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Temporomandibular joint treatment

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https://www.readbyqxmd.com/read/30240024/pain-relief-following-a-single-dose-intra-articular-injection-of-methylprednisolone-in-the-temporomandibular-joint-arthralgia-a-multi-centre-randomised-controlled-trial
#1
Göran Isacsson, Mohamad Schumann, Eva Nohlert, Christina Mejersjö, Åke Tegelberg
BACKGROUND: Temporomandibular joint (TMJ) arthralgia is a painful condition assumed to be associated with local inflammation. OBJECTIVE: The objective of the present study was to determine the efficacy for reducing pain of a single-dose intra-articular (IA) injection of methylprednisolone to the TMJ. The hypothesis was that methylprednisolone would effectively reduce TMJ pain. METHODS: This randomised, double-blind, parallel-group, multi-centre, controlled study included visits for enrolment, treatment and 4-week follow-up...
September 21, 2018: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/30231809/liquid-platelet-rich-fibrin-injections-as-a-treatment-adjunct-for-painful-temporomandibular-joints-preliminary-results
#2
Jonathan B Albilia, Carlos Herrera- Vizcaíno, Hillary Weisleder, Joseph Choukroun, Shahram Ghanaati
OBJECTIVE: To evaluate the clinical benefits of liquid platelet-rich fibrin (PRF) in patients with temporomandibular joint (TMJ) pain and dysfunction. METHODS: Forty-eight TMJs in 37 patients with painful internal derangement (ID) (Wilkes' I-V) were included. Patients were injected with 1.5-2cc of PRF within the superior joint space at 2-week intervals. Pain and subjective dysfunction were recorded using a visual analog scale. Statistical analyses were done using the ANOVA test...
September 20, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/30214116/the-effect-of-a-short-term-conservative-physiotherapy-versus-occlusive-splinting-on-pain-and-range-of-motion-in-cases-of-myogenic-temporomandibular-joint-dysfunction-a-randomized-controlled-trial
#3
Tamer Mohamed Shousha, Elsadat Saad Soliman, Mohamed Ahmed Behiry
[Purpose] This study compared the effects of a short-term conservative physiotherapy program versus those of occlusive splinting on pain and range of motion in cases of Temporomandibular Joint Dysfunction. [Participants and Methods] This study included 112 male and female participants with ages ranging from 15-27 years. Outcome measures were pain assessed by the visual analogue scale and Temporomandibular Joint Range of Motion measured with the Temporomandibular joint opening index. Patients were randomly assigned to one of two groups...
September 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/30210898/aberrant-activation-of-latent-transforming-growth-factor-%C3%AE-initiates-the-onset-of-temporomandibular-joint-osteoarthritis
#4
Liwei Zheng, Caixia Pi, Jun Zhang, Yi Fan, Chen Cui, Yang Zhou, Jianxun Sun, Quan Yuan, Xin Xu, Ling Ye, Xu Cao, Xuedong Zhou
There is currently no effective medical treatment for temporomandibular joint osteoarthritis (TMJ-OA) due to a limited understanding of its pathogenesis. This study was undertaken to investigate the key role of transforming growth factor-β (TGF-β) signalling in the cartilage and subchondral bone of the TMJ using a temporomandibular joint disorder (TMD) rat model, an ageing mouse model and a Camurati-Engelmann disease (CED) mouse model. In the three animal models, the subchondral bone phenotypes in the mandibular condyles were evaluated by µCT, and changes in TMJ condyles were examined by TRAP staining and immunohistochemical analysis of Osterix and p-Smad2/3...
2018: Bone Research
https://www.readbyqxmd.com/read/30198391/temporomandibular-joint-disorder-determined-by-fonseca-anamnestic-index-and-associated-factors-in-18-to-27-year-old-university-students
#5
Sevgi Özdinç, Hilal Ata, Halit Selçuk, Hilal Başak Can, Nimet Sermenli, Fatma Nesrin Turan
OBJECTIVE: The aim of this study was to investigate temporomandibular disorder (TMD) and associated risk factors. METHODS: This study was conducted using 212 university students. Based on the Fonseca anamnestic index, the population was divided into two groups: those with TMD and those without TMD. The two groups were compared in terms of global body posture, craniohorizontal and craniovertebral angles, neck and temporomandibular joint range of motion, stress level, and sleep quality...
