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Temporomandibular joint treatment

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https://www.readbyqxmd.com/read/28641900/synovial-chondromatosis-of-the-temporomandibular-joint-with-intracranial-extension-report-of-two-cases
#1
J N Khanna, Radhika Ramaswami
Synovial chondromatosis of the temporomandibular joint is a rare condition, and only 10 cases with intracranial extension have been reported in the literature. Two cases of synovial chondromatosis with intracranial extension, followed up for 3 to 9 years, are reported here. The surgical treatment modality is described for each case.
June 19, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28638693/management-of-the-temporomandibular-joint-in-inflammatory-arthritis-involvement-of-surgical-procedures
#2
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/28623686/temporomandibular-prosthetic-joint-infections-associated-with-propionibacterium-acnes-a-case-series-and-a-review-of-the-literature
#3
Ruba Khader, Joseph Tingey, Steven Sewall
PURPOSE: The orthopedic literature has shown an increasing incidence of prosthetic joint infections (PJIs) associated with Propionibacterium acnes (P acnes). These infections present serious diagnostic and management challenges to the treating surgeons. In this review, the authors report on cases of P acnes-related temporomandibular joint (TMJ) PJIs that have been diagnosed and treated at their institution. MATERIALS AND METHODS: After approval by the institutional review board, information was obtained through a retrospective chart review...
May 24, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28612700/knowledge-gaps-in-oral-and-maxillofacial-surgery-a-systematic-mapping
#4
Marie Österberg, Anders Holmlund, Bo Sunzel, Sofia Tranæus, Svante Twetman, Bodil Lund
OBJECTIVES: The aim of this study was to evaluate available knowledge and identify knowledge gaps within the field of oral and maxillofacial surgery, by systematically collecting and evaluating systematic reviews. Twelve specific domains were selected: surgical removal of teeth, antibiotic and corticosteroid prophylaxis, orofacial infections, dental and facial trauma, orthognathic surgery, reconstructive surgery, benign tumors, cysts, premalignant lesions, oral complications of treatment of malignant tumors, hyperbaric oxygen therapy, temporomandibular joint surgery, cost effectiveness of different surgical treatments, and ethics...
January 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28611327/overgrowth-of-costochondral-graft-in-temporomandibular-joint-ankylosis-reconstruction-a-retrospective-study
#5
S M Balaji, Preetha Balaji
BACKGROUND: Temporomandibular joint (TMJ) ankylosis is a situation in which the mandibular condyle is fused to the glenoid fossa by bone or fibrous tissue. The management of TMJ ankylosis has a complicated chore, and it is challenging for the maxillofacial surgeon because of technical hitches and high rate of reankylosis. Costochondral graft (CCG) is a common treatment modality for TMJ ankylosis. One of disadvantages of CCG is unpredictability of growth pattern and risk of overgrowth...
March 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28602569/a-comparison-of-the-outcomes-of-four-minimally-invasive-treatment-methods-for-anterior-disc-displacement-of-the-temporomandibular-joint
#6
H Hosgor, B Bas, C Celenk
The purpose of this study was to compare the effectiveness of four non-surgical conservative treatment methods for temporomandibular disorders (TMD). The study group comprised 40 patients with unilateral TMD who fell into group II of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Patients were divided into four groups according to the treatment method: splint therapy, arthrocentesis, medical therapy, and low-level laser therapy. Magnetic resonance imaging (MRI) was performed before treatment and at the 1-month follow-up...
June 8, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28602382/value-in-oral-and-maxillofacial-surgery-a-systematic-review-of-economic-analyses
#7
Benjamin Geisler, Yisi D Ji, Zachary S Peacock
PURPOSE: The purpose of this study is to describe the state of economic analyses in the field of oral and maxillofacial surgery (OMS). MATERIALS AND METHODS: A systematic search of published literature up to 2016 was performed. The inclusion criteria were as follows: English-language articles on economic analyses pertaining to OMS including anesthesia and pain management; dentoalveolar surgery; orthognathic, cleft, and/or obstructive sleep apnea treatment; pathology; reconstruction; temporomandibular disorders; trauma; and other...
