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Temporomandibular joint diagnosis

Bénédicte Champs, Pierre Corre, Antoine Hamel, Christelle Darrieutort- Laffite, Benoit Le Goff
Ultrasonography of the temporomandibular joint is a non-invasive imaging technic, easy to perform in daily practice. It can be used for diagnosis and to guide intra-articular injections. The objective was to validate a longitudinal in-plane US injection approach of the joint and assess its accuracy. We performed a study in 13 non-embalmed cadavers. The injection was done under real-time US guidance using a needle inserted in-plane with an angulation of 30°and positioned under the capsule until the injection was feasible without resistance...
November 6, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Noshir R Mehta, Leopoldo P Correa
This article focuses on clinical examination to assist in maintaining stable function between jaw posture, muscle function, and temporomandibular joint stability. It describes a simple and understandable approach for assessment and management of common temporomandibular symptoms arising as side effects from use of mandibular advancement device therapy for obstructive sleep apnea. Follow-up visits are necessary to assess efficacy of sleep oral devices. An interdisciplinary approach is necessary for better treatment outcome...
December 2018: Sleep Medicine Clinics
Valentino Vellone, Matteo Gualtieri, Giulio Bosco, Bruna Cerbelli, Enrico Nastro-Siniscalchi, Piero Cascone
Hemangiomas are benign vasoformative neoplasms or developmental conditions of endothelial origin. Synovial hemangiomas arise from a synovial lined surface within a joint space. This report describes a case of synovial hemangioma of the left temporomandibular joint (TMJ) in a 65-year-old male patient. Histologic examination confirmed the diagnosis of synovial hemangioma. This is a rare case series, as the only case of synovial hemangioma with TMJ localization previously described was reported in 1988.
2018: Journal of Oral & Facial Pain and Headache
Mark A Dobish, David A Wyler, Christopher J Farrell, Hermandeep S Dhami, Victor M Romo, Daniel D Choi, Travis Reed, Michael E Mahla
This report displays a rare presentation of lactic acidosis in the setting of status epilepticus (SE). The differential diagnosis of lactic acidosis is broad and typically originates from states of shock; however, this report highlights an alternative and rare etiology, SE, due to chronic skull base erosion from temporomandibular joint (TMJ) disease. Lactic acidosis is defined by a pH below 7.35 in the setting of lactate values greater than 5 mmol/L. Two broad classifications of lactic acidosis exist: a type A lactic acidosis which stems from global or localized tissue hypoxia or a type B lactic acidosis which occurs once mitochondrial oxidative capacity is unable to match glucose metabolism...
2018: Case Reports in Critical Care
Philip James Brabyn, Ana Capote, Mario Fernando Muñoz-Guerra, Ian Zylberberg, Francisco J Rodríguez-Campo, Luis Naval-Gías
Aim: Synovial chondromatosis (SC) is a benign condition that is characterized by the formation of cartilaginous nodules within the synovial tissue of a joint that may detach and form loose bodies inside the articular space. The purpose of this study is to evaluate the use of surgical arthroscopy for the treatment of SC of the temporomandibular joint (TMJ). Materials and Methods: A series of six patients treated with arthroscopy (one patient requiring an open arthrotomy due to the size of the loose bodies) in our centre between 1997 and 2016 is presented and results are discussed...
December 2018: Journal of Maxillofacial and Oral Surgery
Marco Farronato, Alberta Greco Lucchina, Carmen Mortellaro, Andrea Fama, Guido Galbiati, Giampietro Farronato, Cinzia Maspero
OBJECTIVES: The aim of this systematic review of the literature is to describe treatment options for bilateral coronoid process hyperplasia in pediatric patients, to describe etiologic and diagnostic correlations with the treatment, and to evaluate long-term follow-up treatment outcomes. METHODS: A systematic revision of the literature was performed in the Medline, PubMed, Cochrane library, and Embase database up to December 5, 2017. Predetermined Medical Subject Heading keywords were used: "bilateral" or "monolateral" and "coronoid" or "coronoid process" and "hyperplasia" and "temporomandibular joint" or "tmj" and "ankylosis" or "trismus" and "treatment"...
