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Temporomandibular joint dysfunction

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https://www.readbyqxmd.com/read/28629271/expression-of-interleukin-1-and-temporomandibular-disorder-contemporary-review-of-the-literature
#1
Adam Sorenson, Kyle Hresko, Seth Butcher, Sean Pierce, Vinicius Tramontina, Rosalia Leonardi, Carla Loreto, Jose Bosio, Luis Eduardo Almeida
OBJECTIVE: Temporomandibular disorders (TMD) are a group of conditions affecting the temporomandibular joint (TMJ), leading to jaw dysfunction, joint and muscle pain, and a decrease in quality of life. A communication network of pro- and anti-inflammatory mediators called cytokines maintains the homeostasis of the TMJ. This review will focus on the Interleukin (IL) family of cytokines, which have been quantified in TMJ synovial fluids in a variety of studies. IL-1α and IL-1β have pro-inflammatory effects, while the endogenous receptor antagonist (IL-1RA) inhibits the pro-inflammatory effects of IL-1...
June 19, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/28570407/a-modified-external-fixator-system-in-treatment-of-mandibular-condylar-fractures
#2
Piero Cascone, Fabrizio Spallaccia, Paolo Arangio, Valentino Vellone, Matteo Gualtieri
The purpose of this study is to evaluate patient's outcomes after condylar fractures treated with the modified external fixation system from 2008 to 2012.A group of 58 patients with unilateral and bilateral fractures of mandibular condyle was admitted in the authors' study.The final sample included a total of 44 patients, 24 males (54.6%) and 20 females (45.4%).The remaining 14 (24%) patients were excluded because they did not fulfill all the criteria requested.After 12 months from surgery, the functional-clinical evaluation of mouth's maximum opening and mostly extent of lateral excursion and of protrusion showed the following results: 8% of the sample showed a maximum mouth opening <30 mm, 72% of the sample showed a maximum mouth opening between 30 and 40 mm, 20% of the sample showed a maximum mouth opening >40 mm lateral excursion (contralateral to fracture) and protrusion was respectively of 9...
May 31, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28557358/evidence-for-central-sensitization-in-patients-with-temporomandibular-disorders-a-systematic-review-and-meta-analysis-of-observational-studies
#3
REVIEW
Roy La Touche, Alba Paris-Alemany, Amanda Hidalgo-Pérez, Ibai López-de-Uralde-Villanueva, Santiago Angulo-Diaz-Parreño, Daniel Muñoz-García
Temporomandibular disorder (TMD) is a very wide term which includes a variety of clinical issues related to the masticatory muscles, the temporomandibular joint (TMJ), and their associated structures (1) . For TMD patients the main concern is pain, and it is the most common reason for medical consultation; but pain makes also a great challenge for clinicians (2) . In fact, dysfunction of the central nervous system when processing nociceptive input has been stated as a factor involved in the onset and maintenance of pain in patients with chronic TMD (3) This article is protected by copyright...
May 29, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28471560/arthroscopy-of-the-temporomandibular-joint-for-the-treatment-of-chronic-closed-lock
#4
Waseem Abboud, Sahar Nadel, Noam Yarom, Ran Yahalom
BACKGROUND: Temporomandibular joint (TMJ) disorders affect roughly 5% of the population. Chronic closed lock is one of the more common temporomandibular disorders and is characterized by limited mouth opening and various degrees of joint pain and dysfunction. OBJECTIVES: To evaluate the efficacy and safety of arthroscopic lysis and lavage of the TMJ to treat limited mouth opening in patients suffering from chronic closed lock. METHODS: This is a retrospective analysis of the medical records of 47 patients with chronic closed lock treated with arthroscopic lysis and lavage...