May 18, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28602137/immediate-and-short-term-effects-of-phototherapy-on-pain-muscle-activity-and-joint-mobility-in-women-with-temporomandibular-disorder-a-randomized-double-blind-placebo-controlled-clinical-trial
#8
Carolina Marciela Herpich, Ernesto Cesar Pinto Leal-Junior, Cid Andre Fidelis de Paula Gomes, Igor Phillip Dos Santos Gloria, Ana Paula Amaral, Maitê de Freitas de Rocha Souza Amaral, Fabiano Politti, Daniela Aparecida Biasotto-Gonzalez
OBJECTIVES: The aim of the present study was to evaluate the immediate and short-term effects of phototherapy on pain intensity, the pressure pain threshold (PPT), maximum vertical mandibular movement, and the electrical activity of the masseter and temporal muscles in women with temporomandibular disorder (TMD). METHODS: Sixty women were randomly allocated to four different groups and submitted to phototherapy with a combination of super-pulsed laser (905 nm), red (640 nm), and infrared (875 nm) light emitting diodes in the same equipment on the masseter (three points) and temporal (two points) muscles bilaterally in a single session...
June 11, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28600884/physiological-effects-of-anterior-repositioning-splint-on-temporomandibular-joint-disc-displacement-a-quantitative-analysis
#9
Hui-Min Chen, Mu-Qing Liu, Adrian U-Jin Yap, Kai-Yuan Fu
BACKGROUND: Anterior repositioning splints (ARS) are used primarily for the management of temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). However, the exact physiological effects of ARS are still unclear. OBJECTIVE: This study investigated the short and long-term effects of ARS on disc and condyle angles / positions by metric analysis. METHODS: 22 subjects diagnosed with ADDwR were recruited. Maxillary full-coverage ARS were fabricated and MRI of TMJs were obtained before splint treatment, immediate post-insertion and 6 months after splint treatment...
June 10, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28598142/arthroscopic-eminoplasty-a-new-choice-of-treatment-for-tmj-internal-derangement
#10
Blas Garcia Medina, Paolo Cariati, Pablo Galvez, Almudena Cabello Serrano, Miguel Garcia Martin
BACKGROUND: Temporomandibular joint (TMJ) internal derangement is a common disabling disorder that is often underestimated by society. The main goal of our study is to show the clinic improvement experienced by patients that underwent arthroscopic eminoplasty as a treatment for TMJ in our center. METHODS: 19 patients (1 male, 18 females) agreed to participate voluntarily in our study. These patients presented signs and symptoms of TMJ internal derangement and pathological MRI images, and underwent arthroscopic eminoplasty in our center...
