School of Dental Medicine, University of Zagreb, Croatian Dental Society - Croatian Medical Association
Abstract
Na temelju povezanosti embrionalnog razvoja čeljusnog zgloba i uha objašnjava se često krivo tumačenje nespecifičnih otoloških simptoma, uzrokovanih nekim od oblika temporomandibularnih poremećaja. Opisan je slučaj pacijentice koja se liječila kod otorinolaringologa zbog otalgije, ali je zaključeno da se radi o patologiji čeljusnog zgloba. Kliničkim pregledom te magnetskom rezonancijom čeljusnih zglobova potvrđen je anteriorni pomak zglobne pločice. Kako pacijentica nosi pet godina stare potpune proteze, izrađene su joj nove. Simptomi poremećaja čeljusnog zgloba potpuno su iščeznuli, a za pacijenticu je bilo najvažnije da je nestala bol. S obzirom na njezinu dob, stečenu bezubost i nemogućnosti liječenja restitutio ad integrum, pacijentica je dobila upute kako da održava bezbolno funkcijsko stanje žvačnog sustava.Often wrong judgment of unspecifi c otological symptoms, caused by some types of temporomandibular disorders, is based on the connection in the embryonic development of the temporomandibular joint (TMJ) and the ear. This is a report of a female patient who was previously treated by the ear-nose-throat specialist because of otalgia, but it was concluded that she had some TMJ pathology. Clinical examination and magnet resonance of the TMJs confi rmed anterior slide of the disc. Since the patient has fi ve-year-old complete dentures, new ones were fabricated. The symptoms recede, and for the patient the most important thing was that the pain disappeared. With regards to her age, acquired anodontia and impossible restitutio ad integrum treatment, she was instructed how to support the painless functional status of her masticatory system