July 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28462199/giant-cell-tumor-of-temporomandibular-joint-masquerading-as-temporomandibular-joint-pain-dysfunction-syndrome-a-rare-case-report
#5
Jo Ee Sam, Rullyandrianto Pan Nuriman Rachmat, Cri Saiful Jordan Melano, Nasser Abdul Wahab
Giant cell tumor (GCT) of the craniofacial bones has been reported but they are not common. This tumor occurs more often in women than in men and predominantly affects patients around the third to fifth decade of life. GCTs are generally benign but can be locally aggressive as well. We report a case of GCT involving the temporomandibular joint (TMJ), which was initially thought to be temporomandibular disorder (TMD). A 22-year-old female presented with swelling and pain over the right temporal region for 18 months associated with jaw locking and clicking sounds...
April 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/28437514/a-retrospective-study-on-possible-predictive-factors-for-long-term-temporomandibular-joint-degeneration-and-impaired-mobility-in-juvenile-arthritis-patients
#6
Stanimira I Kalaykova, Adriaan T Klitsie, Corine M Visscher, Machiel Naeije, Frank Lobbezoo
AIMS: To determine possible predictive factors for long-term temporomandibular joint (TMJ) degeneration and dysfunction in juvenile idiopathic arthritis (JIA) patients. METHODS: A total of 94 patients (77% female) who had received a JIA diagnosis in an outpatient rheumatology clinic from 1993 to 1994 at a mean ± standard deviation age of 8.3 ± 4.53 years were included in the study. At inclusion, TMJ status regarding condylar degeneration was assessed orthopantomographically and given a Rohlin and Petersson score of 0 or ≥ 1...
April 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28420043/-alcohol-consumption-prevalence-in-civil-servants
#7
Josep Maria Molina Aragonés, Cristina Abadia Castelló
Temporomandibular dysfunction syndrome (TMDS) includes a number of clinical conditions involving the temporomandibular joint (TMJ), the muscles involved in mastication, or both. The symptoms of TMDS include decreased mobility, masticatory muscle pain, TMJ pain, functional alteration accompanied by articular noises, myofascial pain or deviation of the mouth opening. Work with visual display terminals (VDTs) has become widespread in the past several years and the conditions associated with this type of work have been associated with the appearance of certain musculoskeletal pathologies...
April 2017: Archivos de Prevención de Riesgos Laborales
https://www.readbyqxmd.com/read/28349915/use-of-mini-anchors-and-rehabilitation-with-0%C3%A2-cusp-angle-teeth-complete-denture-in-recurrent-condylar-dislocation-technical-adequacy-and-procedure
#8
Rafaella de S Leão, Edmilson Z da S Júnior, Marília Gm de Alencar, Raisa Q Catunda, Sandra Ld de Moraes, Belmiro C do E Vasconcelos
AIM: To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporo-mandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. INTRODUCTION: There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy...
April 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28341537/interleukin-6-expression-in-disc-derangement-of-human-temporomandibular-joint-and-association-with-osteoarthrosis
#9
Flavio de Alcântara Camejo, Marina Azevedo, Viviane Ambros, Karina São Thiago Caporal, Andrea Duarte Doetzer, Luis Eduardo Almeida, Marcia Olandoski, Lucia Noronha, Paula Cristina Trevilatto
The inflammatory process is a coordinated response that protects host after infection or trauma, involving several molecular reactions. Once the inflammation is closely linked to the process of destruction of the temporomandibular joint, this study aims to examine, by immunohistochemistry, the expression of interleukin-6 (IL-6), an important inflammatory marker, in temporomandibular articular discs of patients with anterior disc displacement with (ADDwR) and without reduction (ADDwoR) and its association with osteoarthrosis (OA)...
February 24, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28341275/current-thinking-about-the-management-of-dysfunction-of-the-temporomandibular-joint-a-review
#10
REVIEW
S Rajapakse, N Ahmed, A J Sidebottom
Increasingly the management of TMJ pathology is becoming a subspecialist interest. The number of patients having TMJ joint replacement had steadily increased over the last decade and there is now NICE guidance on this matter. Whilst the evidence of the management of TMJ disease is limited and there are few randomised controlled trials, the incidence of TMJ pathology has not changed and there is a requirement for guidance on the management. Whilst previously patients with TMJ pain were managed surgically, this is changing, and the vast bulk of initial management is non-surgical/medical...
