Abstract

Edentulism is accompanied by musculo-articular disorders that must be diagnosed and treated in the pre-prosthetic phase necessary to ensure the success and durability of the prosthetic restoration.

Clinical observation: This is a clinical study realized at the dental clinic Zabana of Blida, the patient consulted for a functional and aesthetic purpose (presence of anterior and posterior inverted occlusion) associated with a TDM (dysfunction of the manducatory system). The treatment was instituted following the clinical examination and secondary examinations as: axiographic recording and occlusal analysis on semi-adaptable articulator.

Result and discussion: The port of occlusal gutter performed in centric relation position was 3 months and weaning was among a decrease in joint pain, Occlusal dysfunction was restored through fixed and removable prosthetic restorations the axiographic record before and after treatment shows the change of the condylar position following the change of the occlusion of our patient with an increase of the condylar slope of 3 °.

Conclusion: The global restoration of the occlusion allowed to harmonize the mandibular movements and to guarantee a perennial occlusion and thus the condylar position thus limiting the TDM problems.

Keywords: Occlusal therapeutic; Occlusal splint; TMJ; Axiographic tracing; Global prosthetic rehabilitation