2001
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Cömert Kiliç S, Güngörmüş M. Is arthrocentesis plus platelet-rich plasma superior to arthrocentesis plus hyaluronic acid for the treatment of temporomandibular joint osteoarthritis: a randomized clinical trial. Int J Oral Maxillofac Surg 2016; 45:1538-1544. [PMID: 27364372 DOI: 10.1016/j.ijom.2016.06.009] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 04/23/2016] [Accepted: 06/13/2016] [Indexed: 01/26/2023]
Abstract
A randomized clinical trial was implemented in adult patients with temporomandibular joint osteoarthritis (TMJ OA). The sample comprised 49 osteoarthritic joints in 31 consecutive patients. Patients were divided randomly into two groups according to the treatment technique applied: the platelet-rich plasma (PRP) group patients underwent initial arthrocentesis plus PRP injection and then four consecutive PRP injections; the hyaluronic acid (HA) group patients underwent one session of arthrocentesis plus HA injection. The predictor variable was the treatment technique. The outcome variables included visual analogue scale (VAS) evaluations and maximum inter-incisal opening (MIO) measurements. Outcome variables were recorded preoperatively and at 12 months postoperative. Descriptive and bivariate statistics were computed and significance was set at P<0.05. The PRP group included 32 joints in 18 subjects, and the HA group included 17 joints in 13 subjects. No statistically significant difference was observed between the groups for any of the changes in VAS parameters or MIO measurements. Both treatment techniques resulted in significant clinical improvements in all VAS parameters and painless MIO. These findings suggest that arthrocentesis plus PRP injections is not superior to arthrocentesis plus a single HA injection; thus PRP injection should not be considered as the first line treatment. Arthrocentesis plus HA injection would appear to be more acceptable for patients.
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Affiliation(s)
- S Cömert Kiliç
- Ministry of Health, Department of Oral and Maxillofacial Surgery, Centre for Oral and Dental Health, Erzurum, Turkey.
| | - M Güngörmüş
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey
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2002
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Kothari SF, Baad-Hansen L, Hansen LB, Bang N, Sørensen LH, Eskildsen HW, Svensson P. Pain profiling of patients with temporomandibular joint arthralgia and osteoarthritis diagnosed with different imaging techniques. J Headache Pain 2016; 17:61. [PMID: 27349657 PMCID: PMC4923011 DOI: 10.1186/s10194-016-0653-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Accepted: 06/17/2016] [Indexed: 11/20/2022] Open
Abstract
Background Clinical differentiation between pain mechanisms of temporomandibular joint (TMJ) arthralgia and osteoarthritis (OA) is challenging. The aims were to compare somatosensory function at the TMJs and conditioned pain modulation (CPM) effects between TMJ arthralgia and OA patients diagnosed clinically and based on different imaging techniques and age- and gender-matched healthy controls (n = 41). Methods Patients (n = 58) underwent standard clinical examination and three different TMJ imaging modalities. After each examination, they were classified into arthralgia or OA based on the findings. TMJ region somatosensory testing was performed in all participants. Z-scores were calculated for patients based on healthy reference data. CPM was tested by comparing pressure pain thresholds (PPTs) at TMJ and thenar (control) before, during and after the application of painful and nonpainful cold stimuli. Data were analyzed using analyses of variance. Results Somatosensory abnormalities were commonly detected in both patient groups. Assessment of somatosensory function at the TMJ revealed that arthralgia patients were less sensitive to warmth, cold and tactile stimuli than OA patients (P < 0.048). OA patients showed pressure hyperalgesia compared with arthralgia patients (P = 0.025). There was a significant CPM effect at both test sites during painful cold application in all groups (P < 0.001). There was no significant difference in the relative CPM effect between groups except for clinically diagnosed arthralgia patients showing reduced CPM effect compared with controls (P = 0.047). Conclusions Pain profiles including somatosensory function differed between TMJ arthralgia and OA patients although CPM effects were similar in patients and controls. Thus, different TMJ pain conditions may share common pain mechanisms but the present study for the first time also indicated that differential pain mechanisms could be involved. Electronic supplementary material The online version of this article (doi:10.1186/s10194-016-0653-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Simple Futarmal Kothari
- Section of Orofacial Pain and Jaw Function, Institute of Odontology and Oral Health, Aarhus University, Vennelyst Boulevard 9, DK-8000, Aarhus C, Denmark. .,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus University Hospital, Aarhus, Denmark.
| | - Lene Baad-Hansen
- Section of Orofacial Pain and Jaw Function, Institute of Odontology and Oral Health, Aarhus University, Vennelyst Boulevard 9, DK-8000, Aarhus C, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus University Hospital, Aarhus, Denmark
| | | | - Niels Bang
- Department of Radiology, Aarhus University Hospital, Aarhus, Denmark
| | | | | | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Institute of Odontology and Oral Health, Aarhus University, Vennelyst Boulevard 9, DK-8000, Aarhus C, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus University Hospital, Aarhus, Denmark.,Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
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2003
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Imanimoghaddam M, Madani AS, Mahdavi P, Bagherpour A, Darijani M, Ebrahimnejad H. Evaluation of condylar positions in patients with temporomandibular disorders: A cone-beam computed tomographic study. Imaging Sci Dent 2016; 46:127-31. [PMID: 27358820 PMCID: PMC4925649 DOI: 10.5624/isd.2016.46.2.127] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 03/31/2016] [Accepted: 04/05/2016] [Indexed: 11/23/2022] Open
Abstract
Purpose This study was performed to compare the condylar position in patients with temporomandibular joint disorders (TMDs) and a normal group by using cone-beam computed tomography (CBCT). Materials and Methods In the TMD group, 25 patients (5 men and 20 women) were randomly selected among the ones suffering from TMD according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The control group consisted of 25 patients (8 men and 17 women) with normal temporomandibular joints (TMJs) who were referred to the radiology department in order to undergo CBCT scanning for implant treatment in the posterior maxilla. Linear measurements from the superior, anterior, and posterior joint spaces between the condyle and glenoid fossa were made through defined landmarks in the sagittal view. The inclination of articular eminence was also determined. Results The mean anterior joint space was 2.3 mm in the normal group and 2.8 mm in the TMD group, respectively. The results showed that there was a significant correlation between the superior and posterior joint spaces in both the normal and TMD groups, but it was only in the TMD group that the correlation coefficient among the dimensions of anterior and superior spaces was significant. There was a significant correlation between the inclination of articular eminence and the size of the superior and posterior spaces in the normal group. Conclusion The average dimension of the anterior joint space was different between the two groups. CBCT could be considered a useful diagnostic imaging modality for TMD patients.
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Affiliation(s)
- Mahrokh Imanimoghaddam
- Department of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Azam Sadat Madani
- Department of Prosthodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Pirooze Mahdavi
- Department of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Bagherpour
- Department of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mansoreh Darijani
- Department of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamed Ebrahimnejad
- Department of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
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2004
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Frequency of daytime tooth clenching episodes in individuals affected by masticatory muscle pain and pain-free controls during standardized ability tasks. Clin Oral Investig 2016; 21:1139-1148. [DOI: 10.1007/s00784-016-1870-8] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Accepted: 06/02/2016] [Indexed: 01/19/2023]
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2005
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Contemporary management of TMJ involvement in JIA patients and its orofacial consequences. EPMA J 2016; 7:12. [PMID: 27257443 PMCID: PMC4890481 DOI: 10.1186/s13167-016-0061-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Accepted: 05/13/2016] [Indexed: 12/24/2022]
Abstract
Juvenile idiopathic arthritis is the most common chronic rheumatic condition during childhood. Temporomandibular joint arthritis is frequently asymptomatic. When it takes place during childhood, it may affect condylar growth; therefore, these children are at risk of unfavorable long-term outcomes from the associated joint damage. The etiology is not completely understood, but it is considered as multifactorial with both genetic and environmental factors involved. The standardized examination and imaging protocols serve important purpose to diagnose temporomandibular joint (TMJ) arthritis not only to establish an early interventional strategy but also to assess craniofacial growth and the progression of signs and symptoms in those patients. Although the treatment of juvenile idiopathic arthritis (JIA) has changed dramatically over the last decades due to new therapeutic options, TMJ arthritis still can develop during the course of the disease. In clinical experience, TMJs appear to respond less well to the standard of care used to treat other joints. More individualized approach to the patient’s treatment serves as the main goal of personalized medicine. It could be achieved by adopting new methods of medical imaging such as conebeam computer tomography as well as developing reliable biomarkers which may assist with predicting disease type, course, or severity and predicting response to medication. This article provides an overview of current information on orofacial complications in JIA and its management. Based on information provided in this review, more precise diagnosis, proper tools for recognizing people at risk, and more efficient treatment approaches could be implemented. This may lead to more personalized treatment management strategies of TMJ complications of JIA patients.