May 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28317439/patterns-of-cervical-and-masticatory-impairment-in-subgroups-of-people-with-temporomandibular-disorders-an-explorative-approach-based-on-factor-analysis
#11
Nikolaus Ballenberger, Harry von Piekartz, Mira Danzeisen, Toby Hall
OBJECTIVES: To identify clinical patterns of impairment affecting the cervical spine and masticatory systems in different subcategories of temporomandibular disorder (TMD) by an explorative data-driven approach. METHODS: For this observational study, 144 subjects were subdivided according to Research Diagnostic Criteria for TMDs into: Healthy controls, temporomandibular joint (TMJ) signs without symptoms, TMJ affected, temporomandibular muscles affected, or TMJ and muscles affected...
March 20, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/28290229/incobotulinumtoxina-injection-for-temporomandibular-joint-disorder
#12
RANDOMIZED CONTROLLED TRIAL
Amit A Patel, Michael Z Lerner, Andrew Blitzer
OBJECTIVES: Temporomandibular disorder (TMD) involves dysfunction of the temporomandibular joint and associated muscles of mastication causing pain with chewing, limitation of jaw movement, and pain. While the exact pathophysiology of TMD is not completely understood, it is thought that hyperfunction of the muscles of mastication places stress on the temporomandibular joint, leading to degeneration of the joint and associated symptoms. We hypothesize that chemodenervation of the muscles of mastication with IncobotulinumtoxinA (Xeomin) will decrease the stress on the temporomandibular joint and improve pain associated with temporomandibular joint and muscle disorder (TMJD)...
April 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/28288293/prevalence-of-temporomandibular-dysfunction-and-its-association-with-malocclusion-in-children-an-epidemiologic-study
#13
Fundagül Bilgiç, İbrahim Erhan Gelgör
INTRODUCTION: Malocclusion is one etiological factor of temporomandibular joint disorder (TMD). This study investigates the prevalence of TMD and the relationship between TMD and the type of occlusion. STUDY DESIGN: A sample of 923 children (463 girls and 460 boys, ages 7-12 years old) was grouped not only by chronological age but also by gender. The information was collected on functional occlusion (anterior and lateral sliding, interferences), dental wear, mandibular mobility (maximal opening, deflection, deviation), and temporomandibular joint and muscular pain recorded by palpation...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28279053/-intra-articular-injections-of-hyaluronic-acid-for-anterior-disc-displacement-of-temporomandibular-joint
#14
X Long
Anterior disc displacement (ADD) of temporomandibular joint (TMJ) is regarded as one of the major findings in temporomandibular disorders (TMD). It is related to joint noise, pain, mandibular dysfunction, degenerative change and osteoarthritis. In the mean time, the pathological changes were found in synovial membrane and synovial fluid. Hyaluronic acid is a principal component of the synovial fluid which plays an important role in nutrition, lubrication, anti-inflammation and cartilage repair. The synthesis, molecule weight, and concentration of hyaluronic acid are decreased during TMD and cause TMJ degenerative changes...
March 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28256415/the-association-between-condylar-bone-changes-revealed-in-cone-beam-computed-tomography-and-clinical-dysfunction-index-in-patients-with-or-without-temporomandibular-joint-disorders
#15
Leila Khojastepour, Mahroo Vojdani, Maryam Forghani
OBJECTIVE: The aim of the present study was to compare cone beam computed tomography (CBCT) findings pertinent to patients with temporomandibular disorder (TMD) and patients without TMD (non-TMD), as well as to investigate the correlation between these findings and the clinical dysfunction index (Di). STUDY DESIGN: In this cross-sectional study, CBCT images of temporomandibular joints (TMJs) were evaluated for condylar bone changes in 84 patients with TMD. The patients were assigned a score using Helkimo's clinical Di, ranging from 1 to 25, and were thereafter subdivided into 3 groups based on the degree of Helkimo's Di...
