our online journals are moving. The new (and old) issues of all journals can be found at
In most cases you can log in there directly with your e-mail address and your current password. Otherwise we ask you to register again. Thank you very much.
Your Quintessence Publishing House
J CranioMand Func 3 (2011), No. 3 26. Sep. 2011
J CranioMand Func 3 (2011), No. 3 (26.09.2011)
Page 221-228, Language: English/German
Residual orofacial complaints following Lyme neuroborreliosis: an unusual case of TMD
te Veldhuis, Emeline / Lobbezoo, Frank / te Veldhuis, Alwine / Visscher, Corine / Naeije, Machiel / van Selms, Maurits
Patients with tick-borne Lyme neuroborreliosis (LNB) can present with a variety of symptoms, and frequently the oral and maxillofacial areas are affected. Even though treatment with antibiotics generally results in a remission of symptoms, patients with permanent nerve damage may show residual symptoms. This case report describes a 61-year-old Caucasian woman, who was referred by a neurologist for residual LNB-induced pain in the face and impaired movement of the mandible. Since these signs and symptoms resembled those of temporomandibular disorders (TMD), the patient received physical therapy, ie, intra-oral massage and mobilization exercises. Three months later, the myofascial pain had diminished, and the mouth opening had increased. It was concluded that dentists play an active role in the management and/or referral of patients with residual LNB complaints in the orofacial area. In addition, a concise overview is presented of the clinical manifestations, diagnosis, and treatment outcome of LNB.
Keywords: dental profession, Lyme neuroborreliosis, physical therapy, residual orofacial complaints