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2006
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Diagnosi e terapia delle patologie dell’ATM: Aspetti gnatologici. DENTAL CADMOS 2016. [DOI: 10.1016/s0011-8524(16)30077-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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2007
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Luca L, Manfredini D, Arveda N, Rossi L, Siciliani G. A cone-beam computerized tomography assessment of the relationship between upper incisors inclination and articular eminence features in orthodontically untreated patients with different facial type. J World Fed Orthod 2016. [DOI: 10.1016/j.ejwf.2016.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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2008
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Conti PCR, Costa YM, Gonçalves DA, Svensson P. Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements? J Oral Rehabil 2016; 43:702-15. [DOI: 10.1111/joor.12410] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2016] [Indexed: 12/12/2022]
Affiliation(s)
- P. C. R. Conti
- Department of Prosthodontics; Bauru School of Dentistry; University of São Paulo; Bauru Brazil
- Bauru Orofacial Pain Group; University of São Paulo; Bauru Brazil
| | - Y. M. Costa
- Bauru Orofacial Pain Group; University of São Paulo; Bauru Brazil
- Section of Head and Face Physiology; Department of Biological Sciences; Bauru School of Dentistry; University of São Paulo; Bauru Brazil
| | - D. A. Gonçalves
- Department of Dental Materials and Prosthodontics; Araraquara Dental School; Sao Paulo State University; Araraquara Brazil
| | - P. Svensson
- Section of Orofacial Pain and Jaw Function; Department of Dentistry; Aarhus University; Aarhus Denmark
- Department of Dental Medicine; Karolinska Institutet; Huddinge Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON)
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2009
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Stoustrup P, Kristensen KD, Küseler A, Herlin T, Pedersen TK. Normative values for mandibular mobility in Scandinavian individuals 4-17 years of age. J Oral Rehabil 2016; 43:591-7. [PMID: 27145166 DOI: 10.1111/joor.12407] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2016] [Indexed: 11/28/2022]
Abstract
Assessment of mandibular mobility is an important part of the clinical oro-facial examination of paediatric and adolescent patients. The aims of the present cross-sectional study were to establish age-related normative values for mandibular mobility in a Scandinavian paediatric and adolescent cohort and to assess the validity of universal cut-off values for lower 'normal' mandibular ranges of motion. A total of 1114 Danish individuals between 4-17 years of age were included. Maximal mouth opening capacity and laterotrusion capacity were assessed, in each individual, according to a standardised measurement protocol. The mean maximal mouth opening capacity gradually increased from 38 mm (SD 6·1 mm) at age 4 to 54·5 mm (SD 6·8 mm) at age 17. No inter-gender difference in maximal mouth opening capacity was observed (P > 0·15). The mean maximal laterotrusion capacity gradually increased from 7·4 mm (SD. 1·1 mm) at age four to 10·1 mm (SD 1·9 mm) at age 17. A statistical significant inter-gender difference of 0·8 mm (SD 0·4 mm) was observed in relation to the total laterotrusion capacity; however, the clinical relevance of this significant difference is questionable. Normative values of mandibular function was established in individuals 4-17 years of age. Our findings oppose the use of a single universal cut-off value for 'normal' range of motion in paediatric and adolescent patients. Instead, we recommend to use the age-related normative values of mandibular range of motion as basis for the assessment of the development of oro-facial function.
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Affiliation(s)
- P Stoustrup
- Section of Orthodontics, Aarhus University, Aarhus C, Denmark
| | - K D Kristensen
- Section of Orthodontics, Aarhus University, Aarhus C, Denmark.,Specialist Oral Health Center for Western Norway, Stavanger, Rogaland, Norway
| | - A Küseler
- Section of Orthodontics, Aarhus University, Aarhus C, Denmark.,Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark
| | - T Herlin
- Department of Pediatrics, Aarhus University Hospital, Aarhus N, Denmark
| | - T K Pedersen
- Section of Orthodontics, Aarhus University, Aarhus C, Denmark.,Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark
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2010
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Lei J, Fu J, Yap AUJ, Fu KY. Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio 2016; 34:242-9. [DOI: 10.1179/2151090315y.0000000021] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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2011
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Al-Khotani A, Naimi-Akbar A, Albadawi E, Ernberg M, Hedenberg-Magnusson B, Christidis N. Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents. J Headache Pain 2016; 17:41. [PMID: 27102118 PMCID: PMC4840132 DOI: 10.1186/s10194-016-0642-9] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Accepted: 04/16/2016] [Indexed: 01/07/2023] Open
Abstract
Background Studies have indicated that the prevalence of symptoms and signs of temporomandibular disorders (TMD) are rare early in childhood, but become more prevalent in adolescents and adulthood. To our knowledge, no study has investigated the prevalence of TMD-diagnoses in children in the general population. The aim was thus to investigate the prevalence of TMD-diagnoses among children and adolescents in the general population using the Research Diagnostic Criteria for TMD (RDC/TMD). Methods The current cross-sectional study consisted of 456 children and adolescents, aged between 10 and 18, randomly enrolled from 10 boy’s- and 10 girl’s- schools in Jeddah. The participants first answered two validated questions about TMD-pain, followed by a clinical examination according to RDC/TMD. Results One hundred twenty-four participants (27.2 %) were diagnosed with at least one TMD-diagnosis. Myofascial pain was the most common diagnosis (15 %) followed by disc displacement with reduction, arthralgia, myofascial pain with limited mouth opening and osteoarthrosis. Children diagnosed with myofascial pain more often reported orofacial pain, headache and tooth clenching (p < 0.05), whereas children with arthralgia more often reported orofacial pain and tooth grinding than those without a TMD-diagnosis (p < 0.05). Only 18 % of the subjects in the TMD group had sought a dentist or physician for their pain. Conclusion TMD was common among children and adolescents in Saudi Arabia. Self-reported orofacial pain and headache as well as bruxism were associated with a TMD-pain diagnosis and disc displacement. A surprisingly low percentage of children and adolescents sought treatment by a dentist or physician for their pains.
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Affiliation(s)
- Amal Al-Khotani
- Orofacial Pain and Jaw Function, Department of Dental Medicine, Karolinska Institutet, SE-Box 4064, SE-141 04, Huddinge, Sweden. .,Scandinavian Center for Orofacial Neurosciences (SCON), Huddinge, Sweden.
| | - Aron Naimi-Akbar
- Department of Oral and Maxillofacial Surgery, Karolinska University Hospital, Huddinge, Sweden
| | - Emad Albadawi
- Jeddah Dental Speciality Center, Ministry of Health, Jeddah, Saudi Arabia
| | - Malin Ernberg
- Orofacial Pain and Jaw Function, Department of Dental Medicine, Karolinska Institutet, SE-Box 4064, SE-141 04, Huddinge, Sweden.,Scandinavian Center for Orofacial Neurosciences (SCON), Huddinge, Sweden
| | - Britt Hedenberg-Magnusson
- Orofacial Pain and Jaw Function, Department of Dental Medicine, Karolinska Institutet, SE-Box 4064, SE-141 04, Huddinge, Sweden.,Scandinavian Center for Orofacial Neurosciences (SCON), Huddinge, Sweden.,Department of Clinical Oral Physiology at the Eastman Institute, Stockholm Public Dental Health (Folktandvården SLL AB), SE-113 24, Stockholm, Sweden
| | - Nikolaos Christidis
- Orofacial Pain and Jaw Function, Department of Dental Medicine, Karolinska Institutet, SE-Box 4064, SE-141 04, Huddinge, Sweden.,Scandinavian Center for Orofacial Neurosciences (SCON), Huddinge, Sweden
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2012
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Ravera S, Castroflorio T, Garino F, Daher S, Cugliari G, Deregibus A. Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study. Prog Orthod 2016; 17:12. [PMID: 27041551 PMCID: PMC4834290 DOI: 10.1186/s40510-016-0126-0] [Citation(s) in RCA: 91] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Accepted: 03/14/2016] [Indexed: 12/03/2022] Open
Abstract
Background The aim of the present study was to test the hypothesis that bodily maxillary molar distalization was not achievable in aligner orthodontics. Methods Forty lateral cephalograms obtained from 20 non-growing subjects (9 male, 11 female; average age 29.73 years) (group S), who underwent bilateral distalization of their maxillary dentition with Invisalign aligners (Align Technology, Inc., San José, CA, USA), were considered for the study. Skeletal class I or class II malocclusion and a bilateral end-to-end class II molar relationship were the main inclusion criteria. Cephalograms were taken at two time points: (T0) pretreatment and (T2) post-treatment. Treatment changes were evaluated between the time points using 39 variables by means of paired t test. The level of significance was set at P < 0.05. Reproducibility of measurements was assessed by the intraclass correlation coefficient (ICC). Results The mean treatment time was 24.3 ± 4.2 months. At the post-treatment point, the first molar moved distally 2.25 mm without significant tipping (P = 0.27) and vertical movements (P = 0.43). The second molar distalization was 2.52 mm without significant tipping (P = 0.056) and vertical movements (P = 0.25). No significant movements were detected on the lower arch. SN^GoGn and SPP^GoGn angles showed no significant differences between pre- and post-treatment cephalograms (P = 0.22 and P = 0.85, respectively). Conclusions Aligner therapy in association with composite attachments and class II elastics can distalize maxillary first molars by 2.25 mm without significant tipping and vertical movements of the crown. No changes to the facial height were revealed.