September 8, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/30191109/expansile-radiolucent-lesion-of-the-temporomandibular-joint-a-diagnostic-enigma
#6
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
https://www.readbyqxmd.com/read/30182564/-role-of-neuropeptide-substance-p-and-the-bone-morphogenetic-protein-signaling-pathway-in-osteogenic-differentiation-of-st2-cells
#7
Ting Hui, Guang-Can Zhang, Dan-Dan Feng, Ping Ji
OBJECTIVE: This study aimed to investigate the role and mechanism of neuropeptide substance P (SP) in ST2 cell (bone mesenchymal stem cells of mice) osteogenic differentiation to provide a basis for the treatment of temporomandibular joint osteoarthritis. METHODS: Third-generation ST2 cells were cultured with different concentrations of SP (0, 10⁻¹⁰, 10⁻⁸, 10⁻⁶, and 10⁻⁵ mol·L⁻¹). After 24, 48, and 72 h, cell proliferation was detected by CCK-8...
August 1, 2018: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/30175606/-intra-articular-steroid-and-hyaluronic-acid-treatment-of-internal-derangement-of-the-temporomandibular-joint
#8
Szonja Vingender, László Restár, Krisztián Benedek Csomó, Péter Schmidt, Péter Hermann, Mihály Vaszilkó
INTRODUCTION: Derangement of the temporomandibular joint complicates everyday life, due to the masticatory malfunction and the continuous pain sensation of the head and facial region. The therapy is multidisciplinary and varying. In case of the inefficiency of conservative therapy, minimally invasive intervention is needed with intraarticular injection. AIM: The aim of our study was to examine whether hyaluronic acid injection is more beneficial compared to corticosteroid in 37 joints...
September 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/30173692/management-of-obstructive-sleep-apnea-syndrome-associated-with-severe-micrognathia
#9
Muhammad Nazir Khan, Muhamamd Adil Asim, Irfan Shah
Obstructive sleep apnea syndrome (OSAS), commonly associated with mandibular micrognathia, is a serious condition that can lead to various devastating cardiovascular and neurocognitive consequences. Patients of OSAS with micrognathia present with many functional and esthetic problems. Therefore, comprehensive management of these patients requires multiple surgeries and frequent follow-up. Several surgical and non-surgical treatment options have been proposed for the treatment of OSAS. Distraction osteogenesis (DO) in maxillofacial region, although a newer treatment modality, is being increasingly favoured by many surgeons because of its many advantages over other treatment methods...
September 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30172765/does-intraoperative-navigation-improve-the-anatomical-reduction-of-intracapsular-condylar-fractures
#10
Chaoying Han, Dilnur Dilxat, Xiao Zhang, Hui Li, Jinlong Chen, Lei Liu
PURPOSE: Accurate reduction of intracapsular condylar fractures is the key to successful reconstruction of the temporomandibular joint and remains a challenge for oral and maxillofacial surgeons. The aim of the study was to evaluate quantitatively the effect of surgical navigation on the accuracy of reduction of intracapsular fractures. MATERIALS AND METHODS: In this prospective randomized nonblinded controlled clinical trial, patients diagnosed with intracapsular condylar fractures who were scheduled for surgical treatment were included and randomized to open treatment with or without surgical navigation...
August 6, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30169451/ganglion-cyst-of-the-temporomandibular-joint-mimicking-auriculotemporal-neuralgia
#11
Gabriela Aguilo-Seara, Christopher Michael Runyan
Ganglion cysts within the temporomandibular joint (TMJ), although uncommon, typically present with swelling, pain, trismus, and difficulty with mastication. The authors report an unusual case of a ganglion cyst in the TMJ of a 52-year-old man who presented with chief complaints of severe headaches and dizziness that had not subsided following treatment with medication, trigger point injections, or sphenopalatine ganglion blocks. The cyst appeared as a nonenhancing, T2 hyperdensity adjacent to the left TMJ condyle on magnetic resonance imaging, supported by the presence of chronic erosion and remodeling of the anterior aspect of the left condylar head on computed tomography...
August 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30166850/customized-implant-full-mouth-rehabilitation-a-biomechanical-depiction
#12
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
https://www.readbyqxmd.com/read/30165804/evaluation-of-effusion-and-articular-disc-positioning-after-two-different-arthrocentesis-techniques-in-patients-with-temporomandibular-joint-disc-displacement-without-reduction
#13
Primo Guilherme Vargas Pasqual, Rodrigo Lorenzi Poluha, Ênio Tadashi Setogutti, Eduardo Grossmann
OBJECTIVE: To evaluate joint effusion and positioning of the articular disc through magnetic resonance imaging (MRI) before and after two different arthrocentesis techniques. METHODS: Twenty-six patients with dislocation of the articular disc without reduction (ADDwoR) were included and randomly divided into two groups: single needle arthrocentesis with distention of the upper compartment of the TMJ (A1) and conventional arthrocentesis with 2 needles (A2). RESULTS: A statistically significant difference was observed between the different effusion categories (p = 0...
