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Temporomandibular joint diagnosis

Daniela Klenke, Anja Quast, Martina Prelog, Annette Holl-Wieden, Maximilian Riekert, Angelika Stellzig-Eisenhauer, Philipp Meyer-Marcotty
BACKGROUND: Juvenile idiopathic arthritis (JIA) is often accompanied by pathomorphological changes to the temporomandibular joint (TMJ). By analyzing orthodontical orthopantomograms of JIA patients the aims of the study were a) classification of condyle changes, b) quantification of bony asymmetries of condylar destruction and c) detection of relationships between disease duration and TMJ-involvement. PATIENTS/METHODS: 46 caucasian JIA-patients (28 female; 18 male; < 16...
September 17, 2018: Head & Face Medicine
Vikas Meshram, Natarajan C, Jayant Landge, Sayali Jadhav
Radiolucent lesions of Temporomandibular Joint (TMJ) represent a diagnostic challenge and a treatment conundrum. Biopsy of the lesions is technically difficult owing to their complex anatomy. The Differential Diagnosis (DD) includes a wide array of lesions including Simple Bone Cyst, Ameloblastoma, Central Giant Cell Granuloma, Hemangioma, Osteoblastoma, Osteochondroma, Chondroblastoma, Chondrosarcoma, Neurofibroma and metastatic malignant lesions though none has a specific predilection for TMJ. Here we present a case report of a large expansile radiolucent lesion of right TMJ in a 22 year old male patient with difficulties involved in diagnosis and management...
September 2018: Journal of Oral Biology and Craniofacial Research
Mukesh Kumar Singhal, Bhuwneshwer Pandey, Anshika Agarwal, Sudhir Yadav, Polysmita Ojah, Ankita Pal, Pradipto Parai
The rationale for implant full-mouth rehabilitation is believed to present the better quality of life to the older population. This type of modalities preserves the soft and hard tissue of oral cavity. It is also helpful to check the temporomandibular joint disease. Literature exposes that implant full-mouth fixed rehabilitation is one of the taxing procedures in the field of prosthodontics. The current clinical report discusses a customized biomechanical approach for the fabrication of implant complete-mouth rehabilitation...
July 2018: Contemporary Clinical Dentistry
Sameep S Shetty, Premalatha Shetty, Prit Kiran Shah, Jayanth Nambiar, Nancy Agarwal
A striking feature of the skull base is the pterygoid hamulus known for its bizarre morphology and biomechanical location. Pterygoid hamular bursitis is an inflammation of bursae located between the tendon, muscle, and bony prominences. The minimal objective finding in an apparently normal orofacial apparatus and dependence on the subjective symptoms experienced by the patient with widespread referral pattern often perplexes the clinician. Bursitis should be considered in the differential diagnosis of craniofacial neuralgia, temporomandibular joint dysfunction, and chronic craniofacial pain...
2018: Case Reports in Surgery
Roberta Maria Drumond Furtado Bossi Fonseca, Eduardo Januzzi, Luciano Ambrosio Ferreira, Eduardo Grossmann, Antonio Carlos Pires Carvalho, Pedro Gonçalves de Oliveira, Érica Leandro Marciano Vieira, Antônio Lúcio Teixeira, Camila Megale Almeida-Leite
Viscosupplementation is a minimally invasive technique that replaces synovial fluid by intra-articular injection of hyaluronic acid (HA). Although effective in some joints, there is not conclusive evidence regarding temporomandibular disorders. This case series described the efficacy of a viscosupplementation protocol in intra-articular temporomandibular disorders. Ten patients with a diagnosis of disc displacement and/or osteoarthritis by Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were submitted to four monthly injections of low or medium molecular weight HA...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Stefan Kindler, Christian Schwahn, Olaf Bernhardt, Andreas Söhnel, Maria Mksoud, Reiner Biffar, Georg Meyer, Henry Völzke, Hans Robert Metelmann, Hans Jörgen Grabe
AIMS: To estimate the association between signs of temporomandibular disorders (TMD) and symptoms of posttraumatic stress disorder (PTSD) in a representative sample from the general population of northeastern Germany. METHODS: Signs of TMD were assessed with a clinical functional analysis that included palpation of the temporomandibular joints (TMJs) and masticatory muscles. PTSD was assessed with the PTSD module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, ed 4...
