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Dunning J, Butts R, Bliton P, Vathrakokoilis K, Smith G, Lineberger C, Eshleman N, Fernández-de-Las-Peñas C, Young IA. Dry needling and upper cervical spinal manipulation in patients with temporomandibular disorder: A multi-center randomized clinical trial. Cranio 2024; 42:809-822. [PMID: 35412448 DOI: 10.1080/08869634.2022.2062137] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To compare the effects of dry needling and upper cervical spinal manipulation with interocclusal splint therapy, diclofenac, and temporomandibular joint (TMJ) mobilization in patients with temporomandibular disorder (TMD). METHODS One hundred-twenty patients with TMD were randomized to receive six treatment sessions of dry needling plus upper cervical spinal manipulation (n = 62) or interocclusal splint therapy, diclofenac, and joint mobilization to the TMJ (n = 58). RESULTS Patients receiving dry needling and upper cervical spinal manipulation experienced significantly greater reductions in jaw pain intensity over the last 7 days (VAS: F = 23.696; p < 0.001) and active pain-free mouth opening (F = 29.902; p < 0.001) than those receiving interocclusal splint therapy, diclofenac, and TMJ mobilization at the 3-month follow-up. CONCLUSION Dry needling and upper cervical spinal manipulation was more effective than interocclusal splint therapy, diclofenac, and TMJ mobilization in patients with TMD.
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Affiliation(s)
- James Dunning
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain
- American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL, USA
- Montgomery Osteopractic Physical Therapy & Acupuncture Clinic, Montgomery, AL, USA
| | - Raymond Butts
- American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL, USA
- Research Physical Therapy Specialists, Columbia, SC, USA
| | - Paul Bliton
- American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL, USA
- Athletico Physical Therapy, Roscoe, IL, USA
| | | | - Grant Smith
- Advanced Manual Therapies, Alpharetta, GA, USA
| | | | - Noah Eshleman
- Peak Physical Therapy & Sports Rehab, Helena, MT, USA
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain
- Ejercicio, Universidad Rey Juan CarlosCátedra de Clínica, Investigación y Docencia en Fisioterapia: Terapia Manual, Punción Seca y, Alcorcón, Spain
| | - Ian A Young
- American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL, USA
- Tybee Wellness & Osteopractic, Tybee Island, GA, USA
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Bagherimalamiri N, Orakifar N, Malehi AS, Esfandiarpour F. The Relationships Between Psychosocial Factors and Short-Term Treatment Outcomes of Massage Therapy in Patients with Myogenic Temporomandibular Disorders: A Single-Arm Preliminary Study. Int J Ther Massage Bodywork 2024; 17:5-14. [PMID: 39267897 PMCID: PMC11329287 DOI: 10.3822/ijtmb.v17i3.1015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2024] Open
Abstract
Background Massage therapy is included as part of a comprehensive treatment plan for patients with temporomandibular disorders (TMDs). However, it displayed varying degrees of success. Preexisting psychosocial impairments may be one of the possible factors affecting the treatment response. This preliminary study aimed to investigate the relationships between psychological factors and treatment outcomes of massage therapy in myogenous TMD patients. Methods Twenty-two myogenous TMD patients were enrolled in this single-arm preliminary study. Baseline psychosocial assessment was done using self-report measures associated with chronic pain severity, depression, anxiety, and non-specific physical symptoms. Massage therapy including the intraoral and extraoral massage of the face and neck muscles was performed twice a week for 4 weeks. Pain intensity and quality of life related to oral health were evaluated as treatment outcomes before and immediately after eight sessions of massage therapy. Results Regression analyses showed a significant effect of depression on changes in the quality of life after massage (β = 0.35, p-value = 0.026). In addition, results showed a significant effect of chronic pain severity on changes in the pain intensity following massage (β = 1.50, p-value = 0.027). Conclusion Our findings suggested that psychosocial characteristics of myogenous TMD patients should be considered as important factors that may adversely affect pain intensity reduction and quality-of-life improvement after short-term massage therapy.