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Affiliation(s)
- Serena Ravera
- Post-Graduate School of Orthodontics, Lingotto - Dental School, Department of Surgical Sciences, University of Turin, Turin, Italy.
| | - Tommaso Castroflorio
- Post-Graduate School of Orthodontics, Lingotto - Dental School, Department of Surgical Sciences, University of Turin, Turin, Italy
| | | | - Sam Daher
- Department of Orthodontics, Dugoni School of Dentistry, University of the Pacific, San Francisco, CA, USA
| | - Giovanni Cugliari
- Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy
| | - Andrea Deregibus
- Post-Graduate School of Orthodontics, Lingotto - Dental School, Department of Surgical Sciences, University of Turin, Turin, Italy
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2013
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Mazzetto MO, Anacleto MA, Rodrigues CA, Bragança RMF, Paiva G, Valencise Magri L. Comparison of mandibular movements in TMD by means of a 3D ultrasonic system and digital caliper rule. Cranio 2016; 35:46-51. [PMID: 27077251 DOI: 10.1080/08869634.2016.1149928] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To compare the amplitude of mandibular movement measurements obtained by two different methods: the ultrasound JAM system and digital caliper rule in individuals with temporomandibular disorder (TMD) vs. CONTROLS METHOD Sixty individuals, without distinction between sex and age were evaluated: 30 with diagnosis of TMD (RDC/TMD) and 30 controls. Mandibular movements of opening, protrusion, and left and right laterality were measured by means of two Instruments: Digital caliper rule and 3D ultrasonic Jaw Motion Analyzer (JMA-Zebris Medizintechnik, Isny/Allgäu, Germany). Data obtained were analyzed by descriptive analysis and compared by parametric statistics (Student's t-test), adopting a 5% level of significance. RESULTS When comparing the digital caliper rule with JMA, no significant differences were found for any of the movements evaluated (p > 0.05). In the comparison between groups, a difference was found in protrusion for both instruments used: JMA (p = 0.004) and digital caliper rule (p = 0.003), with the TMD group presenting reduced movement of protrusion when compared with the control group. DISCUSSION This study found no differences in obtaining the amplitude of mandibular movements when using the digital caliper rule or JMA system; both methods are effective. However, the ultrasonic system allows other types of analyses to be performed, such as the trajectory and speed of movement. Among the mandibular movements analyzed, protrusion was shown to be more compromised and limited in TMDs.
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Affiliation(s)
- Marcelo Oliveira Mazzetto
- a Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto , University of São Paulo (FORP-USP) , Ribeirão Preto , Brazil
| | - Mateus Aparecido Anacleto
- a Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto , University of São Paulo (FORP-USP) , Ribeirão Preto , Brazil
| | - Carolina Almeida Rodrigues
- a Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto , University of São Paulo (FORP-USP) , Ribeirão Preto , Brazil
| | - Rafaella Mariana Fontes Bragança
- a Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto , University of São Paulo (FORP-USP) , Ribeirão Preto , Brazil
| | - Guiovaldo Paiva
- b Center of Diagnosis and Treatment of the Temporomandibular Joint at São Paulo , São Paulo , Brazil
| | - Laís Valencise Magri
- a Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto , University of São Paulo (FORP-USP) , Ribeirão Preto , Brazil
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2014
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Palinkas M, Bataglion C, de Luca Canto G, Machado Camolezi N, Theodoro GT, Siéssere S, Semprini M, Regalo SCH. Impact of sleep bruxism on masseter and temporalis muscles and bite force. Cranio 2016; 34:309-15. [DOI: 10.1080/08869634.2015.1106811] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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2015
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Yang G, Baad-Hansen L, Wang K, Fu K, Xie QF, Svensson P. Somatosensory abnormalities in Chinese patients with painful temporomandibular disorders. J Headache Pain 2016; 17:31. [PMID: 27071957 PMCID: PMC4829566 DOI: 10.1186/s10194-016-0632-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Accepted: 04/07/2016] [Indexed: 02/06/2023] Open
Abstract
Background The somatosensory phenotype of Chinese temporomandibular disorders (TMD) patients is not sufficiently studied with the use of contemporary techniques and guidelines. Methods A standardized quantitative sensory testing (QST) battery consisting of 13 parameters with a stringent statistical protocol developed by the German Research Network on Neuropathic Pain was performed over the most painful and corresponding contralateral sites as well as the right hand of 40 Chinese patients with TMD and pain classified according to the Diagnostic Criteria for TMD (DC/TMD). The same QST protocol was performed bilaterally over the infraorbital, mental, and hand regions of 70 age- and gender-stratified healthy Chinese controls. Z-scores and loss/gain scores were computed for each TMD patient. Results For patients, 82.5 % had somatosensory abnormalities in the painful facial region, while 60.0 % had abnormalities confined to the right hand. The most frequent abnormalities were somatosensory gain to pinprick (35.0 %) and pressure (35.0 %) stimuli, somatosensory loss to pinprick (25.0 %), cold (22.5 %), and heat (15.0 %) nociceptive stimuli. The most frequent loss/gain score was L0G2 (no somatosensory loss combined with a gain of mechanical somatosensory function) for both the facial (40.0 %) and hand (27.5 %) regions. Involving side-to-side differences in the evaluation increased the diagnostic sensitivity by 2.5–25.0 % across different parameters. Conclusions Somatosensory abnormalities were commonly detected in Chinese TMD pain patients both within and outside the primary painful region, strongly indicating disturbances in the central processing of somatosensory stimuli. The individual variations in somatosensory abnormalities indicate a possible need for development of individualized TMD pain management. Electronic supplementary material The online version of this article (doi:10.1186/s10194-016-0632-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Guangju Yang
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment and Research, Peking University School and Hospital of Stomatology, Zhongguancun Nandajie 22, 100081, Beijing, China
| | - Lene Baad-Hansen
- Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University, Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark
| | - Kelun Wang
- Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Kaiyuan Fu
- Department of Oral and Maxillofacial Radiology, Center for Temporomandibular Disorders and Orofacial Pain, Peking University School and Hospital of Stomatology, Beijing, China
| | - Qiu-Fei Xie
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment and Research, Peking University School and Hospital of Stomatology, Zhongguancun Nandajie 22, 100081, Beijing, China.
| | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University, Aarhus, Denmark.,Department of Dental Medicine, Karolinska Institutet, Scandinavian Center for Orofacial Neurosciences (SCON), Hudding, Sweden
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2016
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Xu L, Cai B, Fang Z. Translation and validation of a Chinese version of the Mandibular Function Impairment Questionnaire. J Oral Rehabil 2016; 43:608-14. [PMID: 27061198 DOI: 10.1111/joor.12402] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2016] [Indexed: 11/27/2022]
Abstract
To adapt the English version of the Mandibular Function Impairment Questionnaire (MFIQ) for Chinese-speaking patients with temporomandibular disorder (TMD) and to evaluate its validity and reliability. In total, 352 patients diagnosed with TMD according to the research diagnostic criteria for TMD (RDC/TMD) Axis I were included in this study. The psychometric evaluation included reliability, which was evaluated by internal consistency (Cronbach's alpha coefficient), and test-retest reliability and validity, which were tested by content and construct validity. Because the content validity of item 11 (kissing) was low (0·12), this item was excluded in subsequent analyses. For exploratory factor analysis, three factors were extracted, accounting for 63·6% of the variance. All items had factor loadings above 0·4. Two models were tested by confirmatory factor analysis, and the two-factor model was adopted (χ(2) /df = 2·279, root mean square error of approximation (RMSEA) = 0·086, comparative fit index (CFI) = 0·910). Internal reliability (coefficient alpha values of 0·925 and 0·720 for each factor) and test-retest reliability (ICCfactor1 = 0·895, 95% CIfactor1 = 0·869-0·918, ICCfactor2 = 0·720, 95% CIfactor2 = 0·645-0·783) of the Chinese MFIQ were excellent. A reliable and valid Chinese version of the MFIQ was constructed for the evaluation of Chinese patients with TMD after some modification of the English version of the MFIQ.
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Affiliation(s)
- L Xu
- Department of Rehabilitation Medicine, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - B Cai
- Department of Rehabilitation Medicine, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Z Fang
- Department of Rehabilitation Medicine, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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2017
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De la Torre Canales G, Manfredini D, Grillo CM, Guarda-Nardini L, Machado Gonçalves L, Rizzatti Barbosa CM. Therapeutic effectiveness of a combined counseling plus stabilization appliance treatment for myofascial pain of the jaw muscles: A pilot study. Cranio 2016; 35:180-186. [DOI: 10.1080/08869634.2016.1168071] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Giancarlo De la Torre Canales
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas , Piracicaba, Brazil
| | - Daniele Manfredini
- Department of Maxillofacial Surgery, Temporomandibular Disorders Clinic, University of Padova , Padova, Italy
| | - Cássia M. Grillo
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas , Piracicaba, Brazil
| | - Luca Guarda-Nardini
- Department of Maxillofacial Surgery, Temporomandibular Disorders Clinic, University of Padova , Padova, Italy
| | | | - Célia M. Rizzatti Barbosa
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas , Piracicaba, Brazil
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2018
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The use of conventional transcutaneous electrical nerve stimulation in chronic facial myalgia patients. Clin Oral Investig 2016; 21:275-280. [PMID: 27000071 DOI: 10.1007/s00784-016-1787-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Accepted: 03/07/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the efficacy of conventional TENS in women affected by chronic facial myalgia. MATERIALS AND METHODS The study was performed on 49 women affected by chronic facial myalgia randomly allocated in the TENS group (34 women) and the control group (15 women). The subjective level of pain was assessed by the Visual Analogue Scale indicating the mean (VAS MEAN), the maximum (VAS MAX) and the current intensity of pain (VAS NOW). The level of pain at the muscular palpation sites was assessed by the Pericranial Muscle Tenderness Score (PTS) and the Cervical Muscle Tenderness Score (CTS). The TENS therapy lasted for 10 weeks, and data were collected at baseline, after 5, 10, 15 and 25 weeks. The differences between groups before and after treatment were compared with the Mann-Whitney and the Kolmogorov-Smirnov tests. The intra-group differences were compared with the one-way ANOVA test. RESULTS The results showed that the VAS MEAN, VAS MAX, PTS and CTS were significantly reduced in the TENS group compared to the control group after 10 weeks of TENS (p < 0.05). The intra-group analysis revealed a decreasing tendency of VAS MEAN, VAS MAX, VAS NOW, PTS and CTS in the TENS group in a 25-week period (p < 0.05). CONCLUSIONS The study demonstrated the efficacy of conventional TENS in patients with chronic facial myalgia and the decrease in both subjective and objective pain. CLINICAL RELEVANCE Conventional TENS is a safe, non-invasive, easy-to-administer therapy for chronic facial myalgia.
