For a thorough diagnosis, a comprehensive functional analysis was performed using condylography. This allowed for a detailed study of lower jaw movements, identification of discoordination in joint elements, and confirmation of disc displacement with subsequent repositioning. Condylography enabled precise determination of the pathological movement coordinates and the exact location of the clicking sound.
As part of the diagnostic process, a test bite procedure was conducted. This critical step allowed us to identify the exact position of the lower jaw in which the clicking disappeared (“capturing the click”). Precisely determining the therapeutic position made it possible to fabricate a custom splint, fully adapted to the patient’s anatomical and functional characteristics.
After the patient began using the splint in the therapeutic position, she reported a complete disappearance of the clicking sound. This indicates a successful restoration of normal TMJ function and confirms the effectiveness of a conservative treatment approach using custom-made splints.
Thus, a comprehensive approach that includes functional diagnostics, condylography, and the test bite procedure allows for an accurate assessment of TMJ dysfunction and the development of the most effective, individualized treatment plan for each patient.