August 28, 2018: Journal of Oral & Facial Pain and Headache
Miguel Pais Clemente, Joaquim Mendes, André Moreira, Ricardo Vardasca, Afonso Pinhão Ferreira, José Manuel Amarante
INTRODUCTION: Temporomandibular disorders (TMD) involve the presence of pain or dysfunction on certain areas of the Cranio-Cervico-Mandibular Complex (CCMC), such as the masticatory muscles, the temporomandibular joint (TMJ) and associated structures like the postural muscles of the cervical region, can be considered as a sub-group of musculoskeletal disorders. Wind instrument players, as a consequence of their musical performance and its relation with the CCMC, can develop a TMD associated to muscle hyperactivity of certain elevator muscles, or even an increase of the intra-articular pressure in the functioning of the TMJ throughout musical activity...
August 23, 2018: Dentistry journal
May Wathiq Alkhudhairy, Fatima Al Ramel, Ghufran Al Jader, Layla Al Saegh, Areej Al Hadad, Tumadhir Alalwan, Dhuha Al Shaikh, Malak Al Bandar
Aims and Objectives: Temporomandibular joint disorder (TMD) is an umbrella term for a number of conditions in the area of the joint, temple, and masticatory system. Many of those with TMD also suffer from headaches and anxiety. The aims and objectives of this study were to determine if there exists an association between the Diagnostic Criteria of TMD (DC/TMD) symptom questionnaire and report of headaches as well as stress. Materials and Methods: A cross-sectional study was implemented via the use of the DC/TMD symptom questionnaire and the perceived stress scale (PSS)...
July 2018: Journal of International Society of Preventive & Community Dentistry
Haibin Sun, Yi Su, Ning Song, Chunjie Li, Zongdao Shi, Longjiang Li
BACKGROUND The aim of this study was to determine the clinical effects of sodium hyaluronate injection into the superior and inferior joint space for osteoarthritis of the temporomandibular joint (TMJ) and to evaluate the joint changes using cone-beam computed tomography (CBCT). MATERIAL AND METHODS A retrospective observational clinical study included 51 patients and 56 TMJs, with a diagnosis of osteoarthritis. All patients received sodium hyaluronate injections into the superior and inferior TMJ joint spaces (articular cavities)...
August 20, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Lena Alsabban, Felix Jose Amarista, Louis G Mercuri, Daniel Perez
PURPOSE: Idiopathic condylar resorption (ICR) is a relatively uncommon condition. Its diagnosis, etiology, and management options are controversial. Furthermore, it is difficult for 1 provider to collect a large cohort of ICR patients to develop a statistically significant study of these concerns. Therefore, the purpose of this study was to survey experienced temporomandibular joint (TMJ) surgeons who have managed ICR cases relative to these concerns, as well as review the management outcome literature...
July 19, 2018: Journal of Oral and Maxillofacial Surgery
Massimo Ralli, Antonio Greco, Armando Boccassini, Giancarlo Altissimi, Carlo Di Paolo, Vincenzo Falasca, Armando De Virgilio, Antonella Polimeni, Giancarlo Cianfrone, Marco de Vincentiis
OBJECTIVE: Determine in a cohort of patients with normal hearing and chronic tinnitus if self-reported history for temporomandibular joint (TMJ) dysfunction and a positive modulation of tinnitus in the TMJ region could be suggestive of an underlying TMJ disorder. PATIENTS AND METHODS: The study included 226 patients presenting to the Head and Neck Service of our University Hospital. Following audiological and somatic tinnitus evaluation, patients were divided into two groups...
2018: PloS One
Daniel Talmaceanu, Lavinia Manuela Lenghel, Nicolae Bolog, Mihaela Hedesiu, Smaranda Buduru, Horatiu Rotar, Mihaela Baciut, Grigore Baciut
The diagnosis and management of temporomandibular disorders (TMD) require both clinical and imaging examinations of the temporomandibular joint (TMJ). A variety of modalities can be used to image the TMJ, including magnetic resonance imaging (MRI), computed tomography (CT), cone beam CT, ultrasonography, conventional radiography. The present review outlines the indications of the most frequently used imaging techniques in TMD diagnosis. Because of the anatomic complexity of the TMJ, imaging can be difficult...
July 2018: Clujul Medical (1957)
Matthew C Coombs, Daniel J Bonthius, Xingju Nie, Michael K Lecholop, Martin B Steed, Hai Yao
PURPOSE: Accurate description of the temporomandibular size and shape (morphometry) is critical for clinical diagnosis and surgical planning and the design and development of regenerative scaffolds and prosthetic devices and to model the temporomandibular loading environment. The study objective was to determine the 3-dimensional morphometry of the temporomandibular joint (TMJ) condyle and articular disc using cone-beam computed tomography (CBCT), magnetic resonance imaging (MRI), and physical measurements of the same joints using a repeated measures design and to determine the effect of the measurement technique on temporomandibular size and shape...
