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Temporomandibular disorders

Ibrahim Oghli, Thomas List, Mike John, Pernilla Larsson
OBJECTIVES: To (i) determine the prevalences of self-report in a Swedish adult population, of temporomandibular disorders, burning mouth syndrome, dry mouth, and bad breath and (ii) determine oral health-related quality of life impairment in subjects reporting these conditions. SUBJECTS AND METHODS: A cross-sectional, randomized sample of the adult Swedish population (response rate: 46%, N=1309 subjects) self-reported their condition from the preceding month to assess prevalences of self-report for the studied conditions together with comorbidity group of subjects who reported more than one condition...
October 22, 2016: Oral Diseases
Yasmine Mendes Pupo, Leticia Lopes Quirino Pantoja, Flavia Fusco Veiga, José Stechman-Neto, Liete Figueiredo Zwir, Paulo Vitor Farago, Graziela De Luca Canto, André Luís Porporatti
OBJECTIVE: To evaluate the diagnostic validity of clinical examination protocols compared with magnetic resonance imaging (MRI) in adults with temporomandibular joint disk displacement disorders. STUDY DESIGN: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was undertaken using a selection process in 2 phases; 283 different references were identified, and 10 articles were included for qualitative analysis and 7 for meta-analysis...
November 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Curtis D Westersund, Jeffrey Scholten, Raymond J Turner
OBJECTIVE: Clinical observation and anecdotal reports suggest changes can occur to dental occlusion following intervention with the National Upper Cervical Chiropractic Association (NUCCA) procedure. This case controlled study discerned if occlusion changes are measurable using a dental force plate (T-Scan®) following an adjustment to the craniocervical junction (CCJ). METHODS: A degree of case control was established by active patients being assessed twice prior to and following intervention...
October 20, 2016: Cranio: the Journal of Craniomandibular Practice
Inna E Tchivileva, Richard Ohrbach, Roger B Fillingim, Joel D Greenspan, William Maixner, Gary D Slade
While cross-sectional studies have demonstrated an association between headache and temporomandibular disorder (TMD), whether headache can predict the onset of TMD is unknown. The aims of this study were to evaluate contribution of headache to the risk of developing TMD and describe patterns of change in headache types over time. An initially TMD-free cohort of 2,410 persons with low frequency of headache completed quarterly questionnaires assessing TMD and headache symptoms over a median 3.0-year follow-up period...
September 29, 2016: Pain
Paula C Jordani, Letícia B Campi, Gabriela Z Circeli, Corine Visscher, Marcelo E Bigal, Daniela A G Gonçalves
We conducted a clinical cross-sectional study to evaluate the association between obesity and the presence of painful temporomandibular disorders (TMD), controlling for age, gender, presence of migraine, depression, non-specific somatic symptoms and obstructive sleep apnea syndrome (OSAS) in an adult population METHODS: A total of 299 individuals (76.6% women) with a mean age of 36.8 ± 12.8 years were evaluated. TMD were classified using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)...
October 17, 2016: Journal of Oral Rehabilitation
Lauren E Cornelison, Jordan L Hawkins, Paul L Durham
Orofacial pain conditions including temporomandibular joint disorder (TMD) and migraine are characterized by peripheral and central sensitization of trigeminal nociceptive neurons. Although calcitonin gene-related peptide (CGRP) is implicated in the development of central sensitization, the pathway by which elevated spinal cord CGRP levels promote peripheral sensitization of primary trigeminal nociceptive neurons is not well understood. The goal of this study was to investigate the role of CGRP in promoting bidirectional signaling within the trigeminal system to mediate sensitization of primary trigeminal ganglion nociceptive neurons...
October 13, 2016: Neuroscience
Verónica Gómez Toledo, Ileana Gutiérrez Farfán, Antonio Verduzco-Mendoza, Emilio Arch-Tirado
BACKGROUND: Tinnitus is defined as the conscious perception of a sensation of sound that occurs in the absence of an external stimulus. This audiological symptom affects 7% to 19% of the adult population. The aim of this study is to describe the associated comorbidities present in patients with tinnitus usingjoint and conditional probability analysis. PATIENTS: Patients of both genders, diagnosed with unilateral or bilateral tinnitus, aged between 20 and 45 years, and had a full computerised medical record, were selected...