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Affiliation(s)
- Nazanin Bagherimalamiri
- Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Student Research Committee, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Neda Orakifar
- Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Amal Saki Malehi
- Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Schipper JAM, Tuin AJ, van Dongen JA, van Bakelen NB, Harmsen MC, Spijkervet FKL. Intra-Articular Injection of Adipose-Derived Stromal Vascular Fraction in Osteoarthritic Temporomandibular Joints: Study Design of a Randomized Controlled Clinical Trial. Bioengineering (Basel) 2024; 11:171. [PMID: 38391657 PMCID: PMC10886020 DOI: 10.3390/bioengineering11020171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/01/2024] [Accepted: 02/07/2024] [Indexed: 02/24/2024] Open
Abstract
INTRODUCTION Temporomandibular joint (TMJ) osteoarthritis is a degenerative disease of the TMJ. It is characterized by progressive degradation of the extracellular matrix components of articular cartilage, with secondary inflammatory components leading to pain in the temporomandibular region and reduced mouth opening. Current treatments do not halt disease progression, hence the need for new therapies to reduce inflammation and, consequently, improve symptoms. The aim of our randomized controlled clinical trial protocol is to investigate the efficacy of adjuvant intra-articular injections of autologous tissue-like stromal vascular fraction (tSVF), compared to arthrocentesis alone, in reducing pain and improving mouth opening in TMJ osteoarthritis patients. MATERIALS AND METHODS The primary endpoint analysis will consist of the visual analogue scale (VAS) for pain. The secondary endpoint analyses will include maximal interincisal mouth opening measurements; assessment of oral health and mandibular function based on the oral health impact profile (OHIP) questionnaire and mandibular functional impairment questionnaire (MFIQ); complications during the follow up; synovial cytokine analysis at baseline and after 26 weeks; and nucleated cells and tSVF (immuno)histochemistry analyses of the intervention group. DISCUSSION Our randomized clinical trial protocol will be applied to evaluate the efficacy of a new promising tSVF injection therapy for TMJ osteoarthritis. The safety of intra-articular injections of tSVF has been proven for knee osteoarthritis. However, since a tSVF injection is considered a heterologous application of cell therapy, the regulatory requirements are strict, which makes medical ethical approval challenging.
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Affiliation(s)
- Jan Aart M Schipper
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands
| | - Aartje Jorien Tuin
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands
| | - Joris A van Dongen
- Department of Plastic Surgery, University Medical Center Utrecht, University of Utrecht, 3584 Utrecht, The Netherlands
- Department of Pathology & Medical Biology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Nico B van Bakelen
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands
| | - Martin Conrad Harmsen
- Department of Pathology & Medical Biology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Fred K L Spijkervet
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands
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Gupta AK, Gupta R, Tiwari B, Verma K. Effect of a centric stabilization splint on masticatory muscles in patients with temporomandibular disorders: An electromyographic study. J Indian Prosthodont Soc 2024; 24:76-81. [PMID: 38263561 PMCID: PMC10896315 DOI: 10.4103/jips.jips_431_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 12/26/2023] [Accepted: 12/27/2023] [Indexed: 01/25/2024] Open
Abstract
AIM Occlusal splint treatment is commonly used to treat a variety of temporomandibular disorders (TMDs), with efficacy ranging between 70% and 90%. Centric splints are effective in relieving muscular soreness in individuals with TMD. Electromyography (EMG) quantifies muscle activity and can be used as an accessory diagnostic tool to evaluate the efficiency of the splint on the masticatory complex. Electromyography is used for assessing patients with TMD and observing muscle electromyography. TMD patients have altered electromyographic (EMG) masticatory muscle activity because of its change in electrical activity index or because of the compensatory mechanism for the disorder. Therefore, this study serves to evaluate the efficacy of the centric stabilization splint on TMD using EMG. SETTINGS AND DESIGN This cross-sectional study enrolled Ten TMD Patients with TMD, who underwent treatment with centric stabilization splint. MATERIALS AND METHODS The study involved ten young adults with TMD aged 18-45 years who were recruited without regard to sex, religion, caste, or socioeconomic background. The participants were randomized to receive a flat-contact upper stabilization splint and pregelled EMG electrodes to assess the immediate impact of centric splints on TMDs. After 3 months of follow-up, muscle activity and muscle symmetrical activity were measured to assess improvement in the symptoms of TMD. STATISTICAL ANALYSIS USED The Shapiro-Wilk test was used to assess the normality of the variables' distribution using SPSS 26.0. Symmetrical activity and treatment response were investigated using the Wilcoxon signed-rank test. RESULTS It showed an improvement in the temporalis, masseter, and sternocleidomastoid muscles' resting EMG activity. A statistically significant improvement was seen in the EMG activity of the bilateral temporalis, right masseter, right sternocleidomastoid, and left digastric muscles while clenching. The masseter, sternocleidomastoid, and digastric muscles all displayed significantly enhanced symmetrical activity (P < 0.05). CONCLUSIONS This research concludes that a centric stabilizing splint assists in relieving TMD symptoms. There was enhanced masticatory muscle activity both at rest and during function. Furthermore, there was an improvement in symmetrical activity of the masticatory muscles, which improved balance and enhanced the effective functioning of the masticatory complex.
