Oral rehabilitation of a saxophone player with orofacial pain: a case report

• Type: Another Publication in an International Scientific Journal
• Date: 2023

Authors

Clemente, MP (Author) Other; Joaquim Mendes (Author) FEUP; Bernardes, G (Author) FEUP; Van Twillert, H (Author) Other; Ferreira, AP (Author) Other; Amarante J (Author) FMUP

Journal

Title: Journal of International Medical Research

ISSN: 0300-0605

Publisher: SAGE

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00Y-FGP

DOI: 10.1177/03000605231161285

Abstract (EN): This paper presents a clinical case study investigating the pattern of a saxophonist's embouchure as a possible origin of orofacial pain. The rehabilitation addressed the dental occlusion and a fracture in a metal ceramic bridge. To evaluate the undesirable loads on the upper teeth, two piezoresistive sensors were placed between the central incisors and the mouthpiece during the embouchure. A newly fixed metal ceramic prosthesis was placed from teeth 13 to 25, and two implants were placed in the premolar zone corresponding to teeth 14 and 15. After the oral rehabilitation, the embouchure force measurements showed that higher stability was promoted by the newly fixed metal-ceramic prosthesis. The musician executed a more symmetric loading of the central incisors (teeth 11 and 21). The functional demands of the saxophone player and consequent application of excessive pressure can significantly influence and modify the metal-ceramic position on the anterior zone teeth 21/22. The contribution of engineering (i.e., monitoring the applied forces on the musician's dental structures) was therefore crucial for the correct assessment and design of the treatment plan.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9