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Case DentalDate

Diagnosis and treatment of TMJ subluxation using test byte and splint therapy

The patient visited the clinic with a complaint of a loud clicking sound when opening her mouth, as well as concerns about the aesthetics of her smile.

Dr. Oleg Mordanov
Dr. Oleg Mordanov

Prosthodontist-gnathologist/ General Dentist

To determine the cause of these issues, we conducted a functional diagnosis, including condylography, and identified the moment when a subluxation of the temporomandibular joint (TMJ) occurs, accompanied by a pronounced clicking sound.

Before fabricating the splint, we perform the Test- Bite —a method that allows us to assess the correct future position of the lower jaw, known as the therapeutic position.

Testing process:
1.⁠ ⁠The patient opens her mouth – a clicking sound occurs.
2.⁠ ⁠We place temporary bite plates.
3.⁠ ⁠The patient closes her mouth, then opens it again – the clicking disappears as the TMJ disc fully repositions.

This test helps confirm the accuracy of the chosen therapeutic position and ensures stable joint function before starting the main treatment.