Management of non-reducing disc derangement in a young patient using progressive muscle relaxation technique

Abstract

Internal derangements of the temporomandibular joint are conditions in which the articular disc has become displaced from its original position over the condylar head. Pain, stress, functional and social handicap are the common reasons for which the patients seek treatment. Various modalities for management include medication, physiotherapy, occlusal splints, self-management strategies, and interventions based on cognitive behavioral approaches. At present, conservative means are preferred to surgical modalities as they are less-aggressive, economical and have comparable successful outcomes. Progressive Muscle Relaxation adapted from Edmund Jacobson (1938) is easy to learn and has been advocated to manage dental anxiety in the past. This article presents a unique case report where this novel technique has been used to manage a young patient with articular disc derangement with a 6-month follow-up showing successful functional and psycho-social rehabilitation of the young patient.