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https://www.readbyqxmd.com/read/29132341/can-hybrid-hyaluronic-acid-represent-a-valid-approach-to-treat-rizoarthrosis-a-retrospective-comparative-study
#1
Sara Tenti, Nicola Antonio Pascarelli, Stefano Giannotti, Mauro Galeazzi, Nicola Giordano, Antonella Fioravanti
BACKGROUND: Osteoarthritis (OA) of the trapeziometacarpal joint (TMJ) is a disabling condition with a significant impact on quality of life. The optimal management of hand OA requires a combination of non-pharmacological and pharmacological treatments that include intra-articular (i.a.) therapy. EULAR experts recommend corticosteroid injections in TMJ OA and underline the usefulness of hyaluronic acid (HA). The aim of this study was the assessment of the efficacy and tolerability of i...
November 13, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29127775/four-dimensional-computed-tomography-evaluation-of-condylar-movement-in-a-patient-with-temporomandibular-joint-osteoarthritis
#2
Masaya Akashi, Takumi Hasegawa, Satoru Takahashi, Takahide Komori
Temporomandibular joint (TMJ) osteoarthritis (OA) is a disease of the bone, cartilage, and supporting tissues of the joint. Patients with advanced TMJ-OA often have symptoms such as pain, swelling, and joint dysfunction, and they sometimes require surgical intervention when conservative treatment is not effective. The etiology of TMJ-OA remains elusive. The usefulness of 4-dimensional (4D) computed tomography (CT) in motion analysis of various joints has recently been reported. This article introduces a novel imaging technique of 4D CT that aims to identify kinematic features that may be associated with the etiology of TMJ-OA...
October 16, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29113176/stereolithographic-model-assisted-reconstruction-of-the-mandibular-condyle-with-a-vascularized-fibular-flap-following-hemimandibulectomy-evaluation-of-morphological-and-functional-outcomes
#3
Hitoshi Yoshimura, Shinpei Matsuda, Seigo Ohba, Yoshiki Minegishi, Kunihiro Nakai, Shigeharu Fujieda, Kazuo Sano
The vascularized fibular flap is one of the standard treatment choices for the reconstruction of the mandible; however, the consequences of condylar restoration have not previously been reported. The use of three-dimensional models allows for a more predictable reconstruction. The purpose of the present study was to assess the outcome of stereolithographic model-assisted reconstruction of the mandibular condyle with a vascularized fibular flap. A total of 5 patients underwent mandibular resection including the condyle and immediate reconstruction with a vascularized fibular flap...
November 2017: Oncology Letters
https://www.readbyqxmd.com/read/29078737/adolescent-internal-condylar-resorption-aicr-of-the-temporomandibular-joint-can-be-successfully-treated-by-disc-repositioning-and-orthognathic-surgery-part-2-treatment-outcomes
#4
Aluisio Galiano, Larry Wolford, João Gonçalves, Daniela Gonçalves
Objective To evaluate treatment outcomes for patients with TMJ adolescent internal condylar resorption (AICR) treated by a specific surgical protocol, including: (1) Removal of bilaminar tissue surrounding the condyle, (2) Articular disc repositioning with Mitek anchor technique, and (3) Concomitant orthognathic surgery. Methods This study evaluated 24 AICR patients treated by the specific surgical protocol with clinical subjective and objective examinations and lateral cephalogram assessments for surgical changes and long-term outcomes...
October 27, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29038631/efficacy-of-temporomandibular-joint-arthrocentesis-with-sodium-hyaluronate-in-the-management-of-temporomandibular-joint-disorders-a-prospective-randomized-control-trial
#5
Harsha Gorrela, J Prameela, G Srinivas, B Vijay Baskar Reddy, Mvs Sudhir, Gururaj Arakeri
PURPOSE: This study was designed to investigate the efficacy of the temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate (SH) in the treatment of temporomandibular joint disorders. PATIENTS AND METHODS: A total of sixty two TMJs in 34 males and 28 females aged 20-65 years comprised the study material. The patients' complaints were limited mouth opening, TMJ pain, and joint noises during function. Patients were randomly divided into 2 groups in which arthrocentesis plus intra-articular injection of sodium hyaluronate was performed in 1 group and only arthrocentesis was performed in the other group...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29017019/results-of-combined-single-session-arthrocentesis-and-dextrose-prolotherapy-for-symptomatic-temporomandibular-joint-syndrome-a-case-series
#6
Burak Cezairli, Efe Can Sivrikaya, Mehmet Melih Omezli, Ferhat Ayranci, Neslihan Seyhan Cezairli
OBJECTIVE: Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session. MATERIALS AND METHODS: In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament...
October 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28936895/a-study-on-the-post-radiotherapy-changes-of-temporomandibular-joint-in-nasopharyngeal-carcinoma-patients
#7
Vincent Wc Wu, Michael Tc Ying, Dora Lw Kwong
OBJECTIVE: Radiation-induced trismus, which is resulted from damage of the temporomandibular joint (TMJ), is one of the common late complications in nasopharyngeal carcinoma (NPC) patients after radical radiotherapy. This study investigated the radiation induced TMJ changes using ultrasonography in post-radiotherapy (post-RT) NPC patients. METHODS: 114 NPC patients, who had completed radiotherapy for more than 4 years, were assessed with the maximum incisal distance (MID) and ultrasonography examination of TMJ from which the maximum disc thickness of the joint disc, the condyle irregularity (CI), joint vascularity (JV) and relative muscle echogenicity were assessed...
