TREATMENT MANAGEMENT IN A YOUNG PATIENT WITH TEMPOROMANDIBULAR DISORDER AND MALOCCLUSION: A CASE REPORT

R.P. Rotolo¹,*, A. Correra¹, K. Ferati², A. Palermo³, A. Mancini⁴, E. Xhajanka⁵, A. Jamilian⁶ and B. Sayahpour⁷

¹Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli,
Naples, Italy;
²Faculty of Medicine, University of Tetovo, Tetovo, Macedonia;
³College of Medicine and Dentistry, Birmingham, UK;
⁴Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70121 Bari, Italy;
⁵Medical University of Tirana, Rruga e Dibrës, Tirana 1001, Albania.
⁶Department of Orthodontics, Dental School, Cranio Maxillofacial Research Center, Tehran Medical Sciences, Islamic
Azad University, Tehran, Iran;
⁷Department of Orthodontics, Johann-Wolfgang Goethe University, Theodor-Stern-Kai 7, 60596, Frankfurt, Germany.

*Correspondence to:
Dr Rossana Patricia Rotolo,
Multidisciplinary Department of Medical-Surgical and Dental Specialties,
University of Campania Luigi Vanvitelli,
Naples, Italy.
e-mail: rossanarotolo@gmail.com

Received:  15 July  2023 Accepted: 28 August 2023

2038-4106(2023) Copyright © by BIOLIFE This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: all authors report no conflicts of interest relevant to this article.

ABSTRACT

Signs and symptoms of temporomandibular disorders (TMD) are observed in a percentage ranging from 7.3 to 30.4% of children and adolescents. The purpose of this work is to report a clinical case of a young patient suffering from TMD and malocclusion and who was treated with a gnathological occlusal splint and fixed orthodontic appliance. The patient, a girl aged 10 years and 10 months, had a slight tendency to skeletal Class III malocclusion, 6 mm overbite, 1.4-1.5 crossbite, multiple rotations and lower crowding. A gnathological occlusal splint was made to alleviate the acute symptoms and a gnathological retention splint at the finishing stage of fixed appliance was applied to achieve the functional occlusion. Observation after 2 years out of orthodontic treatment revealed a stable occlusion and improved of TMD symptoms.

KEYWORDS: temporomandibular disorder, malocclusion, treatment, management, adolescent patients