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Temporomandibular joint treatment

Fernanda Stefani Folle, Rodrigo Lorenzi Poluha, Enio Tadashi Setogutti, Eduardo Grossmann
PURPOSE: To compare the clinical efficacy of the conventional double puncture versus single puncture type 2 arthrocentesis for management of temporomandibular joint disc displacement without reduction (DDWOR). MATERIALS AND METHODS: Twenty-six patients with DDWOR were randomly and blindly allocated into two treatment groups (N = 13): Group 1, conventional double puncture arthrocentesis; Group 2, single puncture type 2 arthrocentesis. Data on gender, side of painful joint complaint, age (years), duration of joint pain (months), maximum interincisal distance (MID - mm), and pain intensity self-reported with a visual analog scale (VAS; 0-10) were collected...
October 26, 2018: Journal of Cranio-maxillo-facial Surgery
Cristina Perez
Temporomandibular disorders (TMDs) are conditions that affect the muscles of mastication, temporomandibular joints (TMJs), and associated structures. Historically these conditions were deemed to occur primarily in adults; however, many recent studies have reported a growing prevalence of signs and symptoms of TMDs in children and adolescents. The reported prevalence of these conditions in pediatric patients varies widely due to methodologic differences among studies; therefore, unified diagnostic criteria for children are needed...
November 2018: General Dentistry
Pei Shen, Xiaohan Liu, Qianyang Xie, Shanyong Zhang, Chi Yang
Orthopedic functional appliances are usually used to correct patients with retrognathic mandible. However, a part of cases have a trend of relapse after splint treatment. The aim of this study was to explore the role of temporomandibular joint disc position in functional appliance treatment. This study included 8 patients who had 1 joint anterior disc displacement with reduction (ADDWR) and the other joint anterior disc displacement without reduction (ADDWoR) confirmed by magnetic resonance imaging (MRI). Only the ADDWR joint could return to its normal position after wearing the anterior repositioning appliances (ARAs)...
November 13, 2018: Journal of Craniofacial Surgery
Sang Min Lee, Jin-A Baek, Yongsoo Kim
PURPOSE: Extra-articular temporomandibular bony ankylosis between the zygomatic bone and coronoid process is a rare condition. Currently, there are fewer than 40 cases reported in the English-language literature. The aim of this study was to report a case of zygomatico-coronoid ankylosis with surgical intervention and a literature review. MATERIALS AND METHODS: Through a PubMed search from 1946 to February 2018, using the terms ("extra-capsular" OR "zygomatico-coronoid" OR "extra-articular") AND ("ankylosis"), 61 articles were initially identified...
October 18, 2018: Journal of Oral and Maxillofacial Surgery
Raija Vainionpää, Tommi Kinnunen, Paula Pesonen, Marja-Liisa Laitala, Vuokko Anttonen, Kirsi Sipilä
OBJECTIVE: The aim of the present study was to evaluate the prevalence of self-reported temporomandibular disorders (TMD) symptoms and clinically diagnosed TMD among Finnish prisoners. MATERIAL AND METHODS: Altogether 100 prisoners from the Pelso Prison, Vaala, Finland, underwent dental and TMD clinical examinations performed by a calibrated and well-trained dentist. Symptom Questionnaire and clinical examination according to a Finnish pre-final version of the DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Axis I protocol were used to evaluate the prevalence of TMD sub-diagnoses...
November 15, 2018: Acta Odontologica Scandinavica
Andrea Carboni, Giulia Amodeo, Maurizio Perugini, Paolo Arangio, Raniero Orsini, Domenico Scopelliti
Temporomandibular disorders (TMD) are common disorders that usually involve temporomandibular joint (TMJ), masticatory muscles, and other relevant structures. The symptoms may vary limiting the patients' quality of life. Many treatment options were proposed during the last years with the aim to treat the pathology. In this article, we analyze the effect of the injection of the fat-derived stem cell in the joint as a new treatment option.
November 9, 2018: Journal of Craniofacial Surgery
S Obamiyi, S Malik, Z Wang, S Singh, E P Rossouw, L Fishman, C Feng, D Michelogiannakis, R H Tallents
Context: Various radiographic features have been associated with temporomandibular joint disorders (TMDs); however, these characteristics have not been compared among different racial groups. Aims: To radiographically evaluate and compare craniofacial patterns and condylar findings suggestive of TMD among African, White, Chinese, Hispanic, and Indian racial groups. Settings and Design: This multicenter retrospective study used data from three private orthodontic practices and a University Orthodontic Clinic...
November 2018: Nigerian Journal of Clinical Practice
Zhong-Yi Fang, Shuai Fan, Bin Cai, Li-Li Xu, Xin Jiang, Li-Kun Liu, Ying He
PURPOSE: To observe the long-term clinical efficacy of comprehensive physiotherapy for patients with chronic anterior disc displacement of the temporomandibular joint (TMJ) without reduction (ADDWoR). METHODS: A total of 256 patients with chronic ADDwoR (the course of disease was 8.4±9.6 months) who completed the treatment in our hospital from January 2014 to December 2015 were followed up. Symptoms and function pre-treatment, post-treatment and during follow-up including the maximum active mouth opening (mm), visual analog scale(VAS), mandibular function impairment questionnaire (MFIQ) score were recorded and compared; recurrent frequency and symptoms were recorded and compared, too...
June 2018: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
S Tocaciu, M J McCullough, G Dimitroulis
Recurrent dislocation of the temporomandibular joint (TMJ) is rare. It is distinct from acute or chronic dislocation and is associated with considerable morbidity and deterioration in quality of life. To formulate a practical surgical treatment algorithm, we retrospectively reviewed the management and long-term outcomes of 14 patients who presented to a single hospital department over a period of six years (2010-2016), and collected data on demographics, clinical features, operation, and outcome. Patients were followed up for a minimum of 12 months and a maximum of seven years...
