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1.
Cranio ; 17(4): 289-92, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10650401

RESUMO

This work presents a case report of a woman, aged 62, who presented with signs and symptoms of temporomandibular disorder (TMD). The patient reported pain in the masticatory system and examination showed a reduction in the occlusal vertical dimension (OVD). She was treated with complete dentures incorporating a modification to the posterior regions developed by the authors and which were termed "sliding plates." Through analysis of photographs taken of the patient prior to the extraction of the patient's natural dentition, sliding plates were utilized to reestablish the OVD. The sliding plates also allowed for unrestricted eccentric mandibular movements, thereby accelerating the neuromuscular deprogramming and making it possible for the mandible to adopt a more physiologic position. The dentures reduced the pain and were well-accepted by the patient. Therefore, sliding plates may be of great benefit to completely edentulous patients with painful symptoms that result from alterations in the OVD and inappropriate condylar positioning.


Assuntos
Planejamento de Dentadura , Prótese Total , Síndrome da Disfunção da Articulação Temporomandibular/terapia , Relação Central , Oclusão Dentária Traumática/complicações , Oclusão Dentária Traumática/terapia , Dor Facial/etiologia , Dor Facial/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Placas Oclusais , Síndrome da Disfunção da Articulação Temporomandibular/etiologia , Dimensão Vertical
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