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Patient Description

Male, age 8, student

Principal Complaints

The patient, a very well behaved young boy, was brought in for a consultation by his mother to see if his health problems were perhaps related to TMD. His chief complaints were seizures, headaches, migraines and chronic, continuous pain.

Medical History

The patient has been on Trileptal anti-seizure medication for several years which controlled his seizures but did not improve his other symptoms. He started seizure medication at age 4.

Oral Condition

Healthy mouth with all teeth present, good oral hygiene. X-rays revealed osteoarthritic breakdown of both condyles and sockets of the TMJ. Very deep bite with retrognathic jaw, accompanied by forward head posture. Insufficient eruption of molars.


Seizures, speech problems, lack of coordination, headaches, migraine headaches, nausea, dizzy spells, ringing in ears, poor balance, fatigue, nightmares, car sickness, jaw pain on both sides, constant painful teeth, clenching and grinding 24/7, slow speech, cloudy thinking, ear stuffiness.


Anti-seizure medication.

Treatment Record

The patient was very compliant and was very careful with his oral orthotic. He was initially provided with occlusal guards to increase his vertical dimension and immediately reported no more headaches, nightmares, dizziness or car sickness.

All of his other symptoms cleared up shortly after he started treatment with the Gelb MORA (mandibular oral repositioning appliance). His mother reported that, since treatment for TMD, all of his symptoms have disappeared or dramatically improved.

He is now medication free and his EEG readings are normal.

Risto E. Hurme, D.D.S.
Craniofacial Pain and TMJ Disorders
1017 Shook Avenue
San Antonio, TX 78212
(210) 826-4441

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