June 9, 2017: Minerva Stomatologica
https://www.readbyqxmd.com/read/28590398/bilateral-coronoid-hyperplasia-in-a-43-year-old-patient-treated-with-intraoral-coronoidectomy
#11
Jonathan Ribeiro da Silva, Rodrigo Dos Santos Pereira, Caroline Águeda, Paulo Marcos Nunes, Charles Marin, Eduardo Hochuli-Vieira
The mandibular coronoid hyperplasia can be classified as a congenital or development change of the temporomandibular joint. This condition occurs due to a no-neoplasic growth of the coronoid process to the infratemporal fossa. Thus, this part of the bone impacts in the posterior face of the zygomatic bone causing limitation of the mouth opening. The aim of this paper is to report a clinical case of a 43-year-old male with mouth-opening limitation 28 years ago. After clinical and computed tomographic examinations, he was diagnosed with bilateral mandibular coronoid hyperplasia...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28587937/anti-inflammatory-and-anti-nociceptive-effects-of-strontium-ranelate-on-the-zymosan-induced-temporomandibular-joint-inflammatory-hypernociception-in-rats-depend-on-tnf-%C3%AE-inhibition
#12
Sheila Moreira Alves, Susana Capistrano Abreu, Jonas Cavalcante Lemos, Francisco Isaac Fernandes Gomes, Shirley Moreira Alves, Danielle Rocha do Val, Raul Sousa Freitas, Karuza Maria Alves Pereira, Vicente de Paulo Teixeira Pinto, Gerly Anne de Castro Brito, Mirna Marques Bezerra, Gerardo Cristino-Filho, Hellíada Vasconcelos Chaves
BACKGROUND: Temporomandibular joint (TMJ) disorders show inflammatory components, heavily impacting on quality of life. Strontium ranelate has previously shown anti-inflammatory and antinociceptive effects on other experimental inflammatory pain models. Thus, we aim to investigate the strontium ranelate efficacy in reducing the zymosan-induced inflammatory hypernociception in the TMJ of rats by evaluating the TNF-α, IL-1β, and hemeoxygenase-1 (HO-1) involvement. METHODS: Wistar rats were treated with strontium ranelate (0...
March 12, 2017: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/28584778/temporomandibular-joint-pain-clinical-presentations-and-response-to-conservative-treatments-in-a-nigerian-tertiary-hospital
#13
Elijah Olufemi Oyetola, Olufunlola Motunrayo Adesina, Adeniyi Oluwadaisi, Adedotun Adewale, Opeyemi Adewole, E Anizoba
AIMS AND OBJECTIVES: The aims of this study are to determine the prevalence, pattern of presentation, and response to conservative (medical) interventions among patients who presented with temporomandibular joint (TMJ) pain in a Nigerian teaching hospital. MATERIAL AND METHODS: Consecutive patients who presented in Oral Medicine and Periodontology Clinic of Obafemi Awolowo University Teaching Hospitals' Complex on account of TMJ pain from January 2015 to December 2015 were recruited for the study...
May 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28576669/impact-of-autologous-bone-marrow-derived-stem-cells-on-degenerative-changes-of-articulating-surfaces-associated-with-the-arthritic-temporomandibular-joint-an-experimental-study-in-rabbits
#14
Ahmed Abdelfatah Zaki, Mohamed Zaghloul, Mohamed E Helal, Noha Ahmed Mansour, Mohammed E Grawish
PURPOSE: This study evaluated the effect of bone marrow-derived stem cells (BMSCs) on degenerative changes of TMJ associated with bovine collagen type II (BCII) induced-arthritis. MATERIALS AND METHODS: Fifty rabbits were divided into 3 groups. Group I (n = 10) received no treatment. Group II (n = 20) was divided into 2 subgroups according to treatment type. One subgroup (n = 10) received an intra-articular (IA) injection of phosphate buffered saline (PBS) and the other (n = 10) received an IA injection of PBS plus BMSCs...
May 10, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28570407/a-modified-external-fixator-system-in-treatment-of-mandibular-condylar-fractures
#15
Piero Cascone, Fabrizio Spallaccia, Paolo Arangio, Valentino Vellone, Matteo Gualtieri
The purpose of this study is to evaluate patient's outcomes after condylar fractures treated with the modified external fixation system from 2008 to 2012.A group of 58 patients with unilateral and bilateral fractures of mandibular condyle was admitted in the authors' study.The final sample included a total of 44 patients, 24 males (54.6%) and 20 females (45.4%).The remaining 14 (24%) patients were excluded because they did not fulfill all the criteria requested.After 12 months from surgery, the functional-clinical evaluation of mouth's maximum opening and mostly extent of lateral excursion and of protrusion showed the following results: 8% of the sample showed a maximum mouth opening <30 mm, 72% of the sample showed a maximum mouth opening between 30 and 40 mm, 20% of the sample showed a maximum mouth opening >40 mm lateral excursion (contralateral to fracture) and protrusion was respectively of 9...