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Affiliation(s)
- Abhishek Kumar Gupta
- Department of Prosthodontics, Crown and Bridge, ESIC Dental College and Hosital, New Delhi, India
| | - Rekha Gupta
- Department of Prosthodontics, Crown and Bridge, ESIC Dental College and Hosital, New Delhi, India
| | - Bhawana Tiwari
- Department of Prosthodontics, Crown and Bridge, ESIC Dental College and Hosital, New Delhi, India
| | - Kirti Verma
- Department of Prosthodontics, Crown and Bridge, ESIC Dental College and Hosital, New Delhi, India
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Auricular acupuncture in TMD — A sham-controlled, randomized, clinical trial. Complement Ther Clin Pract 2022; 48:101569. [DOI: 10.1016/j.ctcp.2022.101569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/22/2021] [Accepted: 02/24/2022] [Indexed: 11/21/2022]
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Gupta AK, Gupta R, Gill S. Effectiveness of Vitamin D along with Splint therapy in the Vit D deficient patients with Temporomandibular disorder-A Randomized, double-blind, placebo-controlled clinical trial. J Indian Prosthodont Soc 2022; 22:65-73. [PMID: 36510949 PMCID: PMC8884346 DOI: 10.4103/jips.jips_334_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Aim The purpose of this study is to comparatively evaluate the Vitamin D supplementation and stabilization splint therapy in patients exhibiting temporomandibular disorders (TMD). Settings and Design The study design was double-blinded, parallel-group, randomized and placebo-controlled trial conducted in patients with low Vitamin D and TMDs, which were allocated to two groups, Study group S + D (Stabilization splint with Vitamin D supplementation) and Control Group S (Stabilization Splint with placebo drug). Subjects and Methods Thirty-six participants of 18-45 years of age gap with Vitamin D deficiency and TMD were included in the study. Preoperative values of Vitamin D levels in ng/ml, comfort mouth opening (CMO) in mm, maximum mouth opening (MMO) in mm, temporomandibular joint (TMJ) tenderness (grading 0-3), Visual analog scale score (VAS Score 0-10 cm), and total energy (TE) integral values of both left and right TMJ's in Hertz (Hz) were recorded using joint vibration analysis All the values of CMO, MMO, TMJ Tenderness and VAS were recorded at each follow-up at 1st week, 1st month, 2nd month, and 3rd month, respectively. Postoperative Vitamin D levels and TE of both TMJs were recorded at end of 3 months. Statistical Analysis Used For intergroup comparison, Mann-Whitney U-test and Pearson Chi-square tests were done. For Intragroup comparison, Wilcoxon signed rank test was used for comparison. Results In Intergroup comparison, a significant difference was seen in CMO, VAS score and MMO (P < 0.05) but not among mean values of TE of right and left TMJ, and Vitamin D levels (P < 0.05). In both groups, there were significant statistical variations in CMO, VAS score, MMO, and TE integral before and after treatment in the right and left TMJs (P < 0.05). Conclusions The study concludes centric stabilization splint helps in improving symptoms of TMD patients and Vitamin D supplementation provided faster relief in those cases.
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Affiliation(s)
- Abhishek Kumar Gupta
- Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India,Address for correspondence: Dr. Abhishek Kumar Gupta, Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi - 110 002, India. E-mail:
| | - Rekha Gupta
- Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Shubhra Gill
- Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
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Almansa Ruiz JC, Kirberger RM, Steenkamp G. Temporomandibular joint injections in dogs with temporomandibular joint pain: 11 cases (2015-2019). J Small Anim Pract 2020; 62:33-41. [PMID: 33145802 DOI: 10.1111/jsap.13251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 09/20/2020] [Accepted: 09/28/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVES To describe and evaluate the clinical application of temporomandibular joint injections using betamethasone and ropivacaine in German Shepherd dogs suffering from non-odontogenic orofacial pain due to temporomandibular dysplasia and/or osteoarthritis. MATERIALS AND METHODS Outcomes in dogs presented with clinical signs of non-odontogenic orofacial pain associated to temporomandibular joint dysplasia and/or arthritis and treated with a temporomandibular joint injection were retrospectively-prospectively evaluated. RESULTS The overall clinical signs free period ranged between 25 to 1579 days, with an average of 461 days. The clinical signs free period for temporomandibular joint osteoarthritis scores 1, 2 and 3 were on average 659 days (180-1579 days), 134 days (42-355 days) and 723 days (25-1377 days), respectively. Similarly the temporomandibular dysplasia scores 1, 2 and 3 were on average 306 days (26-1579 days), 1377 days and 669 days (25-1429 days) respectively. Those dogs in which only one side was injected the clinical signs free period average was 639 days (25-1578 days), compared with dogs in which both temporomandibular joints were injected showing a clinical signs free period average of 378 days (42-1377 days). CLINICAL SIGNIFICANCE The temporomandibular joint injection technique proved to be feasible with a decent outcome in dogs suffering from non-odontogenic orofacial pain associated with temporomandibular joint osteoarthritis and/or dysplasia. Further randomised studies are required to confirm the effectiveness of this intervention.
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Affiliation(s)
- J C Almansa Ruiz
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Old Soutpan Rd, Onderstepoort, Pretoria, 0110, South Africa
| | - R M Kirberger
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Old Soutpan Rd, Onderstepoort, Pretoria, 0110, South Africa
| | - G Steenkamp
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Old Soutpan Rd, Onderstepoort, Pretoria, 0110, South Africa
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Viziano A, Micarelli A, Carlino P, Granito I, Alessandrini M. Bridging the gap between temporomandibular disorders, static balance impairment and cervicogenic dizziness: Posturographic and clinical outcomes. J Electromyogr Kinesiol 2020; 54:102455. [PMID: 32795906 DOI: 10.1016/j.jelekin.2020.102455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/22/2020] [Accepted: 08/01/2020] [Indexed: 10/23/2022] Open
Abstract
Several studies have investigated the possible influence of temporomandibular disorders (TMD) on body posture and whether cervical spine disorders, such as cervicogenic dizziness (CGD) could play an additional role in affecting static balance. The purpose of this study was to analyze static postural behavior by means of static posturography, in patients affected by either TMD or CGD alone or by both conditions, and to compare findings with a group of healthy subjects. Significant changes in posturographic parameters were found among the three groups of patients and when compared with controls. When the three study groups were compared to each other, subjects affected by a combination of TMD and CGD showed worse postural performances with respect to subjects affected by CGD or TMD alone. Correlations with self-perceived dizziness, anxiety, depression and jaw functionality, investigated by means of validated questionnaires, were found among all patient groups. These results provide new evidences for the presence of static balance alterations in patients suffering from TMD with and without associated cervical spine impairment, by using a reliable diagnostic technique. Further studies are needed in order to identify any causal relation between these two disorders.