January 24, 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/28237253/comparison-of-intra-articular-injection-of-plasma-rich-in-growth-factors-versus-hyaluronic-acid-following-arthroscopy-in-the-treatment-of-temporomandibular-dysfunction-a-randomised-prospective-study
#16
Martín Fernández-Ferro, Jacinto Fernández-Sanromán, Andrés Blanco-Carrión, Alberto Costas-López, Annahys López-Betancourt, Jorge Arenaz-Bua, Bogdan Stavaru Marinescu
PURPOSE: The main objective of our study was to evaluate the effectiveness of the injection of plasma rich in platelet-derived growth factors (PRGF) versus hyaluronic acid (HA) following arthroscopic surgery in patients diagnosed with internal derangement of the temporomandibular joint (TMJ) with osteoarthritis (OA). MATERIALS AND METHODS: A total of 100 patients were randomised into two study groups. Group A (n = 50) received an injection of PRGF, and Group B (n = 50) received an injection of HA...
April 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28216845/analysis-of-helkimo-index-for-temporomandibular-disorder-diagnosis-in-the-dental-students-of-faridabad-city-a-cross-sectional-study
#17
Sapna Rani, Salil Pawah, Sunil Gola, Mansha Bakshi
AIM AND OBJECTIVES: The aim of the study was to evaluate the prevalence of temporomandibular disorder (TMD) by the use of Helkimo's index (anamnestic [Ai] and clinical dysfunction [Di] component) in the nonpatient population (dental students) of Faridabad college. SETTINGS AND DESIGN: A questionnaire-based survey was carried out among students of dental college for signs and symptoms of TMD and also clinical examination was done. The results were scored and according to scoring severity of TMD were assessed in the specified population...
January 2017: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/28194343/the-effect-of-a-condylar-repositioning-plate-on-condylar-position-and-relapse-in-two-jaw-surgery
#18
Gyu Sik Jung, Taek Kyun Kim, Jeong Woo Lee, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Kang Young Choi
BACKGROUND: Numerous condylar repositioning methods have been reported. However, most of them are 2-dimensional or are complex procedures that require a longer operation time and a highly trained surgeon. This study aims to introduce a new technique using a condylar repositioning plate and a centric relation splint to achieve a centric relationship. METHODS: We evaluated 387 patients who had undergone surgery for skeletal jaw deformities. During the operation, a centric relation splint, intermediate splint, final centric occlusion splint, and condylar repositioning plate along with an L-type mini-plate for LeFort I osteotomy or a bicortical screw for bilateral sagittal split ramus osteotomy were utilized for rigid fixation...
January 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28192626/oral-and-mandibular-manifestations-in-the-ehlers-danlos-syndromes
#19
John Mitakides, Brad T Tinkle
The Ehlers-Danlos syndromes (EDS) are hereditary disorders that affect the connective tissue and collagen structures in the body. Several types of EDS have been identified. Oral and mandibular structures, which include oral soft tissue, dentition, facial and head pain, and the functioning of the temporomandibular joint (TMJ), are variably affected in the various types of EDS. These various manifestations of EDS have been noted for many years, but newer diagnostic techniques and studies are shedding additional light on the challenges faced by EDS patients in the area of oral and mandibular disorders...
March 2017: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/28068790/temporomandibular-disorders-old-ideas-and-new-concepts
#20
Thomas List, Rigmor Højland Jensen
Background Temporomandibular disorders (TMD) is an umbrella term for pain and dysfunction involving the masticatory muscles and the temporomandibular joints (TMJs). TMD is the most common orofacial pain condition. Its prominent features include regional pain in the face and preauricular area, limitations in jaw movement, and noise from the TMJs during jaw movements. TMD affects up to 15% of adults and 7% of adolescents. Chronic pain is the overwhelming reason that patients with TMD seek treatment. TMD can associate with impaired general health, depression, and other psychological disabilities, and may affect the quality of life of the patient...
January 1, 2017: Cephalalgia: An International Journal of Headache
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