Temporomandibular.info
was devised by
Dr Stephen J Davies
BDS , M.D.Sc., D.G.D.P.(UK)
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Case studies |
The temporomandibular joint |
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Case studies
Wrong diagnosis, wrong treatment
This patient was suffering from bilateral facial pain and over an 18 month period saw a GMP, an ENT consultant, a neurologist, a clinical psychologist, a psychiatrist, a restorative dentist and his GDP. During this time the attempted treatment included the removal of 3 third molars, 2 apicectomies and 4 root treatments. His symptoms remained unchanged. As a last resort he was sent to the temporomandibular disorder clinic, where he was diagnosed with pain dysfunction syndrome which was successfully corrected with a stabilisation splint. At no point before arriving at the clinic had his articulatory system been examined fully.
Right diagnosis, wrong treatment
In this case the diagnosis was correct but a variety of major treatment including a supra-occluding inlay, a supra-occluding bonded crown and root fillings were ineffective. And irreversible! When there is no guarantee of success, reversible or non-invasive methods should be attempted first. In this case splint therapy should have been tried to determine whether the alteration of the patient's occlusion may have proved successful.
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