Orthodontic treatment for a craniomandibular disorder. Case report

Abstract

Female patient 13 years of age with severe TMJ dysfunction who presented symptoms of pain and generalized muscular hypertonicity, vertigo, difficulty for walking, limitation of mandibular movements, weak chewing and maximum oral opening of 17 mm. She was diagnosed as a skeletal Class II due toretrognathia and micrognathia. She had a convex profile, severe upper and lower anterior dental crowding. Treatment began with neuromuscular reprogramming with a splint for muscular relaxation, thermotherapy with moist heat, muscle relaxants and afterwards, orthodontic treatment. The results of the treatment were satisfactory since the patient experienced improvement in her physical and emotional health. Correct masticatory function was restored giving the patient a better quality of life and allowing her to resume her normal daily activities.

Key words: TMJ dysfunction, mandibular retrognathism, muscular hypertonicity.