Haralur Satheesh B, Alsubaiy Ebrahim Fihaid
Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Assir, Saudi Arabia.
BMJ Case Rep. 2013 Aug 16;2013:bcr2013009836. doi: 10.1136/bcr-2013-009836.
The patient returning to the clinic with a restricted mouth opening after dental treatment is common in dental practice. An extended, wide mouth opening during the dental treatment is known to exacerbate the underlying temperomandibular disorders (TMDs). Subclinical TMD is prevalent among a large number of people in the society. It is advisable in the interest of patients as well as the treating dentist for routine examination of temperomandibular joint and recording TMD history before initiating dental treatment. Adequate knowledge and skill of the dentist is required to identify the causative factors and initiate appropriate treatment. This case report explains the stabilising occlusal splint therapy to treat the restricted mouth opening in chronic centrally mediated myalgia flared up due to extended dental treatment.
牙科治疗后患者出现张口受限并返回诊所的情况在牙科实践中很常见。众所周知，牙科治疗期间长时间、大幅度张口会加重潜在的颞下颌关节紊乱症（TMD）。亚临床TMD在社会上大量人群中普遍存在。为了患者以及治疗牙医的利益，在开始牙科治疗前对颞下颌关节进行常规检查并记录TMD病史是明智的。牙医需要具备足够的知识和技能来识别致病因素并开始适当的治疗。本病例报告阐述了稳定咬合板疗法，用于治疗因长时间牙科治疗引发的慢性中枢介导性肌痛导致的张口受限。
