Volume 24, Issue 104, July - August, 2020

A Tri-Laminated Splint for management of Anterior Disk Displacement

Zynul Ali Sirsmith John^1♦, Sunita S Shrivastav²

¹P.G student, Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College, Wardha, Maharashtra, India, 442001
²Dean of Examinations DMIMSU (Deemed to be), Professor and PhD guide, Department of Orthodontics and Dentofacial Orthopaedics, Sharad Pawar Dental College, Wardha, Maharashtra, India, 442001

^♦Corresponding author
P.G student, Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College, Wardha, Maharashtra, India Email: zynul.john@yahoo.com

ABSTRACT

There has been increase in the number of cases reporting to the clinic with complain of TMJ pain. The common reasons for increasing cases of Temporo mandibular disorders are stress and occlusal factors that act as potential risk factors. According to DC/TMD criterion, disk displacement is one of the common forms of TMDs. Occlusal splints are one of the common modalities for management of disk displacement. The purpose of this case report is to present an innovative chairside approach to manage cases having anterior disk displacement and severe pain with splint therapy. Also, it explains how helpful MRI is as a diagnostic tool to manage such cases. It also identifies role of malocclusion as an etiological factor for development of TMDs and any treatment in such cases must be done after treatment of the temporomandibular dysfunction. Helkimo index was taken to categorize the case and was subjected to MRI for evaluating articular disk position in A-P and Coronal plane. A modified splint fabricated with Essix retainer, Memosil 2 (Kulzer) and Cold cure acrylic was delivered.

Keywords: Disk Displacement, Temporomandibular Dysfunction, Occlusal Splint, Malocclusion

Medical Science, 2020, 24(104), 2096-2102

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