July 10, 2018: Journal of Oral and Maxillofacial Surgery
Gabriel P Pastore, Douglas R Goulart, Patricia R Pastore, Alexandre J Prati, Màrcio de Moraes
The aim of the present study was to identify the relationship among instruments used to screen and diagnose temporomandibular disorders (TMD). A retrospective study was conducted using medical records of patients with temporomandibular disorder who had visited the institution for initial assessment between January and December 2015. Medical history and physical examination data were collected, particularly those focusing on the diagnosis of TMD and TMJ (temporomandibular joint) function. The following instruments were used to assess the severity of the TMD signs and symptoms: the Fonseca Anamnestic index (FAI), the Helkimo index (HI), the American Association of Orofacial Pain Questionnaire (AAOPQ) and the Jaw Symptom & Oral Habit Questionnaire (JSOHQ)...
June 2018: Acta Odontológica Latinoamericana: AOL
Mythili Kalladka, Sowmya Ananthan, Eli Eliav, Cibele Nasri-Heir, Junad Khan, Gary Heir
BACKGROUND AND OVERVIEW: Orofacial pain has multifactorial causes and is often a diagnostic challenge. Misdiagnosis can result in morbidity or mortality due to misdirected and inappropriate treatment. A delay of necessary treatment, in cases of ominous illnesses, may result in its perpetuation or progression. The authors present a case report that illustrates these possibilities. CASE DESCRIPTION: This case report describes a 36-year-old woman with the chief symptom of painless, limited mandibular movement...
July 24, 2018: Journal of the American Dental Association
Marilia Bernardes, Saberio Lo Presti, Kenneth Ratzan
We report a case of a 77-year-old woman who presented to the Emergency Room with a three-day history of oral lesions and jaw tightness. Her physical examination was remarkable for the presence of trismus and white ulcers on the visible portion of the tongue. CT head and neck was unremarkable, and she was discharged with empiric treatment for oral candidiasis. She returned two days later with worsening symptoms and subsequently developed tonic-clonic seizures. MRI of the brain and temporomandibular joints were noncontributory...
2018: Case Reports in Infectious Diseases
Daniel R Reissmann, Gary C Anderson, Guido Heydecke, Eric L Schiffman
AIMS: To investigate whether a shortened dental arch (SDA), as identified by reduced posterior occlusal contacts, is a risk factor for the progression of temporomandibular joint (TMJ) intra-articular disorders (ID), as identified using imaging techniques. METHODS: This multisite, prospective observational study with a mean follow-up period of 7.9 years had a sample of 345 participants with at least 1 temporomandibular disorder (TMD) diagnosis at baseline. SDA was defined as reduced occlusal posterior support due to lack of occlusal intercuspal contacts in the molar region on the left and/or right side...
July 2018: Journal of Oral & Facial Pain and Headache
U Siva Kalyan, Kishore Moturi, K Padma Rayalu
Purpose: Ultrasound is extensively being used for imaging of temporomandibular joint as it is non-invasive and relatively inexpensive. The purpose of this study was to evaluate the use of ultrasound in identifying TMJ with internal derangement and to access its usefulness as a diagnostic tool in patients with TMJ clicking. Methods: A case-control study was done: 25 patients with a complaint of clicking sound while opening the jaw were randomly selected as the study group and 25 patients who were asymptomatic on TMJ examination were selected as the control group...
September 2018: Journal of Maxillofacial and Oral Surgery
Joël Ferri, Julien Potier, Jean-Michel Maes, Hervey Rakotomalala, Ludovic Lauwers, Mickael Cotelle, Romain Nicot
Rheumatic diseases (RD) of the temporomandibular joints (TMJs) are increasingly frequent affections and unfortunately often confused with "classic" manducatory dysfunctions (disk dislocation, myofascial pain syndroms). Their diagnosis is mandatory, given the major subsequent craniofacial disorders, which may occur (mandibular condylar hypoplasia, facial hyperdivergence, remodelling of the condylar unit, ankylosis), although the clinical implementation remains unspecific. The delayed diagnosis may be explained by the embryologic, anatomical and physiological characteristics of this joint...
September 2018: International Orthodontics
Andrew C Jenzer, Harry Jackson, Cristóbal S Berry-Cabán
Cardiovascular disease is a leading cause of death worldwide. We report a case of myocardial infarction for which temporomandibular joint (TMJ) pain was the sole presenting initial symptom. A 28-year-old man presented to a dental clinic reporting TMJ pain. He was an active duty infantry solider in the US Army who was otherwise healthy and in excellent physical condition. He reported a 3-week history of intense throbbing to his left TMJ, specifically during physical activities and weight lifting. On examination by his general dentist, his blood pressure, heart rate, respiratory rate, and temperature were unremarkable...
June 21, 2018: Journal of Oral and Maxillofacial Surgery
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