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Tmj, facial pain,

Cory M Resnick, Pouya M Vakilian, Leonard B Kaban, Zachary S Peacock
PURPOSE: To quantify the effect of intra-articular steroid injections (IASIs) on temporomandibular joint (TMJ) synovitis in children with juvenile idiopathic arthritis (JIA) using gadolinium-enhanced magnetic resonance imaging (MRI). MATERIALS AND METHODS: The present study was a retrospective study of children with JIA who had undergone TMJ IASIs at Boston Children's Hospital. The patients were included if they had undergone contrast-enhanced MRI both before and after IASI and if the pre-IASI MRI had demonstrated synovitis (enhancement ratio [ER] >1...
July 5, 2016: Journal of Oral and Maxillofacial Surgery
Nashalie Andrade de Alencar, Alline Birra Nolasco Fernandes, Margareth Maria Gomes de Souza, Ronir Raggio Luiz, Andréa Fonseca-Gonçalves, Lucianne Cople Maia
OBJECTIVE: The aim of the study was to investigate the routine, sleep history, and orofacial disorders associated with children aged 3-7 years with nocturnal bruxism. METHODS: Children (n = 66) were divided into groups of parent reported nocturnal bruxism (n = 34) and those without the disorder (n = 32). Data about the child's routine during the day, during sleep and awakening, headache frequency, temporomandibular joint (TMJ), and hearing impairments were obtained through interviews with parents/caregivers...
June 22, 2016: Cranio: the Journal of Craniomandibular Practice
J Kunjur, R Niziol, N S Matthews
Since publication of the UK guidelines on total replacement of the temporomandibular joint (TMJ) in 2008 by the British Association of Oral and Maxillofacial Surgeons (BAOMS), pain scores, mouth opening, and diet have been used as markers of success. We have looked at quality of life (QoL) as another. We analysed the data from a single surgeon on patients who had had joints replaced and devised a questionnaire to find out about the subjective, functional, psychological, and social aspects of TMJ disease. A total of 18 patients who had the same operation were included (mean (range) age 50 (33 - 73) years, mean (range) follow up 30 (18 - 48) months)...
September 2016: British Journal of Oral & Maxillofacial Surgery
Pushkar Mehra, Mohammed Nadershah, Radhika Chigurupati
PURPOSE: Idiopathic condylar resorption (ICR) presents diagnostic and therapeutic challenges to practitioners because of the rarity of the condition, progressive deformity, and simultaneous involvement of skeletal, occlusal, and articular disorders. The objective of this study was to report clinical outcomes after prosthetic replacement of the temporomandibular joint (TMJ) for the management of ICR. PATIENTS AND METHODS: A retrospective analysis of patients with ICR managed by bilateral total TMJ replacement and concomitant mandibular advancement with or without maxillary surgery was performed using data gathered from medical records...
October 2016: Journal of Oral and Maxillofacial Surgery
Fábio J C Fujarra, Helena Hideko Seguchi Kaziyama, Silvia Regina D T de Siqueira, Lin Tchia Yeng, Cinara M Camparis, Manoel Jacobsen Teixeira, José Tadeu Tesseroli de Siqueira
OBJECTIVE: To identify temporomandibular disorders (TMD) symptoms in two groups of fibromyalgia patients according to the temporal relation between the onset of facial pain (FP) and generalized body pain (GBP). CROSS-SECTIONAL STUDY DESIGN: Fifty-three consecutive women with fibromyalgia and FP were stratified according to the onset of orofacial pain: Group-A (mean age 47.30 ± 14.20 years old), onset of FP preceded GBP; Group-B (mean age 51.33 ± 11.03 years old), the FP started concomitant or after GBP...
March 2016: Arquivos de Neuro-psiquiatria
Rory C O'Connor, Saarah Saleem, Andrew J Sidebottom
We report the outcomes of patients with rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis, who had total replacement of the temporomandibular joint (TMJ) using the TMJ Concepts system between 2005 and 2014. We prospectively measured mouth opening (mm), and pain and dietary function (visual analogue scale (VAS), 1 - 100) before operation, and at 6 weeks, 6 months, one year, and beyond. Forty-six joints were replaced in 26 patients (mean age 40, range 16 - 71), 22 of whom were female. Most had rheumatoid (n=17) or psoriatic arthritis (n=7)...