October 18, 2018: Journal of Craniofacial Surgery
Valentino Vellone, Valeria Bracciolini, Valerio Ramieri, Angelina Pernazza, Carlo Della Rocca, Piero Cascone
BACKGROUND: The association between the synovial chondromatosis (SC) and the calcium pyrophosphate deposition (pseudogotta) in temporomandibular joint (TMJ) is very rare and has been described just 1 patient in the literature. CLINICAL PRESENTATION: A 64-year-old woman was referred to Dipartimento di Scienze Odontostomatologiche e Maxillo-Facciali, Sapienza Università di Roma after complaining about right temporomandibular pain, limitation in mandibular movements, and tumefaction in the right preauricular region...
November 2018: Journal of Craniofacial Surgery
Nils Heim, Werner Götz, Rudolf H Reich, Anton Faron
INTRODUCTION: Besides mastoid air filled cells, pneumatizations (PN) occasionally occur in the articular eminence (AE) of the temporomandibular joint (TMJ). These findings represent no pathological character but may increase the risk of perforating the AE during eminectomy with potential harming the skull base. Various classifications catagorize the degree of temporal PN without focussing solely on the AE. Panoramic radiograph (PR) and computed tomographie (CT) are both described as suitable for diagnosing PNs...
September 25, 2018: Journal of Cranio-maxillo-facial Surgery
L G Mercuri
Prosthetic joint infections are not only distressing complications for patients and surgeons, but also have an enormous financial impact on healthcare systems. The reported incidence of prosthetic joint infection is likely underestimated due to difficulties in their diagnosis. This unfortunate complication has challenged joint replacement surgeons for years, despite all the advances made in this surgical discipline. Since eradication of these infections can be very difficult, prevention remains the primary objective...
October 10, 2018: International Journal of Oral and Maxillofacial Surgery
Rohit Sahdev, Brendan W Wu, Nina Anderson, Shehryar N Khawaja, Somi Kim, David A Keith
PURPOSE: Disorders of the temporomandibular joint (TMJ) occur frequently, with a prevalence of 15 to 18%. Total joint replacement (TJR) surgery is indicated for severe joint damage associated with impaired function, pain, or occlusal change for which other treatments have been unsuccessful. The aim of this study was to assess changes in pain and range of motion (ROM), as well as postoperative complications and comorbidities, in patients receiving TJR surgery at Massachusetts General Hospital (MGH)...
September 18, 2018: Journal of Oral and Maxillofacial Surgery
Leticia Lopes Quirino Pantoja, Isabela Porto de Toledo, Yasmine Mendes Pupo, André Luís Porporatti, Graziela De Luca Canto, Liete Figueiredo Zwir, Eliete Neves Silva Guerra
OBJECTIVES: The purpose of this systematic review was to evaluate evidence about the prevalence of degenerative joint disease (DJD) of the temporomandibular joints (TMJ). MATERIALS AND METHODS: We performed search on electronic databases and gray literature from their inception to January 2018. Studies reporting prevalence data of DJD on TMJ were included. DJD was assessed through clinical and imaging diagnosis. Studies risk of bias was evaluated using the Critical Appraisal Checklist for Studies Reporting Prevalence Data...
October 11, 2018: Clinical Oral Investigations
Fabiana Tolentino Almeida, Camila Pacheco-Pereira, Carlos Flores-Mir, Lawrence H Le, Jacob L Jaremko, Paul W Major
OBJECTIVES: The purpose of this systematic review was to determine the diagnostic capability of ultrasound to assess TMJ alterations as disc displacement (DD), joint effusion (JE) and condylar changes (CC) using 3D imaging modalities as reference standard. METHODS: Studies were gathered by searching several electronic databases and partial grey literature up to January eighth, 2018 without restrictions of language and time. The risk of bias was evaluated using the second version of Quality Assessment Tool for Diagnostic of Accuracy Studies-2 (QUADAS-2)...
November 1, 2018: Dento Maxillo Facial Radiology
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
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