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2019
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Giraudeau A, Jeany M, Ehrmann E, Déjou J, Ouni I, Orthlieb JD. Disc displacement without reduction: a retrospective study of a clinical diagnostic sign. Cranio 2016; 35:86-93. [PMID: 27077248 DOI: 10.1080/08869634.2016.1149291] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The purpose of this retrospective study is to evaluate a clinical diagnostic sign for disc displacement without reduction (DDWR), the absence of additional condylar translation during opening compared with protrusion. METHOD Thirty-eight electronic axiographic and magnetic resonance imaging (MRI) examinations of the TMJ were analyzed in order to compare the opening/protrusion ratio of condylar translation between non-painful DDWR and non-DDWR. RESULT According to the Mann-Whitney U test, the opening/protrusion ratio in non-painful DDWR differs significantly from non-DDWR (p < 0.0001). DISCUSSION Among non-painful DDWR, there is no additional condylar translation during opening in comparison with protrusion, and this is probably also the case for DDWR without limited opening, which is a subtype that has not been validated by the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Comparative condylar palpation can analyze this sign, and therefore, further comparative investigations between MRI and clinical examination are needed to validate the corresponding clinical test.
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Affiliation(s)
- Anne Giraudeau
- a Faculté d'Odontologie , Aix Marseille Université , Marseille 13005 , France
| | - Marion Jeany
- a Faculté d'Odontologie , Aix Marseille Université , Marseille 13005 , France
| | - Elodie Ehrmann
- b Faculté d'Odontologie , Université de Nice Sophia-Antipolis , Nice 06357 , France
| | - Jacques Déjou
- a Faculté d'Odontologie , Aix Marseille Université , Marseille 13005 , France
| | - Imed Ouni
- c Faculty of Odontology , Monastir University , Monastir 5019 , Tunisia
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2020
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Song YL, Yap AUJ. Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life, and psychosocial wellness. Cranio 2016; 35:52-57. [DOI: 10.1080/08869634.2016.1147676] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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2021
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Young AL. Internal derangements of the temporomandibular joint: A review of the anatomy, diagnosis, and management. J Indian Prosthodont Soc 2016; 15:2-7. [PMID: 26929478 PMCID: PMC4762294 DOI: 10.4103/0972-4052.156998] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Internal derangements of the temporomandibular joint are conditions in which the articular disc has become displaced from its original position the condylar head. Relevant anatomic structures and their functional relationships are briefly discussed. The displacement of the disc can result in numerous presentations, with the most common being disc displacement with reduction (with or without intermittent locking), and disc displacement without reduction (with or without limited opening). These are described in this article according to the standardized Diagnostic Criteria for Temporomandibular Disorders, as well as the less common posterior disc displacement. Appropriate management usually ranges from patient education and monitoring to splints, physical therapy, and medications. In rare and select cases, surgery may be necessary. However, in for the majority of internal derangements, the prognosis is good, particularly with conservative care.
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Affiliation(s)
- Andrew L Young
- Department of Dental Practice and Orthodontics, Pacific Center for Orofacial Disorders, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, California, United States of America
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2022
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2023
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Blanco-Hungría A, Blanco-Aguilera A, Blanco-Aguilera E, Serrano-del-Rosal R, Biedma-Velázquez L, Rodríguez-Torronteras A, Segura-Saint-Gerons R. Prevalence of the different Axis I clinical subtypes in a sample of patients with orofacial pain and temporomandibular disorders in the Andalusian Healthcare Service. Med Oral Patol Oral Cir Bucal 2016; 21:e169-77. [PMID: 26615508 PMCID: PMC4788795 DOI: 10.4317/medoral.20854] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Accepted: 07/01/2015] [Indexed: 12/14/2022] Open
Abstract
Background The main objective of this paper is to analyze the prevalence of each of the different clinical subtypes of temporomandibular disorders (TMD) in a sample of patients with this pathology. In addition, a second objective was to analyze their distribution according to gender. Material and Methods To this end, the results of 1603 patients who went to the Unit of Temporomandibular Disorders in the Córdoba Healthcare District because they suffered from this pathology were analyzed. In order to diagnose them, the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were applied, analyzing the different Axis I subtypes (myopathy, discopathy and arthropathy) and obtaining the combined Axis I for each patient and the relation of all these variables according to gender. The null-hypothesis test confirmed the lack of connection between the gender variable and the different subtypes in the clinical analysis, and between the former and the combined Axis I of the RDC/TMD. Results The prevalence was high for the muscle disorders subtype in general, showing an 88.7% prevalence, while the presence of discopathies or arthropathies was much lower. Among discopathies, the most frequent ones were disc displacements with reduction, with 39.7% and 42.8% for the left and right temporomandibular joints (TMJ), respectively, while the prevalence of arthropathies was 26.3% for the right TMJ and 32.9% for the left TMJ. The bivariate analysis on the connection with gender reveals a p≥ 0.05 value for the muscle and arthralgia subtypes. Conclusions The patients seen at the TMD Unit where mostly middle-aged women whose main clinical axis subtype was the muscle disorder subtype. For their part, both discopathies and arthropathies, although present, are much less prevalent. Key words:RDCTMD, axis I, orofacial pain, temporomandibular disorders, gender.
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2024
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Bonato L, Quinelato V, Pinheiro A, Amaral M, de Souza F, Lobo J, Aguiar D, Augusto L, Vieira A, Salles J, Cossich V, Guimarães J, de Gouvêa C, Granjeiro J, Casado P. ESRRB polymorphisms are associated with comorbidity of temporomandibular disorders and rotator cuff disease. Int J Oral Maxillofac Surg 2016; 45:323-31. [DOI: 10.1016/j.ijom.2015.10.007] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Revised: 10/05/2015] [Accepted: 10/08/2015] [Indexed: 01/12/2023]
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2025
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Schiffman E, Ohrbach R. Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. J Am Dent Assoc 2016; 147:438-45. [PMID: 26922248 DOI: 10.1016/j.adaj.2016.01.007] [Citation(s) in RCA: 107] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Revised: 12/31/2015] [Accepted: 01/12/2016] [Indexed: 01/06/2023]
Abstract
BACKGROUND In this executive summary, the authors describe a protocol for assessing patients with temporomandibular disorder (TMD). It is based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications. METHODS The DC/TMD was developed using published Axis I physical diagnoses for the most common TMDs. Axis I diagnostic criteria were derived from pertinent clinical TMD signs and symptoms. Axis II consists of psychosocial and behavioral questionnaires already in the public domain. A panel of experts vetted and modified the Axis I and Axis II diagnostic protocols. Recommended changes were assessed for diagnostic accuracy by using the Validation Project's data set, which formed the basis for the development of the DC/TMD. RESULTS Axis I diagnostic criteria for TMD pain-related disorders have acceptable validity and provide definitive diagnoses for pain involving the temporomandibular joint (TMJ) and masticatory muscles. Axis I diagnostic criteria for the most common TMJ intra-articular disorders are appropriate for screening purposes only. A definitive diagnosis for TMJ intra-articular disorders requires computed tomography or magnetic resonance imaging. Axis II questionnaires provide valid assessment of psychosocial and behavioral factors that can affect management of TMD. CONCLUSIONS The DC/TMD provides a questionnaire for the pain history in conjunction with validated clinical examination criteria for diagnosing the most common TMDs. In addition, it provides Axis II questionnaires for assessing psychosocial and behavioral factors that may contribute to the onset and perpetuation of the patient's TMD. PRACTICAL IMPLICATIONS The DC/TMD is appropriate for use in clinical and research settings to allow for a comprehensive assessment of patients with TMD.
