Smith S  Journal of American Osteopathic Association  1981  Jun; 80(10):  690-7


An association between temporomandibular joint (TMJ) dysfunction and coronary problems is exemplified in the case of a middle-aged woman. The history included trauma to the sacrum and coccyx, balance difficulties, numerous myocardial infarction, hearing difficulties, menstrual disorders, bladder problems, speech and swallowing difficulties, osteopathic lesions in the thoracic region, and poor cervical and head posture. A lower partial denture and the use of a special nighttime denture provided molar support, increased vertical dimension, and ideal head-neck balance. The clinical course involved initial improvement in overall health followed by a reappearance of symptoms in reverse order and eventual recovery. The case shows a correlation between dental and TMJ stress and the involvement of the cardiac plexus, and the importance of a multidisciplinary approach.

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