October 27, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28936285/clinical-and-radiological-outcome-of-arthrocentesis-followed-by-autologous-blood-injection-for-treatment-of-chronic-recurrent-temporomandibular-joint-dislocation
#8
Jinesh Patel, Kumar Nilesh, M I Parkar, Alpesh Vaghasiya
BACKGROUND: This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS: Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule...
August 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28858275/-botulinus-toxin-in-complex-treatment-of-myofacial-pain-syndrome
#9
S N Fedotov, M A Gerasimova, S D Shorokhov, A I Tischenko
The aim of the study was to assess the efficacy of type A Botulinus toxin (BTA) in pain release by TMJ functional pain disorders. The study included 211 patients with TMJ functional pain disorder (20.4% males and 79.6% females; mean age 45.3 years). The patients underwent clinical examination and bioelectric activity assessment of masticatory muscles by electromyography (EMG). EMG specters of 20 healthy volunteers with intact dental arches served as a control. After examination BTA was injected in muscular pain trigger points...
2017: Stomatologii︠a︡
https://www.readbyqxmd.com/read/28839479/efficacy-of-selective-grinding-guided-by-an-occlusal-splint-in-management-of-myofascial-pain-a-prospective-clinical-trial
#10
REVIEW
Felipe J Fernández-González, Jorge Cabero-López, Aritza Brizuela, Ivan Suazo, Esteban Pérez-Pevida, Teresa Cobo, Oier Montalban, Markel Diéguez-Pereira, David Chávarri-Prado, Iker Bellanco de la Pinta, Antonio Jiménez-Garrudo
BACKGROUND: For patients whose centric relation (CR) has not been considered at the start and during treatment, the task of achieving an occlusal scheme that works together with the temporomandibular joint, the muscles, and the structures of the stomatognathic apparatus becomes a major concern. OBJECTIVE: This study aims to describe a reproducible, predictable and to date unreported procedure of selective grinding guided by an occlusal splint and to analyze condylar position (CP) based on the skeletal pattern...
2017: Open Dentistry Journal
https://www.readbyqxmd.com/read/28836528/low-level-laser-therapy-a-novel-therapeutic-approach-to-temporomandibular-disorder-a-randomized-double-blinded-placebo-controlled-trial
#11
R Shobha, Veena S Narayanan, B S Jagadish Pai, H P Jaishankar, M J Jijin
AIMS AND OBJECTIVE: The objective of this study was to assess the effectiveness of low-level laser therapy (LLLT)/low intensity laser therapy (LILT) in the management of temporomandibular joint (TMJ) pain in a random and double-blind research design. MATERIALS AND METHODS: TMJ pain patients, randomly assigned into two groups: Group 1 (n = 20) and Group 2 (n = 20), received 2-3 treatments per week for 8 sessions of active LILT with diode laser (gallium aluminum arsenide, 810 nm, 0...
July 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28822720/juvenile-idiopathic-arthritis-practice-patterns-among-oral-and-maxillofacial-surgeons
#12
Brian E Kinard, Shelly Abramowicz
PURPOSE: The purpose of this investigation is to assess the current clinical practices by oral and maxillofacial surgeons (OMSs) in the United States regarding diagnosis and treatment of temporomandibular joint (TMJ) involvement in children with juvenile idiopathic arthritis (JIA). MATERIALS AND METHODS: We implemented a cross-sectional survey of academic OMSs in the United States via an electronic survey. The survey included respondent demographic data, patient volumes, diagnostic methods, and management practices for children with JIA and TMJ involvement...
November 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28800843/discectomy-without-replacement-improves-function-in-patients-with-internal-derangement-of-the-temporomandibular-joint
#13
Michael Miloro, Matthew McKnight, Michael D Han, Michael R Markiewicz
PURPOSE: Treatment of internal derangement is controversial. This study assessed the effectiveness of discectomy without replacement in improving jaw function and decreasing pain. MATERIALS AND METHODS: A retrospective cohort study sample of subjects with internal derangement underwent discectomy without replacement by one surgeon at a single academic medical center. The primary predictor variables were preoperative maximal incisal opening (MIO) and Helkimo Clinical Dysfunction Index (CDI) score...