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2026
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Does injection of plasma rich in growth factors after temporomandibular joint arthroscopy improve outcomes in patients with Wilkes stage IV internal derangement? A randomized prospective clinical study. Int J Oral Maxillofac Surg 2016; 45:828-35. [PMID: 26922496 DOI: 10.1016/j.ijom.2016.01.018] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Revised: 10/20/2015] [Accepted: 01/29/2016] [Indexed: 11/24/2022]
Abstract
The aim of this study was to evaluate the efficacy of injection of plasma rich in growth factors (PRGF) after temporomandibular joint (TMJ) arthroscopy in patients with Wilkes stage IV internal derangement. Ninety-two patients were randomized to two experimental groups: group A (42 joints) received injections of PRGF, group B (50 joints) received saline injections. Pain intensity on a visual analogue scale (VAS) and maximum mouth opening (MMO, mm) were measured before and after surgery and compared by analysis of variance (ANOVA). The mean age of patients was 35.8 years (range 17-67 years); 86 were female. Significant reductions in pain were noted in both groups after surgery: VAS 7.9 preoperative and 1.4 at 24 months postoperative. Significantly better clinical results were achieved in group A than in group B only at 6 and 12 months postoperative; no significant difference was noted at 18 or 24 months after the surgical intervention. MMO increased after surgery in both groups: 26.2mm preoperative and 36.8mm at 24 months postoperative. No significant differences in MMO were found when the two groups of patients were compared. In conclusion, the injection of PRGF does not add any significant improvement to clinical outcomes at 2 years after surgery in patients with advanced internal derangement of the TMJ.
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2027
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2028
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Manoliu A, Spinner G, Wyss M, Filli L, Erni S, Ettlin DA, Ulbrich EJ, Kuhn FP, Gallo LM, Andreisek G. Comparison of a 32-channel head coil and a 2-channel surface coil for MR imaging of the temporomandibular joint at 3.0 T. Dentomaxillofac Radiol 2016; 45:20150420. [PMID: 26837671 DOI: 10.1259/dmfr.20150420] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To quantitatively and qualitatively compare MRI of the temporomandibular joint (TMJ) using a standard TMJ surface coil and a head coil at 3.0 T. METHODS 22 asymptomatic volunteers were MR imaged using a 2-channel surface coil (standard TMJ coil) and a 32-channel head coil at 3.0 T (Philips Ingenia; Philips Healthcare, Netherlands). Imaging protocol consisted of an oblique sagittal proton density weighted turbo spin echo sequence (repetition time/echo time, 2700/26 ms). For quantitative assessment, a spherical phantom was imaged using the same sequence including a noise scan and a B1+ scan. Signal-to-noise ratio (SNR) maps and B1+ maps were calculated on a voxelwise basis. For qualitative evaluation, all volunteers underwent MRI of both TMJs with the jaw in the closed position. Two independent blinded readers assessed accuracy of TMJ anatomical representation and overall image quality on a 5-point scale. Quantitative and qualitative measurements were compared between coils using t-tests and Wilcoxon signed-rank test, respectively. RESULTS Quantitative analysis showed similar B1+ and significantly higher SNR for the head coil than the TMJ surface coil. Qualitative analysis showed significantly better visibility and delineation of clinically relevant anatomical structures of the TMJ, including the articular disc, bilaminar zone and lateral pterygoid muscle. Furthermore, better overall image quality was observed for the head coil than for the TMJ surface coil. CONCLUSIONS A 32-channel head coil is preferable to a standard 2-channel TMJ surface coil when imaging the TMJ at 3.0 T, because it yields higher SNR, thus increasing accuracy of the anatomical representation of the TMJ.
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Affiliation(s)
- Andrei Manoliu
- 1 Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.,2 Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Switzerland
| | - Georg Spinner
- 2 Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Switzerland
| | - Michael Wyss
- 2 Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Switzerland
| | - Lukas Filli
- 1 Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland
| | - Stefan Erni
- 3 Center of Dental Medicine of the University of Zurich, Zurich, Switzerland
| | - Dominik A Ettlin
- 3 Center of Dental Medicine of the University of Zurich, Zurich, Switzerland
| | - Erika J Ulbrich
- 1 Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland
| | - Felix P Kuhn
- 1 Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland
| | - Luigi M Gallo
- 3 Center of Dental Medicine of the University of Zurich, Zurich, Switzerland
| | - Gustav Andreisek
- 1 Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland
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2029
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Julsvoll EH, Vøllestad NK, Robinson HS. Validation of clinical tests for patients with long-lasting painful temporomandibular disorders with anterior disc displacement without reduction. ACTA ACUST UNITED AC 2016; 21:109-19. [DOI: 10.1016/j.math.2015.06.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Revised: 06/01/2015] [Accepted: 06/12/2015] [Indexed: 12/27/2022]
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2030
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Ormond M, Nayee S, Poate T. Chronic Facial Pain. Prim Dent J 2016; 5:26-29. [PMID: 29029649 DOI: 10.1177/205016841600500101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Orofacial pain is a common complaint with the vast majority of cases the result of an acute dental cause. There are, however, a number of patients who experience chronic orofacial pain in whom no dental cause can be found, and it is therefore important to identify these patients in order to avoid unnecessary dental procedures. Successful management of chronic orofacial pain depends on the correct diagnosis and appropriate interventions with a biopsychosocial approach.
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Affiliation(s)
- Martyn Ormond
- Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK
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2031
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Piccin CF, Pozzebon D, Chiodelli L, Boufleus J, Pasinato F, Corrêa ECR. Aspectos clínicos e psicossociais avaliados por critérios de diagnóstico para disfunção temporomandibular. REVISTA CEFAC 2016. [DOI: 10.1590/1982-021620161817215] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: analisar a associação entre a classificação de diagnósticos clínicos (dor miofascial, desordem discal e articular) e a graduação de dor crônica, depressão e sintomas físicos não específicos em sujeitos com disfunção temporomandibular. Métodos: foram incluídos 32 pacientes, com média de idade de 28,71±4,66 anos. Como instrumento de avaliação, foi utilizado o Critério de Diagnóstico para Pesquisa das Desordens Temporomandibulares - Eixo I e II. Quanto ao grupo diagnóstico, 88,13% dos indivíduos apresentaram diagnóstico misto, sendo 43,75% dos grupos I e III (distúrbios musculares e articulares) e 34,38% dos grupos I, II e III (distúrbios musculares, articulares e deslocamento de disco). Resultados: de acordo com o eixo II, 96,88% dos participantes foram classificados com dor crônica grau I e II (baixa incapacidade e baixa intensidade; baixa incapacidade e alta intensidade). Graus moderado e grave de depressão foram observados em 84,38% dos participantes. Na avaliação de sintomas físicos não específicos incluindo e excluindo dor, respectivamente, 59,38% apresentaram sintomas severos e 71,88% apresentaram sintomas moderados e severos. Verificou-se relação significante dos diagnósticos clínicos de disfunção temporomandibular com o grau de sintomas físicos não específicos incluindo dor. Conclusão: alguns aspectos clínicos e psicossociais estão associados em pacientes com disfunção temporomandibular, observando uma multiplicidade de diagnósticos clínicos com a presença de uma relação significante entre os diagnósticos clínicos encontrados e a presença de sintomas físicos inespecíficos com dor. Queixa de maior gravidade de sintomas físicos foi encontrada em pacientes com diagnóstico clínico múltiplo.
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2032
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Santos MTBR, Diniz MB, Gouw-Soares SC, Lopes-Martins RAB, Frigo L, Baeder FM. Evaluation of low-level laser therapy in the treatment of masticatory muscles spasticity in children with cerebral palsy. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:28001. [PMID: 26882450 DOI: 10.1117/1.jbo.21.2.028001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Accepted: 01/20/2016] [Indexed: 06/05/2023]
Abstract
Spasticity is a motor disorder frequently present in individuals with cerebral palsy (CP). This study aimed to evaluate the effect of low-level laser therapy (LLLT) on the spasticity of the masseter and anterior temporal muscle fibers in children with CP over three weeks of intermittent laser exposures. The bite force (BF) of the masticatory muscles and the amplitude of mouth opening were evaluated before and after laser irradiation in 30 children with CP. Both sides of the masseter and temporalis muscles were irradiated with low-intensity diode laser pulses of 808-nm wavelength six times over three consecutive weeks. During the subsequent three weeks of postlaser exposures, although no laser treatment was applied, the evaluation parameters were measured and recorded. A significant improvement in the amplitude of mouth opening and a decrease in the BF were observed in the weeks following LLLT (P<0.05 ). However, by the sixth week post-LLLT, the BF and the amplitude of mouth opening reverted to values equivalent to those obtained before the first application of LLLT. Our investigation revealed low-level energy exposures from a 808-nm diode laser to be an effective short-term therapeutic tool. This method increased the amplitude of mouth opening and decreased the muscle tonus of children with spastic CP over a time course of three weeks of intermittent laser applications.
