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Temporomandibular joint treatment

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https://www.readbyqxmd.com/read/29764480/a-stepped-approach-for-the-management-of-symptomatic-internal-derangement-of-the-temporomandibular-joint
#1
Candan Efeoglu, Aylin Sipahi Calis, Huseyin Koca, Esra Yuksel
BACKGROUND: Internal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely arthrocentesis and arthroscopy are promising techniques in the management of internal derangement. However patient selection algorithms, indications for minimally invasive procedures and details of the techniques should be further studied for safe and cost effective management of these cases...
May 15, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29762327/nodular-tenosynovitis-of-the-temporomandibular-joint-an-entity-not-yet-described
#2
Paolo Cariati, Miguel Garcia-Martin, Miguel Perez de Perceval Tara, Maria Roman Ramos, Blas Garcia Medina
Nodular tenosynovitis usually affects the hands and it represents a benign pathology with locally aggressive behavior. Its etiology could be related to chronic inflammatory processes such as trauma, metabolic disturbance, and joint diseases. Histopathological analysis is required for a diagnosis of certainty and surgery represents the treatment of choice. There are no cases in the literature that describe a nodular tenosynovitis affecting the temporomandibular joint (TMJ) The main aim of the present report therefore, is to describe this unusual case and to show the utility of arthroscopic procedures in managing intra-articular tumors of the TMJ...
May 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29750668/management-of-obstructive-sleep-apnoea-an-update-on-the-role-of-distraction-osteogenesis
#3
Yiu Yan Leung, Karen Kar Yan Lai
PURPOSE OF REVIEW: This article reviews the current literature on the use of distraction osteogenesis as a treatment for patients with obstructive sleep apnoea (OSA). We reviewed the indications, surgical protocols and outcomes for distraction osteogenesis in paediatric and adult OSA cases described in the literature. RECENT FINDINGS: There is evidence that distraction osteogenesis is effective in treating children with OSA as a result of underdevelopment of jaws such as those with craniofacial syndromes...
May 9, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/29747796/limited-evidence-suggests-no-benefit-of-temporomandibular-joint-lavage-over-conservative-treatment-for-temporomandibular-joint-pain-and-dysfunction
#4
Huda Fakhry, Iman Abd-Elwahab Radi
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Temporomandibular lavage versus non-surgical treatments for temporomandibular disorders: A systematic review and meta-analysis. Bouchard C, Goulet JP, El-Ouazzani M, Fournier-Turgeon A. J Oral Maxillofac Surg 2017;75:1352-62. SOURCE OF FUNDING: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors TYPE OF STUDY DESIGN: Systematic review and meta-analysis...
June 2018: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/29736288/reconstruction-of-the-adult-hemifacial-microsomia-patient-with-temporomandibular-joint-total-joint-prosthesis-and-orthognathic-surgery
#5
Piero Cascone, Valentino Vellone, Valerio Ramieri, Emanuela Basile, Achille Tarsitano, Claudio Marchetti
Background: HFM patients' reconstruction has always been a challenge for maxillofacial surgeons, and numerous reconstructive techniques have been described. Surgical treatment depends on the patient's age and contemplates Temporomandibular Joint (TMJ) reconstruction in conjunction with orthognathic surgery, usually necessary following completion of growth to maximize the functional and esthetic results. Distraction osteogenesis had gained popularity as valid alternative in growing patients, but the two primary methods to reconstruct the TMJs involve the use of autogenous, using free or microvascular bone grafts, or alloplastic graft, but there is no widely accepted method...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29732308/non-invasive-different-modalities-of-treatment-for-temporomandibular-disorders-review-of-literature
#6
REVIEW
Amira Mokhtar Abouelhuda, Ahmad Khalifa Khalifa, Young-Kyun Kim, Salah Abdelftah Hegazy
Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs...
April 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29730061/computed-tomographic-angiographic-perforator-localization-for-virtual-surgical-planning-of-osteocutaneous-fibular-free-flaps-in-head-and-neck-reconstruction
#7
Kyle S Ettinger, Amy E Alexander, Kevin Arce
Virtual surgical planning (VSP), computer-aided design and computer-aided modeling, and 3-dimensional printing are 3 distinct technologies that have become increasingly used in head and neck oncology and microvascular reconstruction. Although each of these technologies has long been used for treatment planning in other surgical disciplines, such as craniofacial surgery, trauma surgery, temporomandibular joint surgery, and orthognathic surgery, its widespread use in head and neck reconstructive surgery remains a much more recent event...
April 10, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29723311/oromandibular-dystonia-related-temporomandibular-joint-osteoarthritis-a-case-history-report
#8
Shinpei Matsuda, Hitoshi Yoshimura, Kazuo Sano
Dystonia affecting the perioral and pharyngeal regions is called oromandibular dystonia (OMD). OMD can affect the jaw muscles and may cause trismus, mouth-closing disturbance, tooth wear/loss, and damage to the oral soft tissues and temporomandibular joint (TMJ). This case history reports a case of jaw-closing OMD accompanied by trismus-related TMJ osteoarthritis (OA). In the present case history, treatment for OMD was started as soon as the diagnosis of jaw-closing OMD was established, and dental treatment intervention for preventing its development or progression was considered at the same time...
