Wykonanie kompleksowej rekonstrukcji protetycznej w przebiegu osteoarthritis lewego stawu skroniowo‑żuchwowego w oparciu o diagnostykę obrazową – opis przypadku | Magazyn Stomatologiczny

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Streszczenie
Badania obrazowe odgrywają coraz ważniejszą rolę w diagnostyce i monitorowaniu chorób stawów skroniowo‑żuchwowych. Celem pracy jest przedstawienie przebiegu rehabilitacji protetycznej w chorobie zwyrodnieniowej, przeprowadzonej w oparciu o diagnostykę radiologiczną na podstawie opisu przypadku 52‑letniego pacjenta z osteoartrozą lewego stawu skroniowo‑żuchwowego. Trwające 15 miesięcy leczenie wieloetapowe, zakończone pełną rekonstrukcją zgryzu, rozpoczęto w aktywnej fazie choroby, gdy głównym objawem u pacjenta był ból okolicy lewego stawu skroniowo‑żuchwowego. Przeprowadzono terapię przeciwbólową i przeciwzapalną lekami z grupy NLPZ oraz odwracalne leczenie zachowawcze w postaci szynoterapii. Po uzyskaniu stabilizacji, gdy choroba osiągnęła fazę nieaktywną, wykonano odbudowę protetyczną z wykorzystaniem licówek, nakładów, koron i mostów ceramicznych.

Abstract

Imaging examinations have an increasingly important role in the diagnosis and monitoring of temporoman-dibular joint disorders. The aim of the study is to present a prosthetic rehabilitation process in osteoarthritis, based on radiological diagnostics, regarding a case report of a 52‑year‑old patient with left temporoman-dibular joint osteoarthritis. The 15‑month multi‑stage treatment completed with bite reconstruction, was started in the active phase of the disease, when the patient’s main symptom was pain in the left temporomandibular joint. Analgesic and anti‑inflammatory therapy with NSAIDs and reversible conservative treatment in the form of splint therapy were performed. After stabilization, when disease reached the inactive phase, prosthetic reconstruction was made using veneers, onlays, crowns and ceramic bridges.

Hasła indeksowe: osteoartroza, staw skroniowo‑żuchwowy, tomografia wiązki stożkowej
Key words: osteoarthritis, temporomandibular joint, cone beam computed tomography (CBCT), magnetic resonance imaging (MRI)

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