August 30, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/30157143/transmasseteric-anterior-parotid-approach-for-treatment-of-mandibular-subcondylar-fractures
#14
Yemei Qian, Weihong Wang, Biao Xu, ZhiRong Zou, Chun Yang, Shenjie Shao
This study demonstrated the application of transmasseteric anterior parotid approach for open reduction of mandibular subcondylar fractures depending on the basis of the anatomical study of the temporomandibular joint and parotid gland area. The anatomical study was performed on 5 Chinese adult cadavers fixed by 10% formalin. The temporomandibular joints and parotid regions were studied. In the clinical study, 26 patients with mandibular subcondylar fractures were recruited between July 2014 and December 2017...
August 28, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30154944/effectiveness-of-sequential-viscosupplementation-in-temporomandibular-joint-internal-derangements-and-symptomatology-a-case-series
#15
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
https://www.readbyqxmd.com/read/30153315/prediction-models-for-oral-health-related-quality-of-life-in-patients-with-temporomandibular-joint-osteoarthritis-1-and-6-months-after-arthrocentesis-with-hyaluronic-acid-injections
#16
Naichuan Su, Hang Wang, Arjen J van Wijk, Corine M Visscher, Frank Lobbezoo, Zongdao Shi, Geert J M G van der Heijden
AIMS: To develop models for prognostic prediction of oral health-related quality of life (OHRQoL) for patients with temporomandibular joint osteoarthritis (TMJ OA) at 1- and 6-month follow-ups after arthrocentesis treatment with hyaluronic acid (HA) injections once a week for 4 weeks. METHODS: From a cohort of 522 adult patients with TMJ OA treated with arthrocentesis with HA injections, 510 and 463 adult patients were included in the 1- and 6-month follow-ups, respectively...
August 28, 2018: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/30153093/posterior-disc-displacement-of-the-temporomandibular-joint-a-rare-case-report
#17
Shaista Afroz, Mio Naritani, Hidehiko Hosoki, Yoshizo Matsuka
BACKGROUND: Posterior disc displacement (PDD) of the temporomandibular joint (TMJ) is quite rare. The normal position of a disc is slightly anterior to the condyle, so the chances of disc displacement to the posterior direction are low. CASE PRESENTATION: A 71-year-old Japanese female reported with a chief complaint of lack of occlusion on the right-side molar teeth. Clinical examination revealed lack of occlusal contact in the right posterior region, nearly normal range of mouth opening (41...
August 28, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/30148461/non-invasive-joint-decompression-an-important-factor-in-the-regeneration-of-the-bone-marrow-and-disc-recapture-in-temporomandibular-arthropathies
#18
I-S Catunda, B-C-E Vasconcelos, M-V-M Corrêa, M-F Matos, E-F-C Nogueira, J-A Learreta
BACKGROUND: This article aims to demonstrate the importance of the TMJ (Temporomandibular Joint) decompression in the treatment of degenerative processes and disc displacements, reporting two clinical cases treated with orthopedic and decompressive correction of TMJ. MATERIAL AND METHODS: The studies reported in this article show patients with muscle and joint pain who were evaluated pre and post-treatment through MRI (Magnetic Resonance Irradiation) to follow-up bone marrow regeneration and TMJ disc placement...
September 1, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/30146108/the-effectiveness-of-dry-needling-for-patients-with-orofacial-pain-associated-with-temporomandibular-dysfunction-a-systematic-review-and-meta-analysis
#19
REVIEW
Clécio Vier, Marina Barbosa de Almeida, Marcos Lisboa Neves, Adair Roberto Soares Dos Santos, Marcelo Anderson Bracht
BACKGROUND: Orofacial pain of myofascial origin is often associated with temporomandibular joint dysfunction, affects chewing muscles and may lead to functional limitations. Dry needling is an intervention commonly used for inactivating myofascial pain trigger points. OBJECTIVE: To systematically review the effects of dry needling on orofacial pain of myofascial origin in patients with temporomandibular joint dysfunction. METHODS: This systematic review has pain intensity as primary outcome...
August 22, 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/30145062/condyle-preserved-arthroplasty-versus-costochondral-grafting-in-paediatric-temporomandibular-joint-ankylosis-a-retrospective-investigation
#20
L Xia, Y He, J An, S Chen, Y Zhang
We aimed to evaluate results of condyle-preserved arthroplasty and costochondral grafting in growing children with temporomandibular joint ankylosis through medium-term follow-up and three-dimensional metric analysis. We assessed 11 patients (14 sides) with type II ankylosis (group A) and 11 patients (13 sides) with type III/IV (group B) from January 2012 to December 2015. Group A patients received condyle-preserved arthroplasty and group B patients received costochondral grafting. Postoperative computed tomography was used to measure condylar height, condylar width, mandibular ramus height and mandibular body length...
August 22, 2018: International Journal of Oral and Maxillofacial Surgery
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