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Affiliation(s)
- Andrea Viziano
- University of Rome Tor Vergata, Department of Clinical Sciences and Translational Medicine, Italy.
| | - Alessandro Micarelli
- ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy; Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy
| | - Pasquale Carlino
- ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Ivan Granito
- ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Marco Alessandrini
- University of Rome Tor Vergata, Department of Clinical Sciences and Translational Medicine, Italy
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Micarelli A, Viziano A, Granito I, Micarelli RX, Augimeri I, Alessandrini M. Temporomandibular disorders and cervicogenic dizziness: Relations between cervical range of motion and clinical parameters. Cranio 2020; 40:348-357. [PMID: 32544368 DOI: 10.1080/08869634.2020.1780772] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To analyze the cervical range of motion (CROM) and clinical parameters in patients affected by myogenous temporomandibular disorders (TMD), cervicogenic dizziness (CGD), both TMD and CGD (TMD/CGD), and a group of healthy subjects (HS). METHODS CROM degrees, Dizziness Handicap Inventory (DHI), Tampa Scale for Kinesiophobia (TSK-17), Hospital Anxiety and Depression Scale (HADS), and Jaw Functional Limitation Scale 20 (JFLS-20) scores were compared between 46 TMD patients, 49 CGD subjects, 43 TMD/CGD patients, and 98 HS. RESULTS TMD/CGD and CGD patients demonstrated significantly lower CROM degrees and higher DHI, TSK-17, and HADS values when compared to TMD patients. TMD/CGD and TMD patients demonstrated higher JFLS-20 values when compared to CGD and HS. Significant negative correlations were found in TMD/CGD and TMD patients between JFLS-20 and CROM in flexion and extension. DISCUSSION Present findings demonstrated a relation between spine movement impairment and TMD.
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Affiliation(s)
- Alessandro Micarelli
- Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.,Dental and Rehabilitation Department, ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Andrea Viziano
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Ivan Granito
- Dental and Rehabilitation Department, ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Riccardo Xavier Micarelli
- Dental and Rehabilitation Department, ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Ivan Augimeri
- Dental and Rehabilitation Department, ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Marco Alessandrini
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
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Almashraqi A, Ahmed EA, Mohamed NS, Al-Maweri SA, Halboub ES. Evaluation of the effects of chronic qat chewing on lateral pterygoid muscle using MRI. Cranio 2019; 40:135-143. [DOI: 10.1080/08869634.2019.1703160] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- A.A. Almashraqi
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Oral Radiology, Faculty of Dentistry, Ibb University, Ibb, Republic of Yemen
| | - Eman A. Ahmed
- Department of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
- Oral and Maxillofacial Radiology Department, Faculty of Oral and Dental Surgery, Misr University for Science and Technology, Giza, Egypt
| | - Nashwa S. Mohamed
- Department of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
- Department of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt
| | - Sadeq A. Al-Maweri
- Department of Oral Medicine and Diagnostic Sciences, Al-Farabi Colleges, Riyadh, Saudi Arabia
- Department of Oral Medicine and Diagnosis, Faculty of Dentistry, Sana’a University, Sana’a, Yemen
| | - Esam S. Halboub
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Oral Medicine and Diagnosis, Faculty of Dentistry, Sana’a University, Sana’a, Yemen
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Mobilio N, Iovino P, Bruno V, Catapano S. Severity of irritable bowel syndrome in patients with temporomandibular disorders: A case-control study. J Clin Exp Dent 2019. [PMID: 31636872 DOI: 10.4317/jced.55649.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background To assess the risk and severity of IBS in a population of TMD patients. Material and Methods Subjects for the study group were recruited from patients attending the Dental Clinic. Health controls (HC) were recruited among patients' friends and clinic staff. All subjects filled in the RDC/TMD questionnaire and the ROME III questionnaire for the diagnosis of IBS. The IBS Severity Scoring System (IBS-SSS) was used to evaluate the severity of each case of IBS. Categorical variables were compared through the Chi square test. The risk of having abdominal pain was analysed using logistic regression. Results Twenty-two (46.8%) cases of IBS were diagnosed among TMD patients, whereas only 4 (11.4%) were in the HC group. This difference was statistically significant (χ2(1)=11.6; p<.01). The differences in the distribution of IBS-SSS were statistically significant (χ2(3)=12.49; p<.05). The regression model resulted statistically significant (χ2(5)=24.08; p<.001, R2=.37): abdominal pain was significantly related to nonspecific physical symptoms independent of the other variables. Conclusions TMD patients had a greater risk of having IBS compared to HC. TMD patients presented also more severe form of IBS than HC. Key words:Temporomandibular disorders, irritable bowel syndrome, facial pain, case-control study.
