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Case DentalDate

Resolving complications after orthodontic treatment: correction of TMJ subluxation with splint therapy

The patient previously underwent orthodontic treatment at another clinic. After completing the treatment, she developed a subluxation of the temporomandibular joint (TMJ), accompanied by a pronounced loud clicking sound when opening her mouth.

Dr. Oleg Mordanov
Dr. Oleg Mordanov

Prosthodontist-gnathologist/ General Dentist

To thoroughly assess the condition of the joints and identify the cause of the symptoms, a comprehensive diagnostic evaluation was performed, including condylography, which allowed us to pinpoint the exact moment of disc displacement.

Based on the findings, a custom splint was fabricated to ensure proper joint positioning. When the splint was placed in the oral cavity, the disc repositioned itself, completely eliminating the clicking sound. However, this is only a temporary solution, requiring further stabilization of the joint.

For the final elimination of the problem, the patient is recommended to undergo repeated orthodontic treatment or fabrication of fixation onlays taking into account the physiologically correct position of the jaw.