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Borreliosis (Lyme disease) is a chronic multisystem infectious disease transmitted by Ixodes ticks. The etiological agent of borreliosis is the spirochete Borrelia burgdorferi. The symptoms of borreliosis can vary depending on the attacked system and length of infection. Diagnosis is based mainly on clinical symptoms and immunoserological tests. The clinical symptoms of borreliosis also include dysfunction in the tissues and organs of the stomatognathic system. This paper describes a case of a female patient who had experienced a long-term dysfunction of the temporomandibular joint (TMJ). After careful analysis, the symptoms were found to be caused by a chronic form of neuroborreliosis with exacerbations. The findings in this case study show that borreliosis should be considered by doctors and dentists in the differential diagnosis of pain in the area of the TMJ.

STRESZCZENIEWstęp: Celem pracy było przedstawienie diagnostyki i terapii pacjentki z dysfunkcją stawu skroniowo­‍-żuchwowego spowodowane zmianami o charakterze dysplazji włóknistej głowy wyrostka kłykcia żuchwy po stronie prawej.Materiał i metody: W procesie diagnostycznym struktur kostnych wykorzystano technikę radiografii cyfrowej – system Digora, natomiast ruchomość żuchwy oceniano za pomocą techniki aksjograficznej. Pomiary przeprowadzono za pomocą urządzenia Cadiax (Diagnostic) Gamma.Wnioski: Zastosowane metody diagnostyczne pozwoliły potwierdzić diagnozę i ustalić plan leczenia, który obejmował zastosowanie aparatu terapeutycznego. Przeprowadzone procedury przyniosły pozytywny efekt terapeutyczny.

Photogrammetry is a science and technology which allows quantitative traits to be determined, i.e. the reproduction of object shapes, sizes and positions on the basis of their photographs. Images can be recorded in a wide range of wavelengths of electromagnetic radiation. The most common is the visible range, but near- and medium-infrared, thermal infrared, microwaves and X-rays are also used. The importance of photogrammetry has increased with the development of computer software. Digital image processing and real-time measurement have allowed the automation of many complex manufacturing processes. Photogrammetry has been widely used in many areas, especially in geodesy and cartography. In medicine, this method is used for measuring the widely understood human body for the planning and monitoring of therapeutic treatment and its results. Digital images obtained from optical-electronic sensors combined with computer technology have the potential of objective measurement thanks to the remote nature of the data acquisition, with no contact with the measured object and with high accuracy. Photogrammetry also allows the adoption of common standards for archiving and processing patient data.

Background An occlusal splint and a modified nociceptive trigeminal inhibition splint (AMPS, anterior deprogrammer, Kois deprogrammer, Lucia jig, etc.) are commonly and quite frequently used in the treatment of masticatory muscle disorders, although their sustainable and long-lasting effect on these muscles’ function is still not very well known. Results of scant surface electromyography studies in patients with temporomandibular disorders have been contradictory. The aim of this study was to evaluate both devices in bruxism therapy; EMG activity levels during postural activity and maximum voluntary contraction of the superficial temporal and masseter muscles were compared before and after 30 days of treatment. Methods Surface electromyography of the examined muscles was performed in two groups of bruxers (15 patients each). Patients in the first group used occlusal splints, while those in the second used modified nociceptive trigeminal inhibition splints. The trial was randomized, controlled and semi-blind. Results Neither device affected the asymmetry index or postural activity/maximum voluntary contraction ratio after 1 month of treatment. Conclusions Neither the occlusal nor the nociceptive trigeminal inhibition splint showed any significant influence on the examined muscles. Different scientific methods should be considered in clinical applications that require either direct influence on the muscles’ bioelectrical activity or a quantitative measurement of the treatment quality.