Part 3 of 3 | Clinical Management of the FJO-TMD-Migraine Continuum

In Parts 1 and 2 of this series, a patient’s orthodontic case was presented. A bilateral Class I platform was achieved. (Fig. 1)

Twenty months after the completion of the orthodontic treatment, the patient started to manifest TMD symptoms. The patient was treated with an anterior repositioning appliance known as a Levandoski splint.5 Four years later, the patient inquired about definitive treatment options so that she would not be reliant on a splint ad infinitum.

The patient was treated for five months with the daytime Functional Advancing Condylar Translation (FACT) appliance (Fig. 2) and the nighttime Bionator appliance (Figs. 3 and 4) to stabilize the TM joints and allow them to heal.

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Randy Newby


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