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Affiliation(s)
| | - Michele Baffi Diniz
- Cruzeiro do Sul University, Institute of Dentistry, Rua Galvão Bueno 868, Liberdade, São Paulo, SP CEP 01506-000, Brazil
| | - Sheila Cynthia Gouw-Soares
- São Paulo University (USP), School of Dentistry, Especial Laboratory of Lasers in Dentistry (LELO), Av. Prof. Lineu Prestes, 2227 Cidade Universitária, São Paulo, SP CEP 05508-900, Brazil
| | - Rodrigo Alvaro Brandão Lopes-Martins
- Mogi das Cruzes University (UMC), Biomedical Engineering Research and Post-Graduate Center, Av. Dr. Cândido Xavier de Almeida e Souza 200, Mogi das Cruzes, SP CEP 08780-911, Brazil
| | - Lucio Frigo
- Cruzeiro do Sul University, Institute of Dentistry, Rua Galvão Bueno 868, Liberdade, São Paulo, SP CEP 01506-000, Brazil
| | - Fernando Martins Baeder
- Cruzeiro do Sul University, Institute of Dentistry, Rua Galvão Bueno 868, Liberdade, São Paulo, SP CEP 01506-000, Brazil
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2033
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Costa YM, Porporatti AL, Hilgenberg-Sydney PB, Bonjardim LR, Conti PCR. Deep pain sensitivity is correlated with oral-health-related quality of life but not with prosthetic factors in complete denture wearers. J Appl Oral Sci 2016; 23:555-61. [PMID: 26814457 PMCID: PMC4716693 DOI: 10.1590/1678-775720150174] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Accepted: 07/31/2015] [Indexed: 11/22/2022] Open
Abstract
Low pressure Pain Threshold (PPT) is considered a risk factor for Temporomandibular Disorders (TMD) and is influenced by psychological variables. Objectives To correlate deep pain sensitivity of masticatory muscles with prosthetic factors and Oral-Health-Related Quality of Life (OHRQoL) in completely edentulous subjects. Material and Methods A total of 29 complete denture wearers were recruited. The variables were: a) Pressure Pain Threshold (PPT) of the masseter and temporalis; b) retention, stability, and tooth wear of dentures; c) Vertical Dimension of Occlusion (VDO); d) Oral Health Impact Profile (OHIP) adapted to orofacial pain. The Kolmogorov-Smirnov test, the Pearson Product-Moment correlation coefficient, the Spearman Rank correlation coefficient, the Point-Biserial correlation coefficient, and the Bonferroni correction (α=1%) were applied to the data. Results The mean age (standard deviation) of the participants was of 70.1 years (9.5) and 82% of them were females. There were no significant correlations with prosthetic factors, but significant negative correlations were found between the OHIP and the PPT of the anterior temporalis (r=-0.50, 95% CI-0.73 to 0.17, p=0.005). Discussion The deep pain sensitivity of masticatory muscles in complete dentures wearers is associated with OHRQoL, but not with prosthetic factors.
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Affiliation(s)
- Yuri Martins Costa
- Departamento de Prótese, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | - André Luís Porporatti
- Departamento de Prótese, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
| | | | - Leonardo Rigoldi Bonjardim
- Departamento de Ciências Biologicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil
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2034
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Inglehart MR, Patel MH, Widmalm SE, Briskie DM. Self-reported temporomandibular joint disorder symptoms, oral health, and quality of life of children in kindergarten through grade 5: Do sex, race, and socioeconomic background matter? J Am Dent Assoc 2016; 147:131-41. [PMID: 26809694 DOI: 10.1016/j.adaj.2015.10.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Revised: 08/31/2015] [Accepted: 10/02/2015] [Indexed: 12/19/2022]
Abstract
BACKGROUND The authors' objectives were to determine the percentage of children in kindergarten through grade 5 who reported symptoms of temporomandibular joint disorder (TMJD); to assess whether sex, race, and socioeconomic background mattered; and to explore the relationships between TMJD and children's oral health and oral health-related quality of life (OHRQoL). METHODS The research team conducted face-to-face interviews with 8,302 children in kindergarten through grade 5 (51% female, 49% male; 53% African American, 42% white). They conducted oral health screenings with 7,439 children. RESULTS Overall, 23.6% of the children reported pain when chewing tough food, and 18.8% reported pain when opening their mouth wide; 23.2% reported hearing a sound (clicking) when opening their mouth wide. Female students were more likely than male students and African American children were more likely than white children to report TMJD symptoms. The prevalence of TMJD symptoms did not correlate with whether the children had a need for oral health care services or whether they had an abscess or carious teeth with pulpal involvement. TMJD symptoms were associated significantly with children's OHRQoL. CONCLUSIONS Considerable percentages of 4- to 12-year-old children reported TMJD symptoms, with girls and African American children being more likely than their counterparts to be affected. Experiencing TMJD symptoms was associated significantly with poorer OHRQoL. PRACTICAL IMPLICATIONS Dental practitioners need to be aware that substantial percentages of kindergarten and elementary school-aged children experience TMJD symptoms. Taking a dental history and conducting an oral examination, therefore, should include assessments of the signs and symptoms of TMJD; treatment recommendations should be provided for affected children.
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2035
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Şahin C, Varım C, Karacaer C, Acar BA, Acar T, Tamer A. Incidence of ‘headache attributed to temporomandibular disease’ in patients with clicking sound in the region temporomandibular joint. THE EGYPTIAN JOURNAL OF INTERNAL MEDICINE 2016. [DOI: 10.4103/1110-7782.174940] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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2036
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Tuijt M, Koolstra JH, Lobbezoo F, Naeije M. How muscle relaxation and laterotrusion resolve open locks of the temporomandibular joint. Forward dynamic 3D-modeling of the human masticatory system. J Biomech 2016; 49:276-83. [PMID: 26726782 DOI: 10.1016/j.jbiomech.2015.12.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 12/03/2015] [Accepted: 12/03/2015] [Indexed: 10/22/2022]
Abstract
Patients with symptomatic hypermobility of the temporomandibular joint report problems with the closing movement of their jaw. Some are even unable to close their mouth opening wide (open lock). Clinical experience suggests that relaxing the jaw muscles or performing a jaw movement to one side (laterotrusion) might be a solution. The aim of our study was to assess the potential of these strategies for resolving an open lock and we hypothesised that both strategies work equally well in resolving open locks. We assessed the interplay of muscle forces, joint reaction forces and their moments during closing of mouth, following maximal mouth opening. We used a 3D biomechanical model of the masticatory system with a joint shape and muscle orientation that predispose for an open lock. In a forward dynamics approach, the effect of relaxation and laterotrusion strategies was assessed. Performing a laterotrusion movement was predicted to release an open lock for a steeper anterior slope of the articular eminence than relaxing the jaw-closing muscles, herewith we rejected our hypothesis. Both strategies could provide a net jaw closing moment, but only the laterotrusion strategy was able to provide a net posterior force for steeper anterior slope angles. For both strategies, the temporalis muscle appeared pivotal to retrieve the mandibular condyles to the glenoid fossa, due to its' more dorsally oriented working lines.
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Affiliation(s)
- M Tuijt
- Department of Oral Cell Biology and Functional Anatomy, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands; Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands.