May 31, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28546961/early-correction-of-unilateral-scissor-bite-using-transforce-appliance-and-modified-twin-block-appliance
#16
Harshal Chandorikar, Arun Nagrik, Wasundhara A Bhad, Santosh J Chavan, Umal H Doshi
Early treatment of scissor bite has been advocated mainly to prevent function jaw shift that can eventually lead to permanent skeletal asymmetry and temporomandibular joint pathosis. Although unilateral scissor bite is more common, most of the times, bilateral mandibular expansion is indicated. Lingual transforce appliance can be useful in such cases. This article presents a patient with unilateral scissor bite in mixed dentition with alveolar narrowing. Transforce appliance was used for scissor bite correction followed by modified twin block appliance for stabilization and settling of occlusion till the eruption of premolars...
April 2017: Journal of Orthodontic Science
https://www.readbyqxmd.com/read/28538064/temporomandibular-joint-ankylosis-after-early-mandibular-distraction-osteogenesis-a-new-syndrome
#17
Manlio Galié, Valentina Candotto, Giovanni Elia, Luigi C Clauser
Distraction osteogenesis (DO) has been one of the most innovative concepts in cranio-maxillofacial syndromology and surgery over the last 25 years.Early mandibular distraction in severe micrognathia has recently been recognized as an effective treatment option to safely relieve upper airway obstruction associated with mandibular deficiency.An increased incidence in temporomandibular joint complications during DO in neonates has recently been reported, especially in syndromic patients.The authors report 2 children affected by severe micrognathia and severe respiratory distress at birth...
May 19, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28530471/structure-function-relationships-of-temporomandibular-retrodiscal-tissue
#18
M C Coombs, J M Petersen, G J Wright, S H Lu, B J Damon, H Yao
It is estimated that 2% to 4% of the US population will seek treatment for temporomandibular joint (TMJ) symptoms, typically occurring with anterior disc displacement. The temporomandibular retrodiscal tissue (RDT) has been postulated to restrict pathologic disc displacement. To elucidate RDT function, understanding regional RDT biomechanics and ultrastructure is required. No prior biomechanical analysis has determined regional variations in RDT properties or associated biomechanical outcomes with regional variations in collagen and elastin organization...
June 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/28502566/lateral-skull-base-chondroblastoma-resected-with-facial-nerve-posterior-transposition
#19
J Adnot, O Langlois, E Tollard, M Crahes, I Auquit-Auckbur, J-P Marie
INTRODUCTION: Chondroblastoma is a rare tumor that can involve the temporal bone. Because it is a benign tumor, functional surgery must be proposed. We report a case of a patient with a massive chondroblastoma operated on with preservation of the facial nerve, and description of the surgical technique. CASE PRESENTATION: A 37-year-old man presented with a 9-month history of a growing left pre-auricular mass and hearing loss. Neuroimaging showed an osteolytic mass invading the temporal bone and temporomandibular joint...
May 11, 2017: Neuro-Chirurgie
https://www.readbyqxmd.com/read/28500876/does-adjunctive-botulinum-toxin-a-reduce-pain-scores-when-combined-with-temporomandibular-joint-arthroscopy-for-the-treatment-of-concomitant-temporomandibular-joint-arthralgia-and-myofascial-pain
#20
Nick Thomas, Sharon Aronovich
PURPOSE: Currently, there is no standard of care for the treatment of refractory myofascial pain and concomitant temporomandibular joint (TMJ) arthralgia. This comparative study was conducted to determine the effectiveness of botulinum toxin A (Btx), as an adjunct to TMJ arthroscopy, in this patient population. MATERIALS AND METHODS: A retrospective cohort study was conducted of patients who underwent TMJ arthroscopy with (Btx group) or without (control group) intramuscular Btx for TMJ arthritis and refractory myofascial pain at the University of Michigan (Ann Arbor) from 2011 through 2014...
April 19, 2017: Journal of Oral and Maxillofacial Surgery
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