July 2016: British Journal of Oral & Maxillofacial Surgery
Daniel E Perez, Larry M Wolford, Emet Schneiderman, Reza Movahed, Campbell Bourland, Enrique Perez Gutierrez
PURPOSE: The purpose of this study was to evaluate patients requiring unilateral total temporomandibular joint (TMJ) reconstruction and the risk for development of postsurgical contralateral TMJ pain and dysfunction over time requiring subsequent contralateral total joint reconstruction. Long-term subjective and objective outcomes of unilateral TMJ reconstruction also were evaluated. MATERIALS AND METHODS: Seventy patients underwent unilateral total joint reconstruction using a patient-fitted total joint prosthesis from a single private practice from 1990 through 2012...
August 2016: Journal of Oral and Maxillofacial Surgery
Larry Wolford, Reza Movahed, Marcus Teschke, Rolf Fimmers, Drew Havard, Emet Schneiderman
PURPOSE: To measure and identify factors associated with treatment outcomes for patients with temporomandibular joint (TMJ) ankylosis treated with TMJ Concepts patient-fitted total joint prostheses and autogenous fat grafts. PATIENTS AND METHODS: This retrospective cohort study evaluated records of patients with TMJ ankylosis from a single private practice, treated from 1992 to 2011, who met the following inclusion criteria: 1) radiographic evidence of bony ankylosis, 2) limited incisal opening, 3) minimum of 12 months' follow-up, and 4) treatment with TMJ Concepts (Ventura, CA)/Techmedica (Camarillo, CA) total joint prostheses and fat grafts...
June 2016: Journal of Oral and Maxillofacial Surgery
M Ziad Al-Ani, Stephen J Davies, Robin J M Gray, Philip Sloan, Anne-Marie Glenny
No abstract text is available yet for this article.
2016: Cochrane Database of Systematic Reviews
Hassan Mahdi Al-Khalisy, Ivan Nikiforov, Qurat Mansoora, John Goldman, Pramil Cheriyath
UNLABELLED: Septic arthritis of the temporomandibular joint (TMJ) is a rare event that has only been reported a few dozen times worldwide. This case is remarkable for septic arthritis of the TMJ joint in an otherwise healthy male. CASE REPORT: A 24-year-old male presented to the emergency department with periauricular swelling, erythema, fever, myalgia's and generalized joint pain. He had previously sought medical attention and was placed on ciprofloxacin. However, he developed facial swelling and a rash and had to discontinue the antibiotic...
October 2015: North American Journal of Medical Sciences
Kasper Dahl Kristensen, Peter Stoustrup, Annelise Küseler, Thomas Klit Pedersen, Marika Twilt, Troels Herlin
AIM: To assess the level of evidence for subjective and objective parameters in clinical orofacial examination and determine if predictors for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA) patients exist in the current literature. METHOD: A comprehensive systematic electronic search strategy was performed in all major medical databases in June 2015. Studies were selected independently by two reviewers in accordance with a prespecified protocol and a risk of bias assessment for all included studies...
June 2016: Seminars in Arthritis and Rheumatism
Mallory Jayne Highstein, Jonathan Mallen, Tristan Tham, Tara Brennan, Alexandra Boubour, Elena Opher, Vira Wolf, Prabhjyot Singh, Peter Costantino
Introduction Immunoglobulin subtype G4-related disease (IgG4-RD) is a fibroinflammatory disease of unknown etiology, with manifestations involving nearly every organ system. Its association with foreign bodies is not established. Here, we present a novel case of IgG4-RD in response to foreign body injection. Case Description A 58-year-old woman presented with history of persistent left facial pain, xerophthalmia, blurred vision, and trismus. The patient's medical history was significant for left-sided temporomandibular joint (TMJ) reconstruction with silicone injection into the joint...
November 2015: Journal of Neurological Surgery Reports
Shirin Lawaf, Arash Azizi, Tohid Tabarestani
OBJECTIVES: Temporomandibular dysfunction (TMD) is a group of disorders in the facial region and temporomandibular joint (TMJ). Biomarkers are assumed to play a role in pain and early detection of destruction. The aim of this study was to compare the saliva and serum antioxidant levels in patients with TMD and healthy subjects. MATERIALS AND METHODS: This case-control study was conducted on 28 TMD patients without pain, 28 TMD patients with pain and 28 healthy controls...