October 13, 2016: Cirugia y Cirujanos
Harry von Piekartz, Ani Pudelko, Mira Danzeisen, Toby Hall, Nikolaus Ballenberger
BACKGROUND: There is preliminary evidence of cervical musculoskeletal impairment in some temporomandibular disorder (TMD) pain states. OBJECTIVES: To determine whether people with TMD, classified as either mild or moderate/severe TMD, have more cervical signs of dysfunction than healthy subjects. DESIGN: Cross-sectional survey. METHOD: Based on the Conti Amnestic Questionnaire and examination of the temporomandibular joint (Axis I classification of the Research Diagnostic Criteria for TMD), of 144 people examined 59 were classified to a mild TMD group, 40 to a moderate/severe TMD group and 45 to an asymptomatic control group without TMD...
September 23, 2016: Manual Therapy
Gregory J Wright, Matthew C Coombs, R Glenn Hepfer, Brooke J Damon, Thierry H Bacro, Michael K Lecholop, Elizabeth H Slate, Hai Yao
Approximately 30% of temporomandibular joint (TMJ) disorders include degenerative changes to the articular disc, with sex-specific differences in prevalence and severity. Limited tensile biomechanical properties of human TMJ discs have been reported. Stress relaxation tests were conducted on TMJ disc specimens harvested bilaterally from six males and six females (68.9±7.9 years), with step-strain increments of 5%, 10%, 15%, 20% and 30%, at 1% strain-per-second. Stress versus strain plots were constructed, and Young׳s Modulus, Instantaneous Modulus and Relaxed Modulus were determined...
October 6, 2016: Journal of Biomechanics
Shunichi Suzuki, Eduardo Enrique Castrillon-Watanabe, Taro Arima, Yoshimasa Kitagawa, Peter Svensson
BACKGROUND: Myofascial pain associated with temporomandibular disorders has often been linked to pathological muscle hyperactivity. As a result, localized disturbances of intramuscular blood flow could lead to a lower level of oxygen distribution, hypoxia and microcirculatory changes. AIM: To assess hemodynamic changes in the masseter muscle during sustained elevated muscle activity (SEMA). MATERIALS AND METHODS: Sixteen healthy participants performed thirty 1-minute bouts of SEMA with intervals of 1-minute "rest" periods between the bouts on a bite force transducer device...
October 15, 2016: Journal of Oral Rehabilitation
Hirotaka Muraoka, Takashi Kaneda, Yusuke Kawashima, Naohisa Hirahara, Taiga Fukuda, Teruaki Muramatsu, Kotaro Ito
PURPOSE: Lymphadenopathy often occurs in the setting of inflammation, with or without infection. We sought to elucidate any association of parotid lymphadenopathy with joint effusion in temporomandibular joint (TMJ) disorders. MATERIALS AND METHODS: We performed a retrospective cohort study. We analyzed the magnetic resonance imaging studies of patients with suspected TMJ disorders performed from April 2006 to March 2007. The degree of joint effusion was graded on sagittal T2-weighted spin echo images according to a commonly used system...
September 17, 2016: Journal of Oral and Maxillofacial Surgery
H Clifton Simmons
No abstract text is available yet for this article.
November 2016: Cranio: the Journal of Craniomandibular Practice
Sandra Regina Torres, Carlos Henrique Silva Pedrazas, Marcos Paulo Veloso Correia, Mario Newton Leitão de Azevedo, Thaís Zamprogno, Arley Silva, Lucio Souza Gonçalves, José Angelo de Souza Papi
Oral complications of RA may include temporomandibular joint disorders, mucosa alterations and symptoms of dry mouth. The aim of this study was to evaluate the salivary gland function of subjects with rheumatoid arthritis (RA) comparing it to healthy controls. Subjects with other systemic conditions known to affect salivary functions were excluded. A questionnaire was applied for the evaluation of xerostomia. Resting and chewing-stimulated salivary flow rates (SFR) were obtained under standard conditions. There were 145 subjects included of the study (104 RA and 38 controls)...
October 10, 2016: Brazilian Oral Research
J Durham, M Al-Baghdadi, L Baad-Hansen, M Breckons, J P Goulet, F Lobbezoo, T List, A Michelotti, Nixdorf, C C Peck, K Raphael, E Schiffman, J G Steele, W Story, R Ohrbach
Self-management (SM) programmes are commonly used for initial treatment of patients with temporomandibular disorders (TMD). The programmes described in the literature, however, vary widely with no consistency in terminology used, components of care, or their definitions. The aims of this study were, therefore, to: construct an operationalized definition of self-management appropriate for the treatment of patients with TMD; identify the components of that self-management currently being used; create sufficiently clear and non-overlapping standardized definitions for each of those components...
