Fogorvosi szemle, 2013 (106. évfolyam, 1-4. szám)

2013-03-01 / 1. szám

10

FOGORVOSI SZEMLE ■ 106. évf. 1. sz. 2013.

Irodalom

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2. Cutbirth ST: Increasing vertical dimension: considerations and steps in reconstruction of the severely worn dentition. Pract Proced Aesthet Dent. 2008 Nov-Dec; 20 (10): 619-626.

3. Harold Litvak, Kenneth A. Malament: Prosthodontic management of temporomandibular disorders and orofacial pain. J Prosthet Dent. 1993; 69: 77-84.

4. Magyar Orvostársaságok és Egyesületek Szövetsége (MOTESZ): Felhívás, „A biszfoszfonátok által indukált oszteonekrózisok megelőzése és kezelése” címmel szervezett interdiszciplináris fórum állásfoglalása. Fogorv Szle 2010; 103: 27-28.

Dr. Nagy Zs, Dr. Schmidt P, Dr. Hermann P:

Complex prosthetic rehabilitation of a patient with temporomandibular dysfunction

Case report

There are varying opinions regarding the contribution of occlusal interferences to the development and progression of temporomandibular dysfunction (TMD). Several studies have demonstrated that the use of occlusal adjustment might prevent the development of TMD and the exacerbation of its symptoms. Since the aetiology of TMD is multiple, the prosthodontic treatment cannot always be sufficient, but tends to be effective in some cases.

The present article describes a case of a complex prosthetic rehabilitation of a patient with TMD that originates from her previous prosthesis, resulting in reduced vertical dimension. Treatment included the registration of vertical and horizontal dimensions of occlusion by gothic arch (arrow-point) tracing. Degrees of the mandibular movement were recorded by digital axiograph (ARCUSdigma-KaVo) and transferred to a semi-adjustable articulator (KaVo Protar 5B). Appropriate vertical and horizontal occlusal dimensions and individual mandibular movements were then transferred to the final prosthesis.

Key words: deep bite, TMD, iatrogenic disease, centric occlusion, occlusal rehabilitation