April 2015: Journal of Dentistry of Tehran University of Medical Sciences
Bruno Ella, Etienne Guillaud, Nicolas Langbour, Dominique Guehl, Pierre Burbaud
PURPOSE: A previous study reported an increased prevalence of bruxism (25%) in patients with cranio-cervical dystonia (CCD) compared to normal controls (13%). CCD can affect the muscles of the head and neck. Besides the CCD affecting these muscles, hemifacial spasm (HFS) is a form of peripheral myoclonus due to a neurovascular conflict affecting the muscles of the face. The fact that they affect the same muscle regions could lead to other links in clinical manifestations such as bruxism, which is more common in patients with CCD than in the normal population...
November 20, 2015: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
A L Chellappa, D Mehrotra, K Vishwakarma, N Mahajan, D P Bhutia
INTRODUCTION: In cases of temporomandibular joint (TMJ) ankylosis, interposition arthroplasty allows return of functional jaw movements. In order to improve the facial appearance, distraction osteogenesis is the treatment of choice, and may be timed either as a pre-arthroplastic, simultaneous or post-arthroplastic procedure. This study was planned to compare the treatment outcomes of pre-arthroplastic distraction (PAD) and simultaneous arthroplastic distraction (SAD) to establish the better treatment modality in terms of improvement in function and aesthetics...
September 2015: Journal of Oral Biology and Craniofacial Research
Ying-yang Yang, Sheng-nan DU, Zong-kai Lv
PURPOSE: To compare the results of high-speed handpiece and minimally invasive extraction in impacted mandibular third molar extraction. METHODS: From May 2011 to May 2014, 83 patients undergoing impacted mandibular third molar extraction were enrolled into the study and randomly divided into 2 groups: 42 patients in group A (experimental group) and 41 patients in group B (control group). Group B underwent extraction with traditional method and group A underwent high-speed handpiece and minimally invasive extraction of the impacted mandibular third molar...
August 2015: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Babu S Parmar, Balram Garg, Reedham D Mehta, Ankita Midha, Dixit K Thakkar
INTRODUCTION: Treatment of bony Temporomandibular Joint (TMJ) Ankylosis includes release of the ankylosis and creation of a gap with or without insertion of interposing material and complete reconstruction of the joint using e.g. costochondral, autogenous coronoid/ankylosed mass, sternoclavicular, clavicular bone grafts etc. As these are non-pedicled grafts, there is eventual resorption with subsequent decrease in height of the ramus, facial asymmetry, deviated mouth opening and reankylosis...
September 2015: Journal of Maxillofacial and Oral Surgery
Zhan Gao, Qianwei Ni, Rong Zhang, Wei Gao, Xin Yang, Yanpu Liu, Shaoming Liu
OBJECTIVE: To investigate the accurate and individual treatment of temporomandibular joint(TMJ) injury based on 3D digital technology. METHODS: Maxillo-mandibular model was made using rapid prototyping technology based on the pre-operation 3D CT results. According to the 3D digital measurement results, TMJ concepts were ordered and the prosthesis was used to simulate the replacement surgery on the model. Then the joint replacement surgery was performed afterward...
March 2015: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Sapna Lohiya, Jasjit Dillon
This report describes 2 patients whose septic arthritis of the temporomandibular joint (SATMJ) presented atypically, resulting in treatment delay and complications. A 49-year-old man developed left-side facial allodynia, which was first treated unsuccessfully as trigeminal neuralgia. On day 21, the patient sustained facial trauma from a fall and presented to the emergency department (ED). Maxillofacial contrast-enhanced computed tomographic (CT) scan was suggestive of parotiditis, SATMJ, or hemarthrosis. His condition did not improve with empiric antibiotic treatment...
January 2016: Journal of Oral and Maxillofacial Surgery
K Nagata, H Maruyama, R Mizuhashi, S Morita, S Hori, T Yokoe, Y Sugawara
Stabilisation splint therapy has long been thought to be effective for the management of temporomandibular disorders (TMD). However, the superiority of stabilisation splint therapy compared to other TMD treatments remains controversial. The aim of this study was to determine the efficacy of stabilisation splint therapy combined with non-splint multimodal therapy for TMD. A total of 181 TMD participants were randomly allocated to a non-splint multimodal therapy (NS) group (n = 85) or a non-splint multimodal therapy plus stabilisation splint (NS+S) group (n = 96)...
December 2015: Journal of Oral Rehabilitation
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