PMC3886059_01
A = postsurgical intermaxillary fixation;. B = mouth opening width on removal of the intermaxillary fixation;. C and D = function rehabilitation with the modification of the occlusal
splint;. E = occlusal stabilization;. F, G and H = selective grinding of teeth to finalize the occlusion.
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fig1
After postsurgical retention using intermaxillary fixation, the restoration phase began and oral function was subsequently rehabilitated with an occlusal splint using our protocol (Figures 1 A-H).
A, B, C and D = pretreatment facial and intraoral photographs;. E, F, G and H = pretreatment posteroanterior, panoramic radiographs; lateral
cephalometric radiograph and tracing before treatment.
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fig2
The patient suffered from a temporomandibular joint (TMJ) dysfunction syndrome, a symptom complex consisting of pain, masticatory muscle tenderness, difficult chewing, clicking in the joint, limitation or alteration of mandibular movement, and cervical pain and headache associated to otovestibular symptoms (Figures 2A-H).
A, B and C = retention phase.
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fig3
The patient subsequently underwent selective grinding to finalize the occlusion and maintain stability (Figures 3A-C).
A, B, C and D = posttreatment facial and intraoral photographs;. E, F, G and H = posttreatment posteroanterior, panoramic radiographs; lateral
cephalometric radiograph and tracing after treatment.
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fig4
The panoramic radiograph showed maintenance or improvement of the periodontal condition present at the beginning of treatment (Figures 4A-H).
A, B, C and D = posttreatment facial and intraoral photographs after twenty
years.
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fig5