September 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28764284/efficacy-of-bromelain-along-with-trypsin-rutoside-trihydrate-enzymes-and-diclofenac-sodium-combination-therapy-for-the-treatment-of-tmj-osteoarthritis-a-randomised-clinical-trial
#14
S Jayachandran, Priyanka Khobre
INTRODUCTION: Osteoarthritis (OA) is a degenerative disorder characterized by chronic inflammatory response of cartilage and articular surface involving Temporomandibular Joint (TMJ). Pain as one of the major symptom of osteoarthritis affects the quality of life and is usually managed by Non Steroidal Anti Inflammatory Drugs (NSAIDs) such as diclofenac sodium. Bromelain, trypsin and rutoside trihydrate formulation can be used to treat this disease because of anti-inflammatory and anti-oxidant effects...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28761983/effect-of-mechanical-loading-on-the-metabolic-activity-of-cells-in-the-temporomandibular-joint-a-systematic-review
#15
REVIEW
Beatriz F Betti, Vincent Everts, Johannes C F Ket, Hessam Tabeian, Astrid D Bakker, Geerling E Langenbach, Frank Lobbezoo
OBJECTIVES: The purpose of this systematic review was to elucidate how different modalities and intensities of mechanical loading affect the metabolic activity of cells within the fibro-cartilage of the temporomandibular joint (TMJ). MATERIALS AND METHODS: A systematic review was conducted according to PRISMA guidelines using PubMed, Embase, and Web of Science databases. The articles were selected following a priori formulated inclusion criteria (viz., in vivo and in vitro studies, mechanical loading experiments on TMJ, and the response of the TMJ)...
August 1, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28751180/outcomes-of-office-based-temporomandibular-joint-arthroscopy-a-5-year-retrospective-study
#16
R H Hossameldin, J P McCain
Temporomandibular joint (TMJ) arthroscopy is a minimally invasive surgical approach for intra-articular TMJ diseases. Office-based arthroscopy using the smallest TMJ scope allows for good visualization, as well as the ability to lavage the joint in an office setting. This study aimed to assess the efficacy of an office-based TMJ arthroscopic technique. A retrospective evaluation of 363 patients with a TMJ disorder was performed. These patients underwent office-based arthroscopy using the OnPoint 1.2mm Scope System (Biomet Microfixation, Jacksonville, FL, USA) in Florida, USA, from July 2007...
July 24, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28692514/application-of-bidirectional-distraction-osteogenesis-for-the-treatment-of-mandibular-micriognathia-caused-by-temporomandibular-joint-ankylosis
#17
Chi Zhang, Yunfeng Li, Bin Ye, Yao Liu, Chongyun Bao, Songsong Zhu
BACKGROUND: Temporomandibular joint (TMJ) ankylosis is a joint disorder that refers to bone or fibrous adhesion of the anatomic joint components and the ensuing loss of function. When it happens on children, it is always accompanied by dentofacial deformities. The objective of this study was to describe the authors' experience of bidirectional distraction osteogenesis for the treatment of mandibular deformities caused by TMJ ankylosis. METHODS: Sixteen patients with TMJ ankylosis and severe secondary mandibular deformities were treated with bidirectional distraction osteogenesis and release of joint from January 2013 to December 2015...
September 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28690356/diagnostic-index-an-open-source-tool-to-classify-tmj-oa-condyles
#18
Beatriz Paniagua, Laura Pascal, Juan Prieto, Jean Baptiste Vimort, Liliane Gomes, Marilia Yatabe, Antonio Carlos Ruellas, Francois Budin, Steve Pieper, Martin Styner, Erika Benavides, Lucia Cevidanes
Osteoarthritis (OA) of temporomandibular joints (TMJ) occurs in about 40% of the patients who present TMJ disorders. Despite its prevalence, OA diagnosis and treatment remain controversial since there are no clear symptoms of the disease, especially in early stages. Quantitative tools based on 3D imaging of the TMJ condyle have the potential to help characterize TMJ OA changes. The goals of the tools proposed in this study are to ultimately develop robust imaging markers for diagnosis and assessment of treatment efficacy...
February 11, 2017: Proceedings of SPIE
https://www.readbyqxmd.com/read/28638693/management-of-the-temporomandibular-joint-in-inflammatory-arthritis-involvement-of-surgical-procedures
#19
REVIEW
Rory C O'Connor, Fiona Fawthrop, Rami Salha, Andrew J Sidebottom
Many conditions may affect the temporomandibular joint (TMJ), but its incidence in individual joint diseases is low. However, inflammatory arthropathies, particularly rheumatoid and psoriatic arthritis and ankylosing spondylitis, appear to have a propensity for affecting the joint. Symptoms include pain, restriction in mouth opening, locking, and noises, which together can lead to significant impairment. Jaw rest, a soft diet, a bite splint, and medical therapy, including disease-modifying antirheumatic drugs (DMARDs) and simple analgesia, are the bedrock of initial treatment and will improve most symptoms in most patients...
June 2017: European Journal of Rheumatology
https://www.readbyqxmd.com/read/28598184/surface-electromyography-before-and-after-orthognathic-surgery-and-condylectomy-in-active-laterognathia-a-case-report
#20
F Cullati, A Mapelli, G Beltramini, M Codari, C L Pimenta Ferreira, A Baj, A B Giannì, C Sforza
BACKGROUND: Condylar hyperplasia is a rare bone disease characterised by excessive development of mandibular condyle, which can lead to the development of asymmetric facial deformity together with malocclusion, mandibular deviation, TMJ and masticatory musculoskeletal system dysfunction. There is not a treatment protocol universally accepted. In order to determine the correct management, treatment and intervention timing of these patients, morphological examinations should be coupled with functional assessments...
June 2017: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
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