Treatment of Serious Occlusal Instability Associated with Temporomandibular Disorders (TMDs) Through Implant and Dynamic Occlusal Schemes Rehabilitation. A Case Report

2021 • Volume 15 • Issue 2

Gabriela Molina; Alejandro Signorio; Roberto Hernandez; Gilberto Salazar & César Coronado Gallardo



A case report of 35 years old male patient, partially edentulous with occlusal instability, Disc Displacement with Reduction (DDWR), Local Muscle Soreness (LMS) and Alteration of vertical dimension is presented. Rehabilitation was planned to achieve predictability of long-term treatment, providing static and dynamic occlusal stability. A therapeutic occlusion with premature contact in the right premolar sector was planned. Implants and cemented/screwed crowns were used to obtain contacts in the molar area. The restoration of dynamic occlusal schemes was made by direct adhesive technique in the anterior sector and Curve of Spee (COS) compensation with temporary anchoring for molar inclusion was used. Patient presents objective and subjective improvements associated with the treatment performed. Temporomandibular disorder is stabilized and controlled by a specialist.

KEY WORDS: Occlusal instability, temporomandibular disorder, osseointegrated implants.


How to cite this article

MOLINA, G.; SIGNORIO, A.; HERNANDEZ, R.; SALAZAR, G. & CORONADO, G. C. Treatment of serious occlusal instability associated with temporomandibular disorders (TMDs) through implant and dynamic occlusal schemes rehabilitation. A Case Report. Int. J. Odontostomat., 15(2):479-483, 2021.


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