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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 8, studentPrincipal ComplaintsThe patient, a very well behaved 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 seizures, headaches, migraines and chronic, continuous pain.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. X-rays revealed osteoarthritic breakdown of both condyles and sockets of the TMJ. Very deep bite with retrognathic jaw, accompanied by forward head posture. Insufficient eruption of molars.SymptomatologySeizures, speech problems, lack of coordination, headaches, migraine headaches, nausea, dizzy spells, ringing in ears, poor balance, fatigue, nightmares, car sickness, jaw pain on both sides, constant painful teeth, clenching and grinding 24/7, slow speech, cloudy thinking, ear stuffiness.MedicationsAnti-seizure medication.Treatment RecordThe patient was very compliant and was very careful with his oral orthotic. He was initially provided with occlusal guards to increase his vertical dimension and immediately reported no more headaches, nightmares, dizziness or car sickness.All of his other symptoms cleared up shortly after he started treatment with the Gelb MORA (mandibular oral repositioning appliance). His mother reported that, since treatment for TMD, all of his symptoms have disappeared or dramatically improved. He is now medication free and his EEG readings are normal. 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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