| | - J H Koolstra
- Department of Oral Cell Biology and Functional Anatomy, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands
| | - F Lobbezoo
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands
| | - M Naeije
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands
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2037
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Stechman-Neto J, Porporatti AL, Porto de Toledo I, Costa YM, Conti PCR, De Luca Canto G, Mezzomo LA. Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic review. J Oral Rehabil 2016; 43:468-79. [DOI: 10.1111/joor.12380] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2015] [Indexed: 11/29/2022]
Affiliation(s)
- J. Stechman-Neto
- Post-graduate program in Communication Disorders; Curitiba Brazil
| | - A. L. Porporatti
- Department of Prosthodontics; Bauru School of Dentistry; University of São Paulo; Bauru Brazil
| | - I. Porto de Toledo
- Department of Speech-language Therapy and Pathology; Federal University of Santa Catarina; Florianópolis Brazil
| | - Y. M. Costa
- Department of Prosthodontics; Bauru School of Dentistry; University of São Paulo; Bauru Brazil
- Section of Clinical Oral Physiology; Department of Dentistry; Aarhus University; Aarhus Denmark
| | - P. C. R. Conti
- Department of Prosthodontics; Bauru School of Dentistry; University of São Paulo; Bauru Brazil
| | - G. De Luca Canto
- Brazilian Centre for Evidence-based Research; Department of Dentistry; Federal University of Santa Catarina; Florianópolis Brazil
- School of Dentistry; Faculty of Medicine and Dentistry University of Alberta; Edmonton AB Canada
| | - L. A. Mezzomo
- Brazilian Centre for Evidence-based Research; Department of Dentistry; Federal University of Santa Catarina; Florianópolis Brazil
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2038
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Shueb SS, Boyer HC, Nixdorf DR. Nonodontogenic "tooth pain" of nose and sinus origin. J Am Dent Assoc 2016; 147:457-9. [PMID: 26762708 DOI: 10.1016/j.adaj.2015.11.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Revised: 11/18/2015] [Accepted: 11/23/2015] [Indexed: 11/29/2022]
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2039
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Michelotti A, Alstergren P, Goulet JP, Lobbezoo F, Ohrbach R, Peck C, Schiffman E, List T. Next steps in development of the diagnostic criteria for temporomandibular disorders (DC/TMD): Recommendations from the International RDC/TMD Consortium Network workshop. J Oral Rehabil 2016; 43:453-67. [DOI: 10.1111/joor.12378] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- A. Michelotti
- Department of Neuroscience, Reproductive Sciences and Oral Sciences; University of Naples Federico II; Naples Italy
| | - P. Alstergren
- Department of Orofacial Pain and Jaw Function; Faculty of Odontology; Malmö University; Scandinavian Center for Orofacial Neurosciences (SCON); Malmö Sweden
| | - J. P. Goulet
- Faculty of Dental Medicine; Laval University; Quebec QC Canada
| | - F. Lobbezoo
- Department of Oral Health Sciences; Academic Centre for Dentistry Amsterdam (ACTA); MOVE Research Institute Amsterdam; University of Amsterdam and VU University Amsterdam; Amsterdam The Netherlands
| | - R. Ohrbach
- Department of Oral Diagnostic Sciences; University at Buffalo; Buffalo NY USA
| | - C. Peck
- Faculty of Dentistry; University of Sydney; Darlington NSW Australia
| | - E. Schiffman
- Division of TMD and Orofacial Pain; University of Minnesota; Minneapolis MN USA
| | - T. List
- Department of Orofacial Pain and Jaw Function; Faculty of Odontology; Malmö University; Scandinavian Center for Orofacial Neurosciences (SCON); Malmö Sweden
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2040
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Yule PL, Durham J, Wassell RW. Pain part 6: temporomandibular disorders. ACTA ACUST UNITED AC 2016; 43:39-42, 45-8. [DOI: 10.12968/denu.2016.43.1.39] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- Pamela L Yule
- Specialty Registrar and Associate Clinical Lecturer in Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4AZ
| | - Justin Durham
- Senior Lecturer in Oral Surgery and Orofacial Pain and Honorary Consultant Oral Surgeon, School of Dental Sciences, Newcastle University
| | - Robert W Wassell
- Senior Lecturer and Honorary Consultant in Restorative Dentistry, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, Tyne and Wear NE2 4BW, UK
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2041
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Costa YM, Porporatti AL, Calderon PDS, Conti PCR, Bonjardim LR. Can palpation-induced muscle pain pattern contribute to the differential diagnosis among temporomandibular disorders, primary headaches phenotypes and possible bruxism? Med Oral Patol Oral Cir Bucal 2016; 21:e59-65. [PMID: 26615507 PMCID: PMC4765759 DOI: 10.4317/medoral.20826] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Accepted: 08/15/2015] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND The evaluation of possible differences in the distribution or characteristics of palpation-induced pain in the masticatory muscles could be valuable in terms of diagnostic assessment. The aim of this study was to evaluate the impact of different combinations of anterior temporalis (AT) and masseter palpation-induced pain in the diagnostic of temporomandibular disorder (TMD), primary headaches and bruxism. MATERIAL AND METHODS A total of 1200 dental records of orofacial pain adult patients were analyzed. The outcomes were dichotomously classified (presence/absence) as following: a) AT and/or masseter palpation-induced pain; b) myogenous TMD; c) temporomandibular joint (TMJ) arthralgia (arthrogenous TMD); d) migraine; e) tension-type headache (TTH); f) self-reported bruxism. Binomial logistic regression model (α = 5%) was applied to the data considering the palpation-induced muscle pain as the dependent variable. RESULTS Mean age (SD) were 35.7 years (13.4) for 635 included dental records (83% females). Myogenous and arthrogenous TMD, migraine, TTH and bruxism were mainly associated with, respectively, masseter palpation-induced pain (p<0.001 - OR=5.77, 95%CI 3.86-8.62), AT or masseter palpation-induced pain (p<0.001 - OR=2.39, 95%CI 1.57-3.63), bilateral AT palpation-induced pain (p<0.001 - OR=2.67, 95%CI 1.64-4.32), masseter and AT palpation-induced pain (p=0.009 - OR=1.62, 95%CI 1.12-2.33) and bilateral masseter palpation-induced pain (p=0.01 - OR=1.74, 95%CI 1.13-2.69). CONCLUSIONS Palpation-induced pain in the masticatory muscles may play a role in the differential diagnosis among painful TMD, primary headaches and bruxism.
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Affiliation(s)
- Yuri-Martins Costa
- Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University, Vennelyst Boulevard, 9, 8000 Aarhus C, Aarhus, Denmark,
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2042
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Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis. Phys Ther 2016; 96:9-25. [PMID: 26294683 PMCID: PMC4706597 DOI: 10.2522/ptj.20140548] [Citation(s) in RCA: 174] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Accepted: 08/01/2015] [Indexed: 12/20/2022]
Abstract
BACKGROUND Manual therapy (MT) and exercise have been extensively used to treat people with musculoskeletal conditions such as temporomandibular disorders (TMD). The evidence regarding their effectiveness provided by early systematic reviews is outdated. PURPOSE The aim of this study was to summarize evidence from and evaluate the methodological quality of randomized controlled trials that examined the effectiveness of MT and therapeutic exercise interventions compared with other active interventions or standard care for treatment of TMD. DATA SOURCES Electronic data searches of 6 databases were performed, in addition to a manual search. STUDY SELECTION Randomized controlled trials involving adults with TMD that compared any type of MT intervention (eg, mobilization, manipulation) or exercise therapy with a placebo intervention, controlled comparison intervention, or standard care were included. The main outcomes of this systematic review were pain, range of motion, and oral function. Forty-eight studies met the inclusion criteria and were analyzed. DATA EXTRACTION Data were extracted in duplicate on specific study characteristics. DATA SYNTHESIS The overall evidence for this systematic review was considered low. The trials included in this review had unclear or high risk of bias. Thus, the evidence was generally downgraded based on assessments of risk of bias. Most of the effect sizes were low to moderate, with no clear indication of superiority of exercises versus other conservative treatments for TMD. However, MT alone or in combination with exercises at the jaw or cervical level showed promising effects. LIMITATIONS Quality of the evidence and heterogeneity of the studies were limitations of the study. CONCLUSIONS No high-quality evidence was found, indicating that there is great uncertainty about the effectiveness of exercise and MT for treatment of TMD.
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Affiliation(s)
- Susan Armijo-Olivo
- S. Armijo-Olivo, PT, BScPT, MScPT, PhD, Department of Physical Therapy, Faculty of Rehabilitation Medicine, 3-48 Corbett Hall, University of Alberta, Edmonton, Alberta, Canada T6G 2G4.
| | - Laurent Pitance
- L. Pitance, PT, MT, PhD, Université Catholique de Louvain-Institute of Neuroscience, Brussels, Belgium, and Stomatology and Maxillofacial Surgery Department, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Vandana Singh
- V. Singh, DDS, MS, MSc, Department of Dentistry, Faculty of Medicine, TMD/Orofacial Pain Clinic, Kaye Edmonton Clinic, Edmonton, Alberta, Canada
| | - Francisco Neto
- F. Neto, PT, FisioNeto-Terapia Manual Ortopédica and Pilates Clínico, Póvoa de Varzim, Portugal
| | - Norman Thie
- N. Thie, BSc, MSc, MMSc, DDS, School of Dentistry, Faculty of Medicine and Dentistry, TMD/Orofacial Pain Graduate Program, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
| | - Ambra Michelotti
- A. Michelotti, BSc, DDS, Orthodontic Post-Graduate Program and TMD/Orofacial Pain Master Program, School of Medicine Federico II-Dental School, Naples, Italy
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2043
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Hara K, Shinozaki T, Okada-Ogawa A, Matsukawa Y, Dezawa K, Nakaya Y, Chen JY, Noma N, Oka S, Iwata K, Imamura Y. Headache attributed to temporomandibular disorders and masticatory myofascial pain. J Oral Sci 2016; 58:195-204. [DOI: 10.2334/josnusd.15-0491] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Kazuhiko Hara
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
| | - Takahiro Shinozaki
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
- Division of Clinical Research, Dental Research Center, Nihon University School of Dentistry
| | - Akiko Okada-Ogawa
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
- Division of Clinical Research, Dental Research Center, Nihon University School of Dentistry
| | - Yumiko Matsukawa
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
| | - Ko Dezawa
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
| | - Yuka Nakaya
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
| | - Jui-Yen Chen
- Department of Physiology, Nihon University School of Dentistry
| | - Noboru Noma
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
- Division of Clinical Research, Dental Research Center, Nihon University School of Dentistry
| | - Shunichi Oka
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
- Department of Anesthesiology, Nihon University School of Dentistry
| | - Koichi Iwata
- Department of Physiology, Nihon University School of Dentistry
| | - Yoshiki Imamura
- Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
- Division of Orofacial Pain Clinic, Nihon University Dental Hospital
- Division of Clinical Research, Dental Research Center, Nihon University School of Dentistry
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2044
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da Silva CG, Pachêco-Pereira C, Porporatti AL, Savi MG, Peres MA, Flores-Mir C, Canto GDL. Prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents. J Am Dent Assoc 2016; 147:10-18.e8. [DOI: 10.1016/j.adaj.2015.07.017] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 06/13/2015] [Accepted: 07/19/2015] [Indexed: 10/22/2022]
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2045
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Ghurye S, McMillan R. Pain-Related Temporomandibular Disorder - Current Perspectives and Evidence-Based Management. ACTA ACUST UNITED AC 2015; 42:533-6, 539-42, 545-6. [PMID: 26506809 DOI: 10.12968/denu.2015.42.6.533] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Pain-related temporomandibular disorder (TMD) is one of the top three most common chronic pain conditions, along with headaches and back pain. TMD has complex pathophysiology and significant associations with a variety of other chronic pain conditions, eg fibromyalgia, irritable bowel syndrome and migraine. Chronic TMD is associated with a negative impact upon quality of life and high levels of healthcare utility. It is important that clinicians are able to diagnose TMD correctly, provide appropriate management in keeping with current evidence-based practice, and identify when to refer patients to specialist care. The presence of risk factors, eg anxiety, depression, pain-related disability and chronic pain conditions elsewhere in the body, may help to identify which TMD patients require referral for multidisciplinary management. TMD should be managed using a holistic approach, incorporating patient education and encouragement towards self-management. TMD care pathways should consider using the three'pillars'of pain management: physical therapies, pharmacotherapy and clinical psychology.
