Abstract
In recent days, the so called arthrosis of the temporomandibular joint has been increased with other various kinds of syndromes seen in the mouth and jaw. Almost all of the temporomandibular joint dysfunction syndrome patients are dentulous, and on the other hand edentulous patients are rather few. We met an edentulous patient whose dentures are thought to be a certain factor to her temporomandibular joint dysfunction. This patient has a habit of mandibular displacement that is based on the bad dentures. We made new dentures to treat her dysfunctions. After inserting the dentures, we guided her a correct centric occlusion. And also we used pharmaco- and physio-therapies as an oral surgical treatment. Today 6 months after setting new dentures, we could get a good satisfactory progress. This case is very uncommon because the patient is so high a age, 77 years old, and edentulous and have no rheumatosis. The temporomandibular joint dysfunction is usually accompanied with local pain, and trismus, so we must need both systemic and oral surgical treatments. Andit is apparent that most of the dysfunctions are caused by the disordered occlusions. It is impossible to complete the treatment without performing prosthodontic treatment for occlusal improvement. Thus we should take care of the temporomandibular joint dysfunction patients from the two stand points, prosthodontics and oral surgery.
