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Local physicians specialist doctors and dentists providing modern diagnosis and treatments of best bite occlusion alignment vertical dimension best occlusal relationships for successful resolution of Craniofacial TMJ TMD Migraine Headache Head Neck Pain attendant to mechanical or malformed or developmental dysfunctioning of critical tempromandibularjoints |
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Neuromuscular TMJ Dentistry Case HistoryVideo: Pediatric Migraine TreatmentPatient DescriptionMale, age 11, studentPrincipal ComplaintsShy, quiet young boy, was brought in for a consultation by his mother to see if his health problems were perhaps related to TMD. His chief complaints were frequent headaches, mental confusion, petit mal seizures.Medical HistoryThe patient has been on Trileptal anti-seizure medication for several years which controlled his seizures but did not improve his other symptoms. He started seizure medication at age 4.Oral ConditionHealthy mouth with all teeth present, good oral hygiene. Very deep bite with retrognathic jaw, accompanied by forward head posture. Osteoarthritic breakdown of left TM joint.SymptomatologyFrequent tension headaches, inability to focus attention for long periods of time, confusion, hyperactivity, petit mal seizures (10 - 12 per day), fatigue, loss of appetite, insomnia, frequent nightmares, limited range of motion in head, neck and shoulders, clenching and grinding of teeth, dizziness, ringing in ears.MedicationsNone.Treatment RecordPatient responded very well to treatment with the Gelb MORA (mandibular oral repositioning appliance) and within four months was back to normal. Then he lost his appliance and suffered a small relapse until he received a replacement a few weeks later.His mother reported that since receiving treatment all of his symptoms have disappeared or improved. The patient has not had a single petit mal seizure since he got his oral appliance. Before treatment, his mother planned to take him to a neurologist, but now he is healthy and strong. Before treatment, he was a 'scaredy cat', now he is full of confidence. His appetite is back, he eats like a horse and is hungry all the time. He sleeps well and has no more nightmares. Six months later his maximum opening had increased from 44 mm to 50 mm. Risto E. Hurme, D.D.S. Craniofacial Pain and TMJ Disorders 1017 Shook Avenue San Antonio, TX 78212 (210) 826-4441 www.tmjsanantonio.com
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