Difference between revisions of "4° Clinical case: Temporomandibular disorders"

The finalization of the definitively diagnosed clinical case of DTMs resulted in a restoration of the masticatory function, disappearance of the symptoms as well as an aesthetic improvement. The various phases of the rehabilitation can be followed in the gallery of images in figure 9. In particular, the Functional Neuro-Evoked Centric position is not only centered having moved slightly to the right but also retruded. It is interesting to make a comparison with figure 5a to understand the spatial differences. Element 22, in fact, is no longer in crossbite but in a head-to-head position while element 23 has a much more incisal centric contact with respect to the previous clinical situation, so as to note the occlusal space in the medial area of element 24 which it was generated with the current mandibular spatial position determined with the Functional Neuro Evoked Centric. This new occlusal arrangement was only possible because the stable and mainly frozen centric position in the molar sector. The molars through the previously exposed neuromotor balance on the centric cusp stabilize the occlusion and generate a bilateral balance in the mandibular movements as will be shortly described.

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File:Clicker end1.jpg|'''Figure 9a:''' Frontal view of functional neuro-evoked rehabilitation and incisal normocclusal restoration with two crowns in Empress (work performed in 1992)

File:Clicker end2 .jpg|'''Figure 9b:''' Occlusal view of functional neuro-evoked rehabilitation and incisal normocclusal restoration with two crowns in Empress (work performed in 1992)