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Patient: A 44-year-old female presented with trismus due to anterior disc displacement without reduction two months before the first visit. Narrowed left condyle, premature contact at the occlusal facet of the protrusion in the left molars and clenching were observed. Occlusal reconstruction with a dental implant and fixed partial prosthesis was performed after disc rehabilitation and disappearance of temporomandibular symptoms by manipulative reduction and occlusal appliance therapy. Discussion: Early initiation of treatment after disc displacement and establishment of substantial occlusion with a fixed prosthesis are likely to be effective for rehabilitation of anterior disc displacement without reduction and stabilization of the temporomandibular joint. Conclusion: Early rehabilitation of anterior disc displacement without reduction and occlusal reconstruction resulted in a good outcome in this patient with anterior disc displacement without reduction.

nihon hotetsu shika gakkaishi

A case report of stabilization of the temporomandibular joint by occlusal reconstruction after rehabilitation of anterior disc displacement without reduction