下顎が不随意に偏心位をとった1症例

  • 湯上 圭
    東京医科歯科大学歯学部歯科補綴学第1講座
  • 谷田部 優
    東京医科歯科大学歯学部歯科補綴学第1講座
  • 藍 稔
    東京医科歯科大学歯学部歯科補綴学第1講座

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  • A case of involuntary mandibular displacement with the complaint of inconvenience during mastication and conversation.

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We treated a female patient who complained of involuntary mandibular displacement to the right and protrusive position and inconvenience during mastication and conversation. She had received several treatments, including medication and occlusal splint therapy, from other dentists over a period of about 3 years but none had been effective.<BR>She was fifty-two years old and had no children. She was living alone with her husband and apparently in awe of him, had perfectionistic tendencies and was devoted to a religious sect.<BR>Together with conventional stabilization splint therapy, we also gave her instruction on mastication and conversation and counseling on the problems of her life. The signs and symptoms became much improved and the progress of the symptoms was observed to be closely related to her life events.<BR>In addition to the physiological factors, the psycho-social factors were judged to be intimately involved in this case.

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