Improvement of masticatory function and esthetics for severe periodontitis with masticatory myofascial pain: a case report

Abstract

Patient: The patient was a 60-year-old female, with the chief complaints of tooth mobility, masticatory disturbance due to pain while eating, and esthetic problem. After examinations, the patient was diagnosed with severe chronic periodontitis and temporomandibular disorder (TMD).

Discussion: The patient’s TMD was managed before prosthetic treatment, and cognitive behavioral therapy and physical management were continued to prevent recurrence of TMD. The treatment denture was placed after tooth extraction, and the definitive denture was placed 8 months later.

Conclusion: Continuous management for TMD and suitable prosthetics consideration may improve masticatory dysfunction and esthetic dissatisfaction with TMD patients, and contribute to a good prognosis and high satisfaction.