November 5, 2018: British Journal of Oral & 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
Rong Ren, Jiewen Dai, Jiawen Si, Bolei Cai, Jun Shi
PURPOSE: Views on treatment procedures for condylar head fractures (CHFs) are far from reaching a consensus. The aim of this study was to evaluate the changes in disc status for anteromedial disc displacement with anchorage (AMDDwA) and without anchorage (AMDDwoA - just suturing to the adjacent TMJ soft tissue) in adult CHFs, to get a better understanding of this very complex process and to show that rigid disc anchorage is an essential technique for the treatment of CHF during the open reduction and internal fixation (ORIF)...
October 10, 2018: Journal of Cranio-maxillo-facial Surgery
S Villa, G Raoul, F Machuron, J Ferri, R Nicot
BACKGROUND: Temporomandibular disorders (TMDs) cause chronic pain and interfere with quality of life (QoL). Botulinum toxin is one of the treatment modalities popularly used for TMDs. The primary objective of this retrospective study was to evaluate improvement in QoL after botulinum toxin injections in patients with TMD. METHODS: Twenty-eight patients diagnosed with TMD were included in this study. In accordance with the Research Diagnostic Criteria for Temporomandibular Disorders, all patients had myofascial pain...
October 29, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Andra Negulescu, Paolo Scolozzi
Temporomandibular joint (TMJ) ankylosis is an extremely handicapping condition characterized by a permanent restriction in the ability to open the mouth, and it is mainly caused by traumatic and infectious events. It rarely occurs as a complication following orthognathic surgery. The treatment goals are the restoration of viable mandibular function and, in growing pediatric patients, symmetrical mandibular development. We are reporting here the unusual case of a bilateral bony TMJ ankylosis in a patient who underwent a bilateral sagittal split osteotomy of the mandible for correction of a mandibular deficiency...
October 29, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Sang-Yun Kim, Yong-Hoon Choi, Young-Kyun Kim
Purpose: Various complications occur when a maxillofacial fracture is malunionized or improperly resolved. Malocclusion is the most common complication, followed by facial deformity, temporomandibular joint disorder (TMD), and neurological symptoms. The purpose of this study was to evaluate the dental treatment of postoperative complications after maxillofacial fracture. Materials and methods: In this study, nine patients with a postoperative complication after maxillofacial fracture who had been performed the initial operation from other units and were referred to the authors' department had been included...
December 2018: Maxillofacial Plastic and Reconstructive Surgery
Agnese Brunzini, Antonio Gracco, Alida Mazzoli, Marco Mandolini, Steve Manieri, Michele Germani
The paper aims to evaluate the effects caused by a Mandibular Advancement Device (MAD) for Obstructive Sleep Apnoea Syndrome (OSAS) treatment. This study is based on Finite Element Method (FEM) for evaluating the load distribution on temporomandibular joint, especially on the mandibular condyle and disc, and on periodontal ligaments. The stress values on condyle and periodontal ligaments lead authors to consider MAD a safe procedure even for a long period. The obtained results also show the relationship between MAD material and load distribution at the periodontal ligaments...
October 27, 2018: Computer Methods in Biomechanics and Biomedical Engineering
Constantinus Politis, Gaétan Van De Vyvere, Jimoh Olubanwo Agbaje
The aim was to postoperatively evaluate a conservative treatment approach to bilateral condylar resorption after orthognathic surgery. A retrospective study was carried out on 730 consecutive patients undergoing sagittal split osteotomy, 2013 to 2016. The mean follow-up period was 2.29 years. Clinical and radiographic findings of patients with postoperative bilateral condylar resorption were searched. Syndromic patients and patients with juvenile rheumatoid arthritis were excluded from this study. Of the 730 patients, 6 (0...
October 24, 2018: Journal of Craniofacial Surgery
E N Zhulev, P E Ershov, O A Ershova
The aim of this study was to study the relationship between the distal displacement of the mandible in the temporomandibular joint (TMJ) with postural pathology. We examined 20 people from the control group (age 18-25 years) and 70 patients of the same age with temporomandibular joint dysfunction (TMJD) complicated by dentoalveolar anomalies (distal bite - 27 persons, orthognathic with anomalies of the position of individual teeth - 18, deep - 16, mesial - 4, straight - 2, open - 2, cross - 1), before and after treatment with occlusive tires...
2018: Stomatologii︠a︡
Mahdi Gholami, Alireza Shirzadeh, Hussein Khalife
Purpose: To present three cases of chronic long-standing TMJ dislocation and discuss our treatment protocol with other options in the literature. Patients and methods: Three cases of chronic TMJ dislocation (more than 4 months) that has never been reduced previously were treated by open reduction, meniscectomy or meniscoplasty and lateral pterygoid muscle myotomy. After a short period of MMF, TMJ physiotherapy was performed. Results: During 3 years of follow-up, the condition had not recurred at all and all patients were functional and symptom free...
December 2018: Journal of Maxillofacial and Oral Surgery
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
Yutaka Miyamoto, Hiroyuki Kanzaki, Yoshiki Nakamura
Acquired open bite mainly occurs after adolescence and is caused by a pathological or biological process. We herein report the case of an 18-year and 10-month-old Japanese woman. Her chief complaint was difficulty with mastication. Only distal cusps of first molars and second molars had contact. An angle class II molar relationship and extreme mesially inclined mandibular first molars were observed. The degree of overjet was +6.1mm and overbite was -2.0mm. There were no symptoms or abnormal findings in temporomandibular joints by radiography and magnetic resonance imaging...
October 17, 2018: International Orthodontics
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