort if she follows all those opening and closing excercises, followed by lateral movements.hot and cold application and drug route.But i canot garantee that this problem will be solved here, she might have recurrent stages in the future.

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14530 <![CDATA[Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14530 Wed, 26 Jan 2011 09:06:00 +0000 Regarding management provided by oral surgeon i dont have any complaints, everyone has their own way of treatring these cases. Regarding mouth opening as you have told she can open her mouth to ceratain extent that is really good response, may be due to young age also where healing is faster. when you come to opening the mouth widely she will be able to open the mouth after some time without discomfort if she follows all those opening and closing excercises, followed by lateral movements.hot and cold application and drug route.But i canot garantee that this problem will be solved here, she might have recurrent stages in the future.

 

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14531 <![CDATA[Re: Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14531 Wed, 26 Jan 2011 10:04:43 +0000 ahluwaliatony Well, go for a MRI in this case as it most probably looks like a case involving the articular disc of the right TMJ….maybe disc dislocation with reduction. If u want to go into details consult okeson’s textbook on TMJ abnormalities. Mostly these cases require hot sponging alongwith some kind of intraoral splint that positions the mandible slightly forward. Consult the text book for more details.

        

]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14532 <![CDATA[Help required for this case]]> https://demo.discussdentistry.com/forums/topic/help-required-for-this-case/#post-14532 Wed, 26 Jan 2011 10:30:00 +0000 ahluwaliatony wrote:

Well, go for a MRI in this case as it most probably looks like a case involving the articular disc of the right TMJ….maybe disc dislocation with reduction. If u want to go into details consult okeson's textbook on TMJ abnormalities. Mostly these cases require hot sponging alongwith some kind of intraoral splint that positions the mandible slightly forward. Consult the text book for more details.

 

        

]]>