ORAL REHABILITATION
Figure 4. In the clinical-manual
diagnosis, asymmetrical muscle
conditions, disturbances in
mandibular mobility, and
abnormalities in the TMJ area
are documented. On this KroghPoulsen data sheet, the subjective
information from the patient is
shown in blue and the dentist’s
findings in red. In the figure
itself: subjective and objective
symptoms; blue = subjective
symptoms, red = objective sympt.;
//// = painful area; x = sensitive
upon palpation = reported pain;
pain during stress, right/left;
crepitation, right/left; interocclusal
distance: .... mm. Maximal
protrusion or laterotrusion from
habitual intercuspation:
Maximal opening with deviations
from the medial line; gliding
from centric relation (CR) to
intercuspation (ICP); occlusal
sound at ICP clear, unclear
122
Figure 5. Frequently, as with this patient, sensitive
tooth cervices, wedge-shaped defects, recessions,
and enamel cracks are indicative of para- or
dysfunctions
Figure 6. On this side, wear facettes/attrition and
cervical lesions are visible
both TMJ pain and tinnitus during particular
stressful situations. The patient also reported
having undergone orthodontic treatment between
the ages of 11 and 16. The headaches began
about 5 or 6 years after that, and had occurred
regularly since then. She mentioned that she often
clenched her teeth, and was surprised to learn that
under physiological conditions, about 10 minutes
of tooth contact per 24 hours was normal. Before
having received this information and instructions
in self-observation, she had thought constant
contact of the teeth was normal. Generally
speaking, any patient must learn to recognize
and avoid her/his own stress situations, or at least
STOMA.EDUJ (2015) 2 (2)