May 2018: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/29719041/temporomandibular-joint-disorders-in-older-adults
#9
REVIEW
Sumit Yadav, Yun Yang, Eliane H Dutra, Jennifer L Robinson, Sunil Wadhwa
OBJECTIVES: To review the literature and summarize the evidence of temporomandibualar joint (TMJ) disorders (TMDs) in older adults, focusing on clinical manifestations of TMDs in older adults, highlighting the incidence and sexual dimorphism of TMJ degeneration and the role of sex hormones in this process, and providing potential treatment options for TMD in older adults. DESIGN: Two review authors performed the literature search, study inclusion, and data extraction...
May 2, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29709323/treatments-of-tenosynovial-giant-cell-tumours-of-the-temperomandibular-joint-a-report-of-three-cases-and-a-review-of-literature
#10
F G M Verspoor, M J L Mastboom, W L J Weijs, A C Koetsveld, H W B Schreuder, U Flucke
Tenosynovial giant cell tumours (TGCTs) are benign lesions affecting synovial joints. The classified subtypes are localized and diffuse. They seldom occur in the temporomandibular joint (TMJ). The aim of this study is to report on three new cases and to review the literature. One patient had surgical debulking with adjuvant external beam radiation therapy (EBRT). After 1year of follow-up, no evidence of disease was presented. The second patient was misdiagnosed and treated with denosumab. Debulking with adjuvant EBRT followed...
April 27, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29706239/the-sequential-treatment-of-temporomandibular-joint-ankylosis-with-secondary-deformities-by-distraction-osteogenesis-and-arthroplasty-or-tmj-reconstruction
#11
W Zhang, X Yang, Y Zhang, T Zhao, J Jia, S Chang, Y Liu, Bo Yu, Y Chen, Q Ma
The purpose of this study was to evaluate the sequential treatment of patients with temporomandibular joint (TMJ) ankylosis and secondary deformities by distraction osteogenesis and subsequent arthroplasty or TMJ reconstruction. This study included 40 patients treated at a stomatological hospital in China; they ranged in age from 9 to 53years (mean age 24.5years). Ten of these patients were diagnosed with unilateral TMJ ankylosis and 30 with bilateral TMJ ankylosis. Twenty-seven patients also presented obstructive sleep apnoea-hypopnoea syndrome (OSAHS)...
April 26, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29695255/temporomandibular-joint-arthritis-in-juvenile-idiopathic-arthritis-now-what
#12
REVIEW
Matthew L Stoll, Chung H Kau, Peter D Waite, Randy Q Cron
BACKGROUND: Arthritis involving the temporomandibular joint (TMJ) complicates 40 - 96% of cases of juvenile idiopathic arthritis (JIA), potentially leading to devastating changes to form and function. Optimal evaluation and management of this joint remains a matter of ongoing discussion. METHODS: We performed a PubMed search for all articles with keywords "temporomandibular" and "arthritis", covering the dates 2002 through February 28, 2018. A separate PubMed search was performed for all articles with keywords "temporomandibular joint", "arthritis", and "treatment" covering the same dates...
April 25, 2018: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/29694463/predictors-of-long-term-temporomandibular-disorder-pain-intensity-an-8-year-cohort-study
#13
Flavia P Kapos, John O Look, Lei Zhang, James S Hodges, Eric L Schiffman
AIMS: To investigate, in individuals with pain-related temporomandibular disorder (TMD), the association of long-term pain intensity with baseline health-related quality of life (HRQoL) and jaw functional limitation. METHODS: Of 513 cases with baseline pain-related TMD (masticatory muscle and/or temporomandibular joint [TMJ] pain), 273 were reevaluated after 8 years, and 258 of them had complete baseline data for Jaw Functional Limitation Scale (JFLS) scores and HRQoL measured by the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the 12-item Short Form Health Survey and follow-up data for Characteristic Pain Intensity (CPI) from the Graded Chronic Pain Scale...
April 2018: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/29693593/botulinum-neurotoxin-injection-for-the-treatment-of-recurrent-temporomandibular-joint-dislocation-with-and-without-neurogenic-muscular-hyperactivity
#14
Kazuya Yoshida
The aim of this study was to compare treatment outcomes following intramuscular injection of botulinum neurotoxin (BoNT) in patients with recurrent temporomandibular joint dislocation, with and without muscle hyperactivity due to neurological diseases. Thirty-two patients (19 women and 13 men, mean age: 62.3 years) with recurrent temporomandibular joint dislocation were divided into two groups: neurogenic (8 women and 12 men) and habitual (11 women and 1 man). The neurogenic group included patients having neurological disorders, such as Parkinson’s disease or oromandibular dystonia, that are accompanied by muscle hyperactivity...
