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1/10. arthrogryposis multiplex congenita in a patient with limited mouth opening: a case report.

    This report describes a case of arthrogryposis multiplex congenita and concomitant bruxism with limited mouth opening and pain in the temporomandibular joints (TMJ). A conservative treatment with a myorelaxing splint and physiotherapeutic exercises was prescribed resulting in improvement to the muscular and joint conditions and a reduction in pain.
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2/10. acupuncture treatment of pain dysfunction syndrome after dental extraction.

    A successful treatment with acupuncture of a patient with Pain Dysfunction syndrome is presented. The patient developed restricted mouth opening after removal of a third molar in the lower jaw. Despite orthodox treatment no improvement was noticed after three months, and his general practitioner was contacted. After two acupuncture sessions the patient felt normal and the jaw movement was within the normal range. A follow-up four weeks after the first treatment showed a further increase in the jaw movement. If restricted movement in the temporomandibular joint occurs after operative procedures in the mouth, acupuncture should be considered at an early stage.
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3/10. Jacob's disease associated with temporomandibular joint dysfunction: a case report.

    Jacob's disease is regarded a rare condition in which a joint formation is established between an enlarged mandibular coronoid process and the inner aspect of the zygomatic body. Chronic temporomandibular joint (TMJ) disk displacement has been proposed as etiological factor of coronoid process enlargement. We present a 23-year-old woman with long-standing TMJ dysfunction and restricted interincisal opening, who developed a progressive zygomatic asymmetry. The patient underwent treatment by intraoral coronoidectomy and homolateral TMJ arthroscopy in the same surgery. The histopathological diagnosis of the coronoid sample was cartilage-capped exostoses with presence of articular fibrous cartilage. Although the low prevalence of this entity, it should be considered as a possible diagnosis in patients with progressive limitation of mouth opening, although a TMJ syndrome may be present as a cause of this entity.
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4/10. chiropractic treatment of temporomandibular disorders using the activator adjusting instrument and protocol.

    OBJECTIVE: To describe the chiropractic management of a 30-year-old woman with temporomandibular joint (TMJ) pain and to discuss the general etiology and management of TMJ conditions. CLINICAL FEATURES: The patient suffered from daily unremitting jaw pain for 7 years, which was the apparent sequela of a series of 8 root canals on the same tooth. Pain radiated from her TMJ into her shoulder and was accompanied by headache, tinnitus, decreased hearing, and a feeling of congestion in her right ear. Symptoms were not reduced by medication or other dental treatments. OUTCOME AND INTERVENTION: The patient underwent a series of chiropractic treatments using the instrument and protocol of Activator methods, International. During the first 5 months, her VAS rating of jaw pain decreased from 60 (on a scale of 0 to 100) to 9, her ability to eat solid foods increased, headache intensity and frequency diminished, and her maximum mouth opening without pain measurement increased from 22 to 28 mm. overall, 20 months of chiropractic treatment along with 2 concurrent months of massage therapy yielded slow but continual progress that finally resulted in total resolution of all symptoms except some fullness of the right cheek. CONCLUSION: Use of the Activator methods protocol of chiropractic treatment was beneficial for this patient and merits further study in similar cases.
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5/10. Nasopharyngeal tumor initially manifested as myofascial pain dysfunction syndrome.

    A patient with facial pain of 1 1/2 years' duration, associated with limitation of opening of the mouth, click, and osteodegenerative changes of the temporomandibular joint, was initially thought to be suffering from a myofascial pain dysfunction syndrome. At first, the patient reacted favorably to muscle exercises and an antidepressive drug, but reduced lacrimation and the development of deafness on the affected side led to re-evaluation and a diagnosis of nasopharyngeal tumor. biopsy confirmed the presence of an adenocarcinoma of the nasopharynx. The variability of symptoms and the diagnostic problems presented by this tumor are discussed.
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6/10. Condylar remodeling after occlusal therapy.

    Seven men and 15 women with TMJ pain dysfunction syndrome were selected. After clinical examination, polytomography of the TMJ was performed in centric occlusion in different planes. Open-mouth projections were also made in three patients, frontal tomography in one patient, and transcranial radiographs in 16 patients. Occlusal analysis was performed on the articulator. Twenty patients showed various patterns of condylar displacement with flattening of the anterior, superior, or posterior condylar walls in 11 patients, including three with arthritic lesions. Therapy included occlusal splints (21 patients), selective grinding (seven patients), prosthodontic rehabilitation (10 patients), and orthodontic treatment (two patients). After therapy, tomographic examination was repeated at intervals of 9 to 44 months. A distinct reshaping of the condyle was seen in seven patients. The new shape tended to be rounded. The three patients with degenerative changes before treatment showed regression of the lesions. No change was seen in condyles which were rounded before therapy.
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7/10. ankylosis of the temporalis-coronoid complex of the mandible.

    ankylosis of the temporalis-coronoid complex is a clinical entity. The etiology is usually direct trauma to the temporalis muscle or coronoid process of the mandible. It is difficult to differentiate diagnostically from ankylosis of the adjacent temporomandibular joint, and should always be considered in the differential diagnosis of inability to open the mouth. The treatment is always surgical and the intraoral approach is favored. The cure rate with this modality of therapy has been gratifying.
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8/10. tetanus: review of the literature and report of a case.

    The clinical features, active and passive immunization schedules, and an approach to management of established tetanus are reviewed and discussed. A case of localized tetanus is presented in which the patient's initial complaint was inability to open the mouth. Prompt diagnosis and treatment contributed to a large extent to the patient's successful recovery.
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9/10. Treatment of temporomandibular joint dysfunction with a visible light-cured resin overlay denture: a case report.

    A woman presented with temporomandibular dysfunction caused by a marked overclosure of her mandible. She complained of pain and clicking noises in her temporomandibular joint. After initial assessment and treatment with a provisional occlusal acrylic resin splint, the patient was provided with a definitive overlay denture with visible light-cured resin as occlusal overlays. The denture was stable in the mouth and the occlusal resin material showed some occlusal wear at the 2-year examination.
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keywords = mouth
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10/10. Diver's mouth syndrome: a report of two cases and construction of custom-made regulator mouthpieces.

    Scuba diving is becoming more and more popular and dentists are increasingly likely to encounter patients with diving-related problems. Protruded mandibular positions and the biting forces exercised on the anterior occlusion during diving can cause pain and dysfunction, particularly where a predisposing factor such as bruxism exists. In this article, two cases are reported of patients with diving-exacerbated pain dysfunction syndrome, which improved following the construction of custom-made mouthpieces which distributed the forces more evenly. Laboratory procedures are described for construction of a custom-made scuba regulator mouthpiece that allows more comfortable diving.
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