Review article
Temporomandibular Joint Disorder in a Patient with Multiple Sclerosis – Review of Literature with a Clinical Report
Tomislav Badel
Andreja Carek
Dijana Podoreški
Ivana Savić Pavičin
Sandra Kocijan Lovko
Abstract
Temporomandibular disorders are a form of musculoskeletal disorders, which reduce the function of stomatognathic system and they are related to some other diseases causing painful conditions and disorders of oral function. The aim of this paper is to describe a one year follow up clinical case of a female patient with comorbid multiple sclerosis and a relatively rare form of articular disc disorder. Primary clinical diagnostics encompassed manual methods of TMJ examination. Definite diagnosis included radiologic examination. Clinical hyperextensive condyle position was palpated bilaterally and subsequently confirmed by a functional panoramic radiograph of TMJ. The anterior displacement of disc with reduction was diagnosed by magnetic resonance and in the right joint there was a disc displacement upon excursive movement. From relevant literature, the relationship of a number of diseases that can be related to functional disorder of the orofacial system, such as multiple sclerosis, has been described from many aspects. Also, apart from the standard classification of one form of anterior displacement of the disc, made primarily by magnetic resonance, cases of disc displacement upon excursive mandibular movement can rarely be found in literature.
Keywords
temporomandibular disorder; disc displacement; multiple sclerosis; magnetic resonance imaging
Hrčak ID:
59400
URI
Publication date:
1.10.2010.
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