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Affiliation(s)
- Nicola Mobilio
- DDS, Research Assistant, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
| | - Paola Iovino
- MD, Associate Professor, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, v. S. Allende, Baronissi, 84084 Salerno, Italy
| | - Vincenzo Bruno
- MD, DDS, Lecturer, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
| | - Santo Catapano
- MD, DDS, Associate Professor, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
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Mobilio N, Iovino P, Bruno V, Catapano S. Severity of irritable bowel syndrome in patients with temporomandibular disorders: A case-control study. J Clin Exp Dent 2019; 11:e802-e806. [PMID: 31636872 PMCID: PMC6797452 DOI: 10.4317/jced.55649] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 04/13/2019] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND To assess the risk and severity of IBS in a population of TMD patients. MATERIAL AND METHODS Subjects for the study group were recruited from patients attending the Dental Clinic. Health controls (HC) were recruited among patients' friends and clinic staff. All subjects filled in the RDC/TMD questionnaire and the ROME III questionnaire for the diagnosis of IBS. The IBS Severity Scoring System (IBS-SSS) was used to evaluate the severity of each case of IBS. Categorical variables were compared through the Chi square test. The risk of having abdominal pain was analysed using logistic regression. RESULTS Twenty-two (46.8%) cases of IBS were diagnosed among TMD patients, whereas only 4 (11.4%) were in the HC group. This difference was statistically significant (χ2(1)=11.6; p<.01). The differences in the distribution of IBS-SSS were statistically significant (χ2(3)=12.49; p<.05). The regression model resulted statistically significant (χ2(5)=24.08; p<.001, R2=.37): abdominal pain was significantly related to nonspecific physical symptoms independent of the other variables. CONCLUSIONS TMD patients had a greater risk of having IBS compared to HC. TMD patients presented also more severe form of IBS than HC. Key words:Temporomandibular disorders, irritable bowel syndrome, facial pain, case-control study.
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Affiliation(s)
- Nicola Mobilio
- DDS, Research Assistant, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
| | - Paola Iovino
- MD, Associate Professor, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, v. S. Allende, Baronissi, 84084 Salerno, Italy
| | - Vincenzo Bruno
- MD, DDS, Lecturer, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
| | - Santo Catapano
- MD, DDS, Associate Professor, Dental School, Dental Clinic, University of Ferrara, c.so Giovecca, 203, 44121 Ferrara, Italy
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Saczuk K, Lapinska B, Wilmont P, Pawlak L, Lukomska-Szymanska M. The Bruxoff Device as a Screening Method for Sleep Bruxism in Dental Practice. J Clin Med 2019; 8:jcm8070930. [PMID: 31261634 PMCID: PMC6678144 DOI: 10.3390/jcm8070930] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Revised: 06/22/2019] [Accepted: 06/26/2019] [Indexed: 12/30/2022] Open
Abstract
Sleep bruxism (SB) is a masticatory muscle activity during sleep and a common phenomenon. Severe SB can have a serious impact on the success of dental treatment. Reliable methods of screening and diagnosing patients with SB are crucial. Therefore, in this study, a Bruxoff device as a potential screening and diagnostic method for sleep bruxism was evaluated. A total of 60 adults participated in this study: 35 patients with symptoms of bruxism (study group) and 25 asymptomatic patients (control group). Data were recorded using Bruxoff. All symptomatic patients participating in the study turned out to be bruxers, while not all asymptomatic patients turned out to be non-bruxers according to the Bruxoff device. Bruxoff is a simple screening device that can be safely used to evaluate masseter muscle activity during sleep. Since the device does not have a built-in microphone and/or video camera and, therefore, cannot record grinding sounds, the objective capabilities of Bruxoff as a single diagnostic device for sleep bruxism are limited.
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Affiliation(s)
- Klara Saczuk
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
| | - Paulina Wilmont
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
| | - Lukasz Pawlak
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
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Mamidi SK, Klutcharch K, Rao S, Souza JCM, Mercuri LG, Mathew MT. Advancements in temporomandibular joint total joint replacements (TMJR). Biomed Eng Lett 2019; 9:169-179. [PMID: 31168422 DOI: 10.1007/s13534-019-00105-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 01/23/2019] [Accepted: 02/18/2019] [Indexed: 11/28/2022] Open
Abstract
The goal of this paper is to review the advantages and disadvantages of the various treatment options of temporomandibular joint (TMJ) total joint replacement (TJR). TMJ articles published within the last 20 years were reviewed to collect the information on non-invasive and invasive TMD treatment methods. Recent technological advancements helped the evolution of treatment methods and offered significant value to TMD patients and surgeons. Considering the TMD levels, the therapeutic procedures can involve general health examiniations, physical therapy, medication, oral rehabilation or as an end stage clinical invention, temporomandibular joint replacement. In fact when intra-articular TMD is present, the effective treatment method appears to be TJR. However, concern for infection, material hypersensitivity, device longevity and screws loosening issues still exists. Further combined research utilizing the knowledge and expertise of, surgeons, material scientists, and bioengineers is needed for the development of improved TMD therapeutic treatment.
