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A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

Identifieur interne : 004608 ( Ncbi/Merge ); précédent : 004607; suivant : 004609

A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

Auteurs : Mansoor Shariff [Arabie saoudite] ; Mohammed M. Al-Moaleem [Arabie saoudite] ; Nasser M. Al-Ahmari [Arabie saoudite]

Source :

RBID : PMC:3610397

Abstract

Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient's pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.


Url:
DOI: 10.1155/2013/139419
PubMed: 23573427
PubMed Central: 3610397

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PMC:3610397

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<name sortKey="Shariff, Mansoor" sort="Shariff, Mansoor" uniqKey="Shariff M" first="Mansoor" last="Shariff">Mansoor Shariff</name>
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<nlm:aff id="I1">Prosthodontic Department, College of Dentistry, King Khalid University, P.O. Box 3263, Abha 61471, Saudi Arabia</nlm:aff>
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<name sortKey="Al Moaleem, Mohammed M" sort="Al Moaleem, Mohammed M" uniqKey="Al Moaleem M" first="Mohammed M." last="Al-Moaleem">Mohammed M. Al-Moaleem</name>
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<name sortKey="Al Ahmari, Nasser M" sort="Al Ahmari, Nasser M" uniqKey="Al Ahmari N" first="Nasser M." last="Al-Ahmari">Nasser M. Al-Ahmari</name>
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<p>Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient's pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.</p>
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<name sortKey="Al Hussain, I" uniqKey="Al Hussain I">I Al Hussain</name>
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<name sortKey="Al Ahdal, Ky" uniqKey="Al Ahdal K">KY Al-Ahdal</name>
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<name sortKey="Fujimoto, J" uniqKey="Fujimoto J">J Fujimoto</name>
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<name sortKey="Jain, M" uniqKey="Jain M">M Jain</name>
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<name sortKey="Hobb, S" uniqKey="Hobb S">S Hobb</name>
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<author>
<name sortKey="Whitsett, L" uniqKey="Whitsett L">L Whitsett</name>
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<author>
<name sortKey="Jacobi, R" uniqKey="Jacobi R">R Jacobi</name>
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<name sortKey="Brackett, S" uniqKey="Brackett S">S Brackett</name>
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<journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id>
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<publisher-name>Hindawi Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmc">3610397</article-id>
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<article-title>A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing</article-title>
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<contrib contrib-type="author">
<name>
<surname>Shariff</surname>
<given-names>Mansoor</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
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<name>
<surname>Al-Moaleem</surname>
<given-names>Mohammed M.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
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<name>
<surname>Al-Ahmari</surname>
<given-names>Nasser M.</given-names>
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<sup>2</sup>
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<sup>1</sup>
Prosthodontic Department, College of Dentistry, King Khalid University, P.O. Box 3263, Abha 61471, Saudi Arabia</aff>
<aff id="I2">
<sup>2</sup>
College of Dentistry, King Khalid University, P.O. Box 3263, Abha 61471, Saudi Arabia</aff>
<author-notes>
<corresp id="cor1">*Mansoor Shariff:
<email>mansoor_shariff@hotmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editors: A. Kasaj, C. Ledesma-Montes, A. Markopoulos, and A. Milosevic</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>3</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>139419</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>1</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>2</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 Mansoor Shariff et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient's pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Left lateral view of the patient with hypertrophic masseter muscle.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Intraoral view.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Preoperative OPG.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Face bow mounted on articulator.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Diagnostic wax-up on mandibular arch.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Soft splint on the maxillary teeth.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Definitive prosthesis after metal try-in and cemented FPD with metal occlusal surface.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-139419.007"></graphic>
</fig>
</floats-group>
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