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4th Annual SOT Research Conference - Chiropractic and dentistry TMJ and SIJ hypermobility

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Published on Jun 1, 2012

Gerardo RC, Shirazi D, DDS, Blum CL. Chiropractic and dental care of a patient with temporomandibular and sacroiliac joint hypermobility: A case report. 4th Annual Sacro Occipital Technique Research Conference Proceedings: Atlanta, GA. 2012: 34-41.
Introduction: The purpose of this case report is to share a novel protocol for the treatment of chiropractic and dental treatment of a patient with TMD that presented with hypermobility of the sacroiliac joint (sacro occipital technique -- category two) and TMJ.
Case History: A 47-year-old female patient presented with chief complaints of pain when chewing, jaw pain, limited mouth opening range of motion, and TMJ crepitus. Following dental evaluation and delivery of dental orthotics the patient was referred for concurrent chiropractic, which found indicators of a category two.
Methods/Intervention: Following orthotic and chiropractic care at 8-weeks, the capsulitis of TMJ was no longer present and procaine injections were initiated at one month intervals, followed by prolotherapy. Chiropractic and dental care was continued over a 10-month period.
Results: Following concluding treatment the patient is free of most pain, has full range of motion in the cervical and lumbar spine, negative sacroiliac hypermobility findings, and can open her mouth greater than 42mm (initially presented with 28mm opening) with normal joint tracking and translation.
Conclusion: Concurrently her sacroiliac joint hypermobility syndrome and related soft tissue tension patterns in the lower extremity, cervical spine, and jaw region have also significantly improved. [This abbreviated abstract is from one of the 3 invited commentaries and 15 full text abstracts relating to topics such as SOT, cranial techniques, chiropractic manipulative reflex technique, occipital fiber diagnosis, and dental chiropractic co-treatment of TMD. Over 130 pages. http://www.sotousa.com/wp/?p=442]

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