線維筋痛症候群に合併した顎関節症の1例

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  • A case of temporomandibular disorders with fibromyalgia
  • ショウレイ ホウコク センイキンツウ ショウコウグン ニ ガッペイ シタ ガク カンセツショウ ノ 1レイ

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Fibromyalgia syndrome is a disease characterized by chronic pain and multiple tender points over the entire body. The cause of the disease is unknown, and patients are sometimes have various uncertain complaints. In this paper, we report a case of temporomandibular disorders (TMD) accompanied by fibromyalgia.<BR>The patient was a 26-year-old woman who received treatments for autonomic imbalance and panic disorder at a psychosomatic clinic. She complained of strong malaise, headache, tinnitus, insomnia, and constipation. She also had bilateral pain of the masticatory and neck muscles and around the temporomandibular joints. The range of maximum mouth opening was 23mm. The patient had edge-to-edge occlusion in the molar region and slight open bite in the incisor region.<BR>She received a diagnosis of temporomandibular disorders of type I and fibromyalgia. The patient was successfully treated with a stabilization splint for temporomandibular disorders and antidepressants for fibromyalgia.

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