October 11, 2016: Journal of Oral Rehabilitation
Yaron Haviv, Avraham Zini, Yoni Etzioni, Valeri Klitinich, Alex Dobriyan, Yair Sharav, Rafael Benoliel, Galit Almoznino
OBJECTIVE: To identify patient and pain characteristics associated with negative impacts on daily life among patients with chronic orofacial pain (COFP). STUDY DESIGN: Medical records of 200 COFP patients were analyzed. RESULTS: Diagnostic categories included temporomandibular disorders (85; 42.7%), headaches (47; 23.6%), neuropathic pain (37; 18.5%), trigeminal neuralgia (16; 8.0%), and painful posttraumatic trigeminal neuropathy (PTTN) (14; 7...
August 27, 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Isabelle Breton-Torres, Manon Serre, Patrick Jammet, Jacques Yachouh
INTRODUCTION: The temporomandibular joint is highly adaptive and masticatory apparatus disorders (MAD) can occur when its ability to adapt is overwhelmed. Occlusal etiologies were long pinpointed as the sole culprits. However, a consensus now exists which minimizes their involvement. It is recognized that the etiology of MAD is multifactorial, combining occlusal problems, parafunctions, postural anomalies, orofacial dyspraxia and stress. MATERIALS AND METHODS: In this article, the authors review the role of physiotherapy in managing these pathologies...
September 2016: L' Orthodontie Française
Anthony Dioguardi, Moh'd Al-Halawani
Oral appliance therapy (OAT) has become an increasingly popular nonsurgical option for the treatment of obstructive sleep disorders. Recent research supports its efficacy and high levels of compliance for patients with obstructive sleep disorders. Common side effects of OAT include temporomandibular joint-related symptoms, bite changes, and tooth movement. These side effects can be minimized by the use of exercises. The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine have released joint clinical practice guidelines for the treatment of obstructive sleep apnea and snoring with OAT...
October 6, 2016: Otolaryngologic Clinics of North America
Gaetano Isola, Luca Ramaglia, Giancarlo Cordasco, Alessandra Lucchese, Luca Fiorillo, Giovanni Matarese
BACKGROUND: Patients affected by Juvenile Idiopathic Arthritis (JIA) may have several craniofacial growth disturbances and involvements at the temporomandibular joint (TMJ). The objectives of the present study were to evaluate the clinical effectiveness of functional therapy used to reduce asymmetry of mandibular growth and TMJ disorder in patients with JIA. METHODS: By a retrospective longitudinal design, a cohort of 54 patients with JIA (mean age, 13.2 ± 3.7 years; range, 5-17...
September 13, 2016: Minerva Stomatologica
Poornima Patel, Faisal Idrees, Vilas Newaskar, Deepak Agrawal
BACKGROUND: Internal derangement of the temporomandibular joint (TMJ) is one of the most common forms of temporomandibular disorders. The minimally invasive treatments such as arthrocentesis as well as arthroscopic lysis and lavage are often used as a first-line surgical treatment or in conjunction with nonsurgical modalities with low morbidity and high efficacy. Sodium hyaluronate (SH) has been proposed as an alternative therapeutic agent with similar therapeutic effects. OBJECTIVE: A prospective study was carried out for evaluation of efficacy of TMJ arthrocentesis with and without injection of SH in management of internal derangements...
October 6, 2016: Oral and Maxillofacial Surgery
Defne Yalçın Yeler, Nurbengu Yılmaz, Melike Koraltan, Ezgi Aydın
OBJECTIVE: To evaluate whether there is a relationship between possible sleep bruxism (PSB), temporomandibular disorders (TMD), unilateral chewing (UC), and occlusal factors in university students recruited from Cumhuriyet University in Turkey. METHODS: For this cross-sectional survey, 519 (223 males, mean age 21.57 ± 2.3 years, 296 females, mean age 21.02 ± 2 years) university students who admitted to the Department of Oral and Maxillofacial Radiology of the Faculty of Dentistry, Cumhuriyet University for dental care between 2012 and 2014 were selected randomly...
October 6, 2016: Cranio: the Journal of Craniomandibular Practice
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