April 25, 2018: Toxins
https://www.readbyqxmd.com/read/29691281/loss-of-fgfr1-in-chondrocytes-inhibits-osteoarthritis-through-promoting-autophagic-activity-in-temporomandibular-joint
#15
Zuqiang Wang, Junlan Huang, Siru Zhou, Fengtao Luo, Qiaoyan Tan, Xianding Sun, Zhenhong Ni, Hangang Chen, Xiaolan Du, Yangli Xie, Lin Chen
Temporomandibular joint osteoarthritis (TMJ OA) is common degenerative disease with few effective disease-modifying treatments in clinic. Fibroblast growth factor (FGF) signaling is implicated in articular cartilage homeostasis, but the functional roles of FGFR1 in TMJ OA remain largely unknown. In this study, we report that deletion of Fgfr1 in TMJ chondrocytes delayed the TMJ OA progression in age-associated spontaneous OA model and abnormal dental occlusion OA model. Immunohistochemical staining revealed that Fgfr1 deficiency decreased the expressions of matrix metalloproteinase-13 (MMP13),A disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS5) , COL10A1, while increased aggrecan expression level in two TMJ OA models...
April 24, 2018: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/29685386/intraoperative-comparison-of-single-and-double-puncture-techniques-in-temporomandibular-joint-arthrocentesis
#16
M F Şentürk, T Yazıcı, Y Fındık, T Baykul
The objective of this study was to compare techniques for temporomandibular joint (TMJ) arthrocentesis intraoperatively and to determine the ease of performance of these techniques for the physician. A total of 33 TMJ treatments were done using single-puncture arthrocentesis (SPA) type 1, SPA type 2, and double-puncture arthrocentesis (DPA) (n=11 in each treatment group) between December 2013 and December 2017. A retrospective analysis of the duration of the procedure (minutes), occurrence of complications, number of cannula relocations, and ease of the procedure was performed...
April 30, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29682258/low-level-laser-therapy-in-the-treatment-of-muscle-skelet-pain-in-patients-affected-by-temporo-mandibular-disorders
#17
M Basili, A Barlattani, A Venditti, P Bollero
Background: The purpose of the study is to evaluate the effectiveness of Low-Level Laser Therapy in reducing joint and muscle pain in patients with acute and chronic temporomandibular dysfunction. Materials and methods: The study was conducted on a sample of 180 patients. The sample was divided into two groups according to the time of onset of the disease: acute TMD (<6 months) and chronic TMD (> 6 months). The treatment for all patients provided for the irradiation with Diode Laser Wiser Doctor Smile with tip plane wave at wavelength of 830 nm, continuous beam to 40nW diameter and radius of 6 mm...
October 2017: Oral & Implantology
https://www.readbyqxmd.com/read/29682221/mandible-protraction-alters-type-i-collagen-osteocalcin-and-osteonectin-gene-expression-in-adult-mice-condyle
#18
Patricia Valerio, Filipi Perfeito, Livia P Moura, Deborah N Ribeiro, Simone O A Fernandes, Almir S Martins, Maria F Leite
Mandible condyle remodeling is a great challenge on craniofacial growth studies. The great majority of the reports deals with growing period. However, there is a great necessity to clarify the importance of functional stimulation on adult mandible condyle remodeling. By using an adult mouse model, we investigated the influence of mandible forwarding on condyle remodeling and gene expression by bone forming cells. Tomographic and scintigraphic evaluations showed sagittal growth and cell activity enhancement...
September 2017: Annali di Stomatologia
https://www.readbyqxmd.com/read/29682131/the-efficiency-of-anterior-repositioning-splints-in-the-management-of-pain-related-to-temporomandibular-joint-disc-displacement-with-reduction
#19
Malgorzata Pihut, Malgorzata Gorecka, Piotr Ceranowicz, Mieszko Wieckiewicz
Background and Objective: Intra-articular temporomandibular disorders are often related to pain in the area of the temporomandibular joint, ear, and temple. The aim of the study was to investigate the efficiency of anterior repositioning splints in decreasing pain related to temporomandibular joint disc displacement with reduction. Methods: The research material consisted of 112 patients, aged 24 to 45 years, of both genders, who reported for treatment at the Consulting Room of Temporomandibular Joint Dysfunctions at the Jagiellonian University in Cracow between 2014 and 2016 due to pain in the area of the temporomandibular joint(s) and noise(s) of temporomandibular joint(s) present during jaw movements with comorbid contracture of masticatory muscles...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29680845/a-comparison-of-the-effects-of-methylprednisolone-acetate-sodium-hyaluronate-and-tenoxicam-in-the-treatment-of-non-reducing-disc-displacement-of-the-temporomandibular-joint
#20
G-Y Yapici-Yavuz, G Simsek-Kaya, H Ogul
BACKGROUND: This clinical study aimed to radiologically and clinically compare the effect of intra-articular injection of methylprednisolone, sodium hyaluronate or tenoxicam following arthrocentesis with that of arthrocentesis alone in patients with non-reducing disc displacement. MATERIAL AND METHODS: A total of 44 patients radiographically diagnosed with non-reducing disc displacement of the temporomandibular joint (TMJ) were randomly divided into four treatment groups, as follows: Group 1, arthrocentesis alone; Group 2, arthrocentesis plus methylprednisolone acetate; Group 3, arthrocentesis plus sodium hyaluronate; Group 4, arthrocentesis plus tenoxicam...
April 22, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
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