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2046
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Wieckiewicz M, Boening K, Wiland P, Shiau YY, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain 2015; 16:106. [PMID: 26644030 PMCID: PMC4671990 DOI: 10.1186/s10194-015-0586-5] [Citation(s) in RCA: 151] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 11/28/2015] [Indexed: 02/03/2023] Open
Abstract
Background Pain related to temporomandibular disorders (TMD) is a common problem in modern societies. The aim of the article is to present the concepts of TMD pain clinical management. Methods A survey was performed using the PubMed, SCOPUS and CINAHL databases for documents published between 1994 and 2014. The following search keywords were selected using MeSH terms of the National Library of Medicine in combination: TMD pain, TMD, TMJ, TMJ disorders, occlusal splint, TMD physiotherapy, TMJ rheumatoid disorders and TMJ surgery. Original articles and review papers which presented the clinical relevance and practical validity regarding the possibility of application in TMD management have been included. Authors have excluded articles without outstanding practical aspect and evidence-based background. A first selection was carried out by reviewing titles and abstracts of all articles found according to the criteria. After that the full texts of potentially suitable articles were assessed. In line with these criteria, among 11467 results the writers have included 66 papers. Results The most commonly reported conservative treatments are massage therapy and individually fabricated occlusal splints. In addition to massage, other popular methods include manual therapy and taping, warming/cooling of aching joints, and light and laser therapy. Drugs are also commonly used. In the most severe cases of the temporomandibular joint degeneration, surgical restoration of the joint is sometimes applied. Conclusions The authors concluded that conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others should be considered as a first choice therapy for TMD pain because of their low risk of side effects. In the case of severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration pharmacotherapy, minimally invasive and invasive procedures should be considered.
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Affiliation(s)
- Mieszko Wieckiewicz
- Department of Prosthetic Dentistry, Faculty of Dentistry, Wroclaw Medical University, 26 Krakowska St., 50425, Wroclaw, Poland.
| | - Klaus Boening
- Department of Prosthetic Dentistry, Faculty of Medicine, Dresden University of Technology, Fetscherstrasse 74, 01307, Dresden, Germany.
| | - Piotr Wiland
- Department and Clinic of Rheumatology and Internal Medicine, Faculty of Medicine, Wroclaw Medical University, 213 Borowska St., 50556, Wroclaw, Poland.
| | - Yuh-Yuan Shiau
- Department of Prosthetic Dentistry, School of Dentistry, National Taiwan University, 1 Changde St., 100, Taipei City, Taiwan.
| | - Anna Paradowska-Stolarz
- Department of Maxillofacial Orthopedics and Orthodontics, Faculty of Dentistry, Wroclaw Medical University, 26 Krakowska St., 50425, Wroclaw, Poland.
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2047
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Visscher CM, Lobbezoo F. The evolution of thinking about temporomandibular pain. J Am Dent Assoc 2015; 146:925-6. [PMID: 26610838 DOI: 10.1016/j.adaj.2015.01.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2015] [Accepted: 01/18/2015] [Indexed: 11/16/2022]
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2048
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Clinical predictors of temporomandibular joint arthritis in juvenile idiopathic arthritis: A systematic literature review. Semin Arthritis Rheum 2015; 45:717-32. [PMID: 26708936 DOI: 10.1016/j.semarthrit.2015.11.006] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Revised: 10/25/2015] [Accepted: 11/18/2015] [Indexed: 12/30/2022]
Abstract
AIM To assess the level of evidence for subjective and objective parameters in clinical orofacial examination and determine if predictors for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA) patients exist in the current literature. METHOD A comprehensive systematic electronic search strategy was performed in all major medical databases in June 2015. Studies were selected independently by two reviewers in accordance with a prespecified protocol and a risk of bias assessment for all included studies. Subjective examination outcome measures assessed were pain, decreased TMJ function, and TMJ sounds. The objective outcome measures assessed were maximal incisor opening, mandibular asymmetric opening, condylar translation, protrusion, myofascial pain on palpation, facial asymmetry, and micro- or retrognathism. RESULTS The electronic database search identified 345 unique citations. After application of our strict, predefined inclusion and exclusion criteria, 21 articles were included and data extracted. The study heterogeneity did not allow for meta-analyses. No singular outcome measure can be suggested as a predictor of TMJ involvement in JIA, as sensitivity and/or specificity is too low compared to contrast-enhanced magnetic resonance imaging. CONCLUSION The current low level of evidence and study heterogeneity do not allow us to conclude on singular clinical outcome measures. To increase study comparability, we call for a standardized terminology and evidence-based guidelines for clinical orofacial examination parameters in JIA patients.
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2049
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Palinkas M, De Luca Canto G, Rodrigues LAM, Bataglion C, Siéssere S, Semprini M, Regalo SCH. Comparative Capabilities of Clinical Assessment, Diagnostic Criteria, and Polysomnography in Detecting Sleep Bruxism. J Clin Sleep Med 2015; 11:1319-25. [PMID: 26235152 DOI: 10.5664/jcsm.5196] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 06/18/2015] [Indexed: 01/16/2023]
Abstract
OBJECTIVE To evaluate the diagnostic capability of signs and symptoms of sleep bruxism (SB) as per the American Academy of Sleep Medicine (AASM) criteria and a diagnostic grading system proposed by international experts for assessing SB. METHODS The study was conducted in three phases (interview, physical examination, and sleep studies). Subjects were asked about self-reported tooth grinding sounds occurring during sleep, muscle fatigue, temporal headaches, jaw muscle pain, and jaw locking. A visual examination was conducted to check for presence of abnormal tooth wear. A full-night polysomnography (PSG) was performed. After three phases, the subjects were divided into two groups matched by age and gender: Case Group, 45 SB subjects, and Control Group, 45 non-SB subjects. Diagnostic accuracy measurements were calculated for each sign or symptom individually and for the two diagnostic criteria analyzed. RESULTS Muscle fatigue, temporal headaches, and AASM criteria were associated with highest sensitivity (78%, 67%, 58%, respectively) and also with highest diagnostic odds ratio (OR = 9.63, 9.25, 6.33, respectively). Jaw locking, muscle pain, and the criterion of "probable SB" were associated with the worst sensitivity (16%, 18%, 22%, respectively). CONCLUSIONS Presence of muscle fatigue and temporal headaches can be considered good tools to screen SB patients. None of the diagnostic criteria evaluated was able to accurately identify patients with SB. AASM criteria had the strongest diagnostic capabilities and--although they do not attain diagnostic values high enough to replace the current gold standard (PSG)--should be used as a screening tool to identify SB.
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Affiliation(s)
- Marcelo Palinkas
- Department of Morphology, Physiology and Basic Pathology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Graziela De Luca Canto
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil.,Department of Dentistry, University of Alberta, Edmonton, Canada
| | - Laíse Angélica Mendes Rodrigues
- Department of Morphology, Physiology and Basic Pathology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - César Bataglion
- Department of Restorative Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Selma Siéssere
- Department of Morphology, Physiology and Basic Pathology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Marisa Semprini
- Department of Morphology, Physiology and Basic Pathology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Simone Cecilio Hallak Regalo
- Department of Morphology, Physiology and Basic Pathology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil
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2050
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Camino Junior R, Manzi MR, Carvalho MFD, Luz JGDC, Pimentel AC, Deboni MCZ. Manual reduction of articular disc after traumatic extraction of mandibular third molar: a case report. Dental Press J Orthod 2015; 20:101-7. [PMID: 26560828 PMCID: PMC4644926 DOI: 10.1590/2177-6709.20.5.101-107.oar] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 12/20/2015] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Disc displacement without reduction with limited opening is an intracapsular biomechanical disorder involving the condyle-disc complex. With the mouth closed, the disc is in an anterior position in relation to the condylar head and does not reduce with mouth opening. This disorder is associated with persistent limited mandibular opening. CASE REPORT The patient presented severe limitation to fully open the mouth, interfering in her ability to eat. Clinical examination also revealed maximum assisted jaw opening (passive stretch) with less than 40 mm of maximum interincisal opening. Magnetic resonance imaging was the method of choice to identify the temporomandibular disorders. CONCLUSION By means of reporting this rare case of anterior disc displacement without reduction with limited opening, after traumatic extraction of a mandibular third molar, in which manual reduction of temporomandibular joint articular disc was performed, it was possible to prove that this technique is effective in the prompt restoration of mandibular movements.
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Affiliation(s)
| | | | | | - João Gualberto de Cerqueira Luz
- Department of Oral and Maxillofacial Surgery and Traumatology, School of Dentistry, Universidade de São Paulo, São Paulo, São Paulo, Brazil
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