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Affiliation(s)
- Siva Kumar Mamidi
- 1Department of Biomedical Science, School of Medicine, University of Illinois College of Medicine at Rockford, Rockford, IL 61107 USA
| | - Kristin Klutcharch
- 2Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612 USA
| | - Shradha Rao
- 1Department of Biomedical Science, School of Medicine, University of Illinois College of Medicine at Rockford, Rockford, IL 61107 USA
| | - Julio C M Souza
- 3Center for MicroElectroMechanical System (CMEMS-UMINHO), Universidade do Minho, 4800-058 Guimaraes, Portugal.,Department of Dental Sciences, University Institute of Health Science (IUCS-CESPU), 4800-058 Gandra, Portugal
| | - Louis G Mercuri
- 5Present Address: Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL 60612 USA.,TMJ Concepts, Ventura, CA USA
| | - Mathew T Mathew
- 1Department of Biomedical Science, School of Medicine, University of Illinois College of Medicine at Rockford, Rockford, IL 61107 USA.,2Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612 USA
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Soni A. Arthrocentesis of Temporomandibular Joint- Bridging the Gap Between Non-Surgical and Surgical Treatment. Ann Maxillofac Surg 2019; 9:158-167. [PMID: 31293946 PMCID: PMC6585213 DOI: 10.4103/ams.ams_160_17] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The temporomandibular joint forms one of the most fascinating and complex synovial joints in the body. Movements of the temporomandibular joint are regulated by an intricate neurological controlling mechanism, which is essential for the system to function normally and efficiently. Lack of such harmony may cause disruptive muscle behavior or structural damage to any of the components. The management of refractory pain and dysfunctions in the temporomandibular joint poses challenge both to the oral physician and maxillofacial surgeon. Arthrocentesis is a simple, minimally invasive technique that can be used instead of more invasive procedures in patients with pain that fails to respond to conventional conservative measures. This review provides a full comprehensive overview of the literature about the various technical and prognostic aspects in relation to arthrocentesis of the temporomandibular joint, and every clinician must take into account this consideration when performing this procedure in treating patients with temporomandibular disorders.
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Affiliation(s)
- Abhishek Soni
- Department of Oral Medicine and Radiology, Modern Dental College and Research Center, Indore, Madhya Pradesh, India
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16
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Rodrigues MDF, Rodrigues ML, Bueno KS, Aroca JP, Camilotti V, Busato MCA, Mendonça MJ. Effects of low-power laser auriculotherapy on the physical and emotional aspects in patients with temporomandibular disorders: A blind, randomized, controlled clinical trial. Complement Ther Med 2018; 42:340-346. [PMID: 30670264 DOI: 10.1016/j.ctim.2018.12.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 12/06/2018] [Accepted: 12/17/2018] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES This study evaluated the effects of low-power laser auriculotherapy (LA) on the physical and emotional symptoms of patients with temporomandibular disorders (TMDs), in comparison with occlusal splints (OS). DESIGN Randomized, blinded, prospective, non-inferiority clinical trial. INTERVENTIONS The patients received OS (control group) or LA (experimental group). MAIN OUTCOME MEASURES Following the Consolidated Standards of Reporting Trials (CONSORT) guidelines, patients with TMD were evaluated by using axes I and II of the Research Diagnostic Criteria for RDC-TMD. Both intra- and intergroup quantitative variables were analyzed with ANOVA (p < 0.05), while qualitative variables were analyzed with the Kruskal-Wallis (intergroup evaluations; p < 0.05) or Mann-Whitney tests (intragroup analyses; p < 0.05). RESULTS OS improved five physical symptoms of TMD (pain in the right temporal muscle, right and left masseter muscles, left joint, and left intraoral region), while LA improved six (jaw functioning; pain in left masseter muscle, right and left joints, and right and left intraoral regions). Similarly, OS improved seven emotional symptoms (degree of depression, degree of non-specific physical symptoms, excluding pain, degree of non-specific physical symptoms including pain, average pain value in the past 6 months, presence of depression, intensity and characteristics of pain, non-specific physical symptoms including pain), while LA improved five (degree of non-specific physical symptoms including pain, presence of depression, intensity and characteristics of pain, non-specific physical symptoms including pain, non-specific physical symptoms excluding pain). CONCLUSION LA improved the physical and emotional symptoms of TMD, with results similar to OS. CLINICAL RELEVANCE For the physical and emotional symptoms associated with TMD, LA showed similar outcomes as OS.
