The diagnosis and treatment of temporomandibular dysfunctions in older, partially or totally edentulous patients. 1982

A Jeanmonod

While the anatomical structures of the temporomandibular functional complex are gradually modified and adapted throughout life, dysfunctions may arise in older patients as a result of a sudden, substantial change in jaw relationships. Such a change may be caused by the extraction of a large or small number of teeth giving rise to unbalanced, eccentric occlusion and sometimes to a pathological change in vertical dimension, or by the fitting of a prosthesis which renders these conditions permanent. The principal clinical manifestations are preauricular pain, which may spread more widely, and mandibular dyskinesias. Treatment involves the restoration of a functional jaw relationship and a functional vertical dimension. A retroincisal bite-plane is used to re-establish these conditions. Prosthetic restoration renders them permanent and consolidates the relief of symptoms.

UI MeSH Term Description Entries
D007576 Jaw, Edentulous, Partially Absence of teeth from a portion of the mandible and/or maxilla.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009066 Mouth, Edentulous Total lack of teeth through disease or extraction. Mouth, Toothless,Edentulous Mouth,Edentulous Mouths,Toothless Mouth
D003767 Dental Occlusion, Balanced Dental occlusion in which the occlusal contact of the teeth on the working side of the jaw is accompanied by the harmonious contact of the teeth on the opposite (balancing) side. (From Jablonski, Dictionary of Dentistry, 1992, p556) Balanced Dental Occlusion,Occlusion, Balanced Dental,Balanced Dental Occlusions,Dental Occlusions, Balanced,Occlusions, Balanced Dental
D003769 Dental Occlusion, Traumatic An occlusion resulting in overstrain and injury to teeth, periodontal tissue, or other oral structures. Occlusion, Dental, Traumatic,Occlusion, Traumatic Dental,Traumatic Dental Occlusion,Dental Occlusions, Traumatic,Occlusions, Traumatic Dental,Traumatic Dental Occlusions
D003778 Dentures An appliance used as an artificial or prosthetic replacement for missing teeth and adjacent tissues. It does not include CROWNS; DENTAL ABUTMENTS; nor TOOTH, ARTIFICIAL. Denture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013706 Temporomandibular Joint Dysfunction Syndrome A symptom complex consisting of pain, muscle tenderness, clicking in the joint, and limitation or alteration of mandibular movement. The symptoms are subjective and manifested primarily in the masticatory muscles rather than the temporomandibular joint itself. Etiologic factors are uncertain but include occlusal dysharmony and psychophysiologic factors. Myofascial Pain Dysfunction Syndrome, Temporomandibular Joint,TMJ Syndrome,Temporomandibular Joint Syndrome,Costen's Syndrome,Costen Syndrome,Costens Syndrome,Joint Syndrome, Temporomandibular,Syndrome, Costen's,Syndrome, TMJ,Syndrome, Temporomandibular Joint
D014716 Vertical Dimension The length of the face determined by the distance of separation of jaws. Occlusal vertical dimension (OVD or VDO) or contact vertical dimension is the lower face height with the teeth in centric occlusion. Rest vertical dimension (VDR) is the lower face height measured from a chin point to a point just below the nose, with the mandible in rest position. (From Jablonski, Dictionary of Dentistry, 1992, p250) Mandibular Rest Position,Rest Vertical Dimension,Vertical Dimension at Rest,Vertical Dimension of Occlusion,Dimension, Rest Vertical,Dimension, Vertical,Dimensions, Rest Vertical,Dimensions, Vertical,Mandibular Rest Positions,Occlusion Vertical Dimension,Occlusion Vertical Dimensions,Position, Mandibular Rest,Positions, Mandibular Rest,Rest Position, Mandibular,Rest Positions, Mandibular,Rest Vertical Dimensions,Vertical Dimension, Rest,Vertical Dimensions,Vertical Dimensions, Rest

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