Association of Full Mouth Rehabilitation and Temporomandibular Disorders: A Study

Authors

  • Aman Rajput
  • Manvi Bhatt

Keywords:

Auxiliary Teeth, Full-Mouth Rehabilitation (FNR), Malocclusion and pantographic tracings, Mental Analog Scale (MAS), Temporomandibular disorders

Abstract

Several theories about temporomandibular disorders have been proposed (TMD). Although full-mouth rehabilitation is common, there is a lack of information on the effects on patients' perceptions of their malocclusion and other symptoms and signs connected to their teeth. The goal of this clinical study was to use the Mental Analog Scale (MAS) to evaluate how TMD patients felt about their reported malocclusion & supplementary tooth-related symptoms followed by undergoing "full-mouth rehabilitation". Twenty of the 38 patients who underwent full-mouth treatment were found to have TMD after the overview was inspected. The basic grumblings and optional impacts were gathered, and a clinical assessment was performed. Front programming gadgets, driven connection occlusal gadgets, and full-mouth restoration with crowns across all upper or potentially lower jaw were utilized as nonsurgical treatment options. All full-mouth rehabilitative techniques used a fully adaptable articulator, and pantographic tracings were taken after each patient's mandibular motions were recorded. Patients who had had full-mouth restoration were followed up at 1, 2, 4, 6, 9, and 12 months to record their primary and secondary symptoms and indicators connected to their teeth. 'Fisher's exact test' for statistical significance (P< 0.05) was used to study the results. All indicators and symptoms connected to teeth improved significantly (P< 0.05) when therapy (at 1-month follow-up) was administered, except bruxism (P=.0699). Significant improvement was seen over the 4-month review period. Although there were some improvements, they were not always statistically significant for signs and symptoms relating to teeth.  After four months, no more alterations were seen. Occlusal equilibration of final restorations was necessary to see a substantial reduction in perceived malocclusion as well as symptoms related to auxiliary teeth.

Published

2024-04-15