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Affiliation(s)
| | - Marisa Lupes Rodrigues
- Western State University of Paraná, Rua Universitária, 2069, Cascavel, PR, CEP 85.819-110, Brazil.
| | - Kimberly Suellen Bueno
- Western State University of Paraná, Rua Universitária, 2069, Cascavel, PR, CEP 85.819-110, Brazil.
| | - Janaina Paula Aroca
- Western State University of Paraná, Rua Universitária, 2069, Cascavel, PR, CEP 85.819-110, Brazil.
| | - Veridiana Camilotti
- Western State University of Paraná, Rua Universitária, 2069, Cascavel, PR, CEP 85.819-110, Brazil.
| | | | - Márcio José Mendonça
- Western State University of Paraná, Rua Universitária, 2069, Cascavel, PR, CEP 85.819-110, Brazil.
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Ahuja V, Ranjan V, Passi D, Jaiswal R. Study of stress-induced temporomandibular disorders among dental students: An institutional study. Natl J Maxillofac Surg 2018; 9:147-154. [PMID: 30546228 PMCID: PMC6251286 DOI: 10.4103/njms.njms_20_18] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Aim and Objectives: The aim and objectives of this study are to investigate the various types of stress-inducing factors, most prevalent etiological factor and to determine the correlation between stress and temporomandibular disorders (TMDs) in Dental students in Modinagar, Ghaziabad, Uttar Pradesh. Materials and Methods: A sample of 450 students were selected for the study divided into two groups of undergraduate (UG) and postgraduate (PG) students further subdivided into UG (1st, 2nd, 3rd, and 4th, interns) and PG (1st, 2nd, 3rd year). Study includes clinical evaluation of temporomandibular joint (TMJ) system (TMJ sounds, muscles of mastications, mouth opening, and range of mandibular motion) and questionnaire which covers demographic data (i.e., age, sex, and academic year), TMD symptoms and TMD signs along with standardized scales related to stress dental environmental stress scale and perceived stress scale (PSS). Results: Most of the students included into study are mostly of 21–25 years of age (64.3%), males (52.7%), females 47.3% with more number of UGs (91.4%) predominantly 1st year students (23.9%). Headache was found to be the most prevalent TMD symptom (26.2%) followed by clicking (24.9%), pain on clicking (5.5%), jaw lock (3.4), and difficulty in mouth opening (0.9%). Clicking was found to be the most prevalent TMD sign (24.9%) among dental students followed by deviation (16.3%), muscle tenderness (14.3%), and TMJ pain (5.7%). The most prevalent TMD was disc displacement 22.6% followed by myofascial pain dysfunction syndrome (MPDS) with disc displacement (13.5%) and MPDS (3.8%). TMD was higher in UG females students of 21–-25 years of age group, dental environment stress scale score and PSS score shows statistically significant results. Conclusion: Stress is a significant etiologic factor involved in initiation and maintenance of TMDs in Dental students.
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Affiliation(s)
- Vikram Ahuja
- Department of Oral Medicine and Radiology, D J College of Dental Sciences and Research, Ghaziabad, Uttar Pradesh, India
| | - Vikash Ranjan
- Department of Oral Medicine and Radiology, D J College of Dental Sciences and Research, Ghaziabad, Uttar Pradesh, India
| | - Deepak Passi
- Department of Oral and Maxillofacial Surgery, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
| | - Rashi Jaiswal
- Department of Oral Medicine and Radiology, D J College of Dental Sciences and Research, Ghaziabad, Uttar Pradesh, India
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Nota A, Tecco S, Ehsani S, Padulo J, Baldini A. Postural stability in subjects with temporomandibular disorders and healthy controls: A comparative assessment. J Electromyogr Kinesiol 2017; 37:21-24. [PMID: 28865312 DOI: 10.1016/j.jelekin.2017.08.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 08/11/2017] [Accepted: 08/21/2017] [Indexed: 10/19/2022] Open
Abstract
PURPOSE OF THE STUDY The influence of the stomatognathic apparatus on body posture is a continuously discussed topic with contrasting results. The aim of this study is to analyze differences in postural stability between subjects with and without myogenous TMD. METHODS 25 subjects affected by myogenous TMD according with DC/TMD (6 males, 19 females; mean age 31.75±6.68years) and a healthy control group of 19 subjects (4 Males, 15 Females; mean age 27.26±3.85years) were enrolled in the study. Both groups underwent a posturo-stabilometric force platform exam under different mandibular and visual conditions. Sway area and sway velocity of the COP (Center Of foot Pressure) posturo-stabilometric parameters were evaluated and compared applying Mann-U-Whitney statistical test. RESULTS The sway area and sway velocity parameters resulted statistically significantly higher in the TMD group (sway area p<0.01; sway velocity p<0.05) in mandibular maximum intercuspation and rest positions with eyes open. CONCLUSIONS This study demonstrates a significant difference in body postural stability between subjects with myogenous TMD and healthy controls. In particular, sway area and sway velocity postural parameters are increased in these subjects.
