PhD Scientific Days 2025

Poster Session III. - S: Dental Research

Temporomandibular Disorder Management with Skeletal Anchorage-Assisted Orthodontics: A Case Study

Előadó neve

Dr. Tfirst Anna

Neptun code

DJEYWA

Előadó munkahelye

Semmelweis University Department of Paediatric Dentistry and Orthodontics

Előadó telefonszáma

+36706193318

Előadó e-mail címe

tfirst.anna@semmelweis.hu

Az előadás címe

Temporomandibular Disorder Management with Skeletal Anchorage-Assisted Orthodontics: A Case Study

Szerző(k) neve és munkahelye

Dr. Tfirst Anna¹, Dr. Nemes Bálint¹, Prof. Dr. med. habil. Rózsa Noémi Katinka MSc, PhD¹, Dr. Radó Zsuzsanna Stefánia¹, Dr. Schmidt Péter², Dr. Frank Dorottya³, Dr. Bosch Anna¹

1: Semmelweis University Department of Paediatric Dentistry and Orthodontics
2: Semmelweis University Department of Prosthodontics
3: University of Pécs, Clinical Centre, Clinic of Dentistry and Oral Surgery, Department of Orthodontics

Bemutatás módja

Poszter

Szekció

Poster Session III. - S: Dental Research

Language of the presentation

Hungarian

Preferred session

Dental Research

Összefoglaló szövege

Introduction:
Temporomandibular disorder (TMD) is one of the most common causes of orofacial pain, affecting 15% of adults and 7% of adolescents. It is characterized by joint sounds, muscle fatigue, pain, and reduced jaw mobility. The link between occlusion and TMD has long been debated, though no direct causality with orthodontics has been conclusively proven. However, occlusal changes—intentional or unintentional—may influence joint health.
Aims:
This study aims to demonstrate the therapeutic process of a TMD patient through skeletal anchorage-assisted orthodontic treatment and to emphasize the role of occlusal and orthopedic stability in symptom relief.
Methods:
A 23-year-old female patient presented with bilateral TMJ clicking, masticatory muscle pain, and restricted mouth opening. Clinical examination revealed mild malocclusion and significant dental attrition. A discrepancy between the intercuspal position (ICP) and centric relation (CR) indicated orthopedic instability. A hard stabilization splint was applied in the CR position and adjusted biweekly over four months until a stable joint position was achieved. This was followed by orthodontic treatment using infrazygomatic skeletal anchorage to reposition the dentition while maintaining the achieved CR position.
Results:
Splint therapy significantly reduced joint noises and eliminated muscle pain. Subsequent orthodontic treatment successfully eliminated the ICP-CR discrepancy. Final occlusion harmonized with the musculoskeletally stable condylar position. At treatment completion, the patient was symptom-free.
Conclusion:
Orthodontic planning should always incorporate gnathological considerations, particularly CR assessment and orthopedic stability, even in asymptomatic cases. For symptomatic patients, a reversible approach (e.g., splint therapy) is recommended prior to initiating tooth movement. When carefully integrated, orthodontics can be a valuable tool in managing TMD symptoms originating from occlusal instability.
Funding:
This study received no financial support.

University

Semmelweis University

Supervisor

Prof. Dr. med. habil. Rózsa Noémi Katinka MSc, PhD

Publication of my abstract

I do not give consent to the publication of my abstract on the website of the congress.

phd.section.field

in doctoral studies before complex exam (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

9175

Start

14:18

End

14:24