Chronic headache in trumpeter patient – Medical Case 129A

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SYMPTOMS OF THE PATIENT

The patient, a young man of about 25 years, a conservatory student, has been suffering from an unbearable headache for 10 years.

During the initial interview, we learn that the young man, for 11/12 years, plays the trumpet and / or the trombone four or five hours a day.

The young trumpeter

CASE PRESENTATION

It seemed immediately evident the almost temporal concomitance between the headache and the activity of playing the trumpet.

The unbearable headache is evidently caused by the backward thrust that is exerted on the jaw by the pressure of the wind instrument during the activity of playing.

First visit

TREATMENT

The case was solved by building a particular dental brace, specific for him, in order to avoid damage to the teeth and overload to the jaw joint during playing.

Personalized dental brace

CONCLUSIONS

This case shows how even "external" factors to chewing, grinding or possible congenital malformations, prognathism, progeny or lateral deviation, can affect the correct functioning of the temporal mandibular joint.

An anomalous pressure on the lower teeth, and therefore on the mandible, due to a "normal" human activity such as playing a wind instrument, can cause dysfunctions of the TMJ which, in turn, can cause chronic headache, the main reason for which the patient turned to us.

And in this case it seems like this has happened!

INTERVIEW WITH THE PATIENT AT THE END OF THE TREATMENT

In ITALIAN - English subtitles

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