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Case Reports in Dentistry
Volume 2013, Article ID 139419, 4 pages
Case Report

A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

1Prosthodontic Department, College of Dentistry, King Khalid University, P.O. Box 3263, Abha 61471, Saudi Arabia
2College of Dentistry, King Khalid University, P.O. Box 3263, Abha 61471, Saudi Arabia

Received 14 January 2013; Accepted 16 February 2013

Academic Editors: A. Kasaj, C. Ledesma-Montes, A. Markopoulos, and A. Milosevic

Copyright © 2013 Mansoor Shariff et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient’s pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.