Kenan Demirović

Speaker Details
  • Lecture details

    Impact of occlusal splint therapy on orthodontic diagnosis and treatment planning in patients with signs and symptoms of TMD

    Today it is generally accepted that etiology of temporomandibular disorders (TMD) is multifactorial and mainly related to occlusal disturbances, trauma, emotional stress and parafunctional activities. Signs and symptoms of TMD consist of pain in TMJ structures, pain in masticatory muscles, headache, limited mouth opening, joint sounds. One of the major etiologic factors of TMDs is an orthopedically unstable musculoskeletal position of the condyles in the fossa, depicted by an increased CR-MI discrepancy at dental and condylar level. Management of orthodontic patients with signs and symptoms of TMD caused by unstable musculoskeletal position represents a distinct challenge for every orthodontist with a lot of laborious work to be undertaken. In order to achieve orthopedic stability deprogramming of the neuromuscular system with occlusal splint therapy is highly indicated. By seating the condyles in an orthopedically stable position in the fossa occlusal splint therapy might be highly beneficial in reduction/elimination of signs and symptoms of TMD. Moreover, muscle deprogramming might induce a substantial changes in maxillomandibular relationship and thus change a dentofacial characteristics of the patient, directly interfering with a correct orthodontic diagnosis. In case of improper diagnosis of orthodontic patients with orthopedic instability the possibility of development of signs and symptoms of TMD during or after the orthodontic treatment substantially increases. The aim of our investigations was to evaluate if there is a relationship between the condylar axis position as determined by the occlusion and signs and symptoms of TMD and to evaluate the effect of occlusal splint therapy on final orthodontic diagnosis and plan of treatment in individuals with increased condylar displacement. The results showed a positive correlation between the occlusal splint therapy and reduction or elimination of signs and symptoms of TMD with a more than 90% reduction of TMD symptomatology. It was also shown that orthodontic diagnosis and plan of treatment should be performed from the musculoskeletally most stable position of CR in order to avoid orthodontic misdiagnosis.

  • CV

    Dr. Kenan Demirovic (DDS, PhD, Orthodontist) has received his DDS degree at the University of Marmara, School of Dentistry, Istanbul, Turkey, in 1999 and works in Private practice for Orthodontics and Dentofacial Orthopedics „Demirovic“ since 2002. He completed a specialization in orthodontics in 2006 and earned his Master's Degree in 2010, from University of Sarajevo, School of Dental Medicine. He received his PhD degree from University of Sarajevo, School of Dental Medicine, in 2021. He is a member of American Association of Orthodontists (AAO), European Orthodontic Society (EOS) and World Federation of Orthodontists (WFO). He was a speaker at the Congresses of the European Orthodontic Society, Croatian Orthodontic Society, Balkan Stomatological Society, Bosnian Dental Chamber and at a several dental conferences. He has published a several research papers and abstracts. The focus of his studies is on management of temporomandibular and craniomandibular disorders in orthodontic patients. Also, his focus of interest is on biomechanics in orthodontics, adult orthodontics and application of segmented arch wire technique in orthodontic patients.

Speaker Details
  • Lecture details

    Impact of occlusal splint therapy on orthodontic diagnosis and treatment planning in patients with signs and symptoms of TMD

    Today it is generally accepted that etiology of temporomandibular disorders (TMD) is multifactorial and mainly related to occlusal disturbances, trauma, emotional stress and parafunctional activities. Signs and symptoms of TMD consist of pain in TMJ structures, pain in masticatory muscles, headache, limited mouth opening, joint sounds. One of the major etiologic factors of TMDs is an orthopedically unstable musculoskeletal position of the condyles in the fossa, depicted by an increased CR-MI discrepancy at dental and condylar level. Management of orthodontic patients with signs and symptoms of TMD caused by unstable musculoskeletal position represents a distinct challenge for every orthodontist with a lot of laborious work to be undertaken. In order to achieve orthopedic stability deprogramming of the neuromuscular system with occlusal splint therapy is highly indicated. By seating the condyles in an orthopedically stable position in the fossa occlusal splint therapy might be highly beneficial in reduction/elimination of signs and symptoms of TMD. Moreover, muscle deprogramming might induce a substantial changes in maxillomandibular relationship and thus change a dentofacial characteristics of the patient, directly interfering with a correct orthodontic diagnosis. In case of improper diagnosis of orthodontic patients with orthopedic instability the possibility of development of signs and symptoms of TMD during or after the orthodontic treatment substantially increases. The aim of our investigations was to evaluate if there is a relationship between the condylar axis position as determined by the occlusion and signs and symptoms of TMD and to evaluate the effect of occlusal splint therapy on final orthodontic diagnosis and plan of treatment in individuals with increased condylar displacement. The results showed a positive correlation between the occlusal splint therapy and reduction or elimination of signs and symptoms of TMD with a more than 90% reduction of TMD symptomatology. It was also shown that orthodontic diagnosis and plan of treatment should be performed from the musculoskeletally most stable position of CR in order to avoid orthodontic misdiagnosis.

  • CV

    Dr. Kenan Demirovic (DDS, PhD, Orthodontist) has received his DDS degree at the University of Marmara, School of Dentistry, Istanbul, Turkey, in 1999 and works in Private practice for Orthodontics and Dentofacial Orthopedics „Demirovic“ since 2002. He completed a specialization in orthodontics in 2006 and earned his Master's Degree in 2010, from University of Sarajevo, School of Dental Medicine. He received his PhD degree from University of Sarajevo, School of Dental Medicine, in 2021. He is a member of American Association of Orthodontists (AAO), European Orthodontic Society (EOS) and World Federation of Orthodontists (WFO). He was a speaker at the Congresses of the European Orthodontic Society, Croatian Orthodontic Society, Balkan Stomatological Society, Bosnian Dental Chamber and at a several dental conferences. He has published a several research papers and abstracts. The focus of his studies is on management of temporomandibular and craniomandibular disorders in orthodontic patients. Also, his focus of interest is on biomechanics in orthodontics, adult orthodontics and application of segmented arch wire technique in orthodontic patients.