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Affiliation(s)
- Alessandro Nota
- Dental School, Vita-Salute San Raffaele University, Milan, Italy; Faculty of Kinesiology, University of Split, Croatia.
| | - Simona Tecco
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - Shideh Ehsani
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - Johnny Padulo
- Faculty of Kinesiology, University of Split, Croatia; University eCampus, Novedrate, Italy
| | - Alberto Baldini
- Dental School, Vita-Salute San Raffaele University, Milan, Italy; Faculty of Kinesiology, University of Split, Croatia
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Zafar MS, Fareed WM, Taymour N, Khurshid Z, Khan AH. Self-reported frequency of temporomandibular disorders among undergraduate students at Taibah University. J Taibah Univ Med Sci 2017; 12:517-522. [PMID: 31435288 PMCID: PMC6695044 DOI: 10.1016/j.jtumed.2016.12.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Revised: 12/11/2016] [Accepted: 12/18/2016] [Indexed: 11/20/2022] Open
Abstract
Objectives This study aimed to evaluate the prevalence and severity of temporomandibular joint (TMJ) disorders among undergraduate students. In addition, the severity of TMD was examined in terms of its relationship with gender, age and field of study. Methods A total of 439 undergraduate students of both genders (age range: 20–27 years) who were studying at various colleges at Taibah University were invited to participate in this study. Each student was provided with a questionnaire, and the significance and purpose of the study were explained. The data were collected using Fonseca's questionnaire, an instrument that assessed the demographic characteristics of the students and included ten key questions. The severity of TMD was categorized as no, mild, moderate or severe. The data were analysed using SPSS Version 22 (IBM, Illinois, USA). The chi-square test was used to compare the data from different groups and to determine whether the differences were statistically significant. Results Of those who were invited, 78 students did not return the questionnaires, whereas another 11 were excluded due to their submitting an incomplete questionnaire. A majority of the students reported no TMD (46.7%) or mild TMD (42.7%). A moderate level of TMD was reported by 8.8% of students. Only 1.7% of students reported severe TMD. No significant differences were observed in the severity of TMD in terms of student age or field of study. Conclusion TMD is more prevalent among female students than male students. However, its occurrence is not affected by the age and field of study of the student.
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Affiliation(s)
- Muhammad S. Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Almadinah Almunawwarah, KSA
- Corresponding address: Department of Restorative Dentistry, College of Dentistry, Taibah University, P.O. Box 2898, Almadinah Almunawwarah, KSA.
| | - Wamiq M. Fareed
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Almadinah Almunawwarah, KSA
| | - Naveen Taymour
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Almadinah Almunawwarah, KSA
| | - Zohaib Khurshid
- Department of Prosthodontics and Implantology, College of Dentistry, King Faisal University, Al-Ahsa, KSA
| | - Ali H. Khan
- Department of Research Ethics, Aga Khan University Hospital, Karachi, Pakistan
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20
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Gallotta S, Bruno V, Catapano S, Mobilio N, Ciacci C, Iovino P. High risk of temporomandibular disorder in irritable bowel syndrome: Is there a correlation with greater illness severity? World J Gastroenterol 2017; 23:103-109. [PMID: 28104985 PMCID: PMC5221272 DOI: 10.3748/wjg.v23.i1.103] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 11/12/2016] [Accepted: 12/08/2016] [Indexed: 02/06/2023] Open
Abstract
AIM To investigate the prevalence and the risk of temporomandibular disorders (TMDs) in patients with irritable bowel syndrome (IBS) (including each subtype: constipation, diarrhoea, and mixed) compared to the general population.
METHODS Between January 2014 and December 2015 we enrolled consecutively adult patients diagnosed with IBS at the outpatient clinic of the University of Salerno and healthy controls (HC) without IBS. At enrollment, we analyzed all patients for the presence of TMDs according to the Research Diagnostic Criteria for TMD.
RESULTS We enrolled 91 IBS patients (23 IBS-D, 30 IBS-C and 38 IBS-M) and 57 HC in the study. We found a higher risk of having TMD (OR = 3.41, 95%CI: 1.66-7.01) compared to the HC. The risk of having TMD was independent of IBS-subtype. Multiple regression analysis showed that facial pain was positively related to abdominal pain and higher level of depression.
CONCLUSION IBS patients had a more than three times greater risk of TMD compared to HC. The risk of having TMD was similar in different IBS subtypes. IBS patients that also fulfilled criteria for TMD seem to share along with chronic facial and abdominal pain a significant co-occurrence with psychiatric disorders and female preponderance.
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21
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Gallotta S, Bruno V, Catapano S, Mobilio N, Ciacci C, Iovino P. High risk of temporomandibular disorder in irritable bowel syndrome: Is there a correlation with greater illness severity? World J Gastroenterol 2017. [PMID: 28104985 DOI: 10.3748/wjg.v23.i1.103.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/29/2022] Open
Abstract
AIM To investigate the prevalence and the risk of temporomandibular disorders (TMDs) in patients with irritable bowel syndrome (IBS) (including each subtype: constipation, diarrhoea, and mixed) compared to the general population. METHODS Between January 2014 and December 2015 we enrolled consecutively adult patients diagnosed with IBS at the outpatient clinic of the University of Salerno and healthy controls (HC) without IBS. At enrollment, we analyzed all patients for the presence of TMDs according to the Research Diagnostic Criteria for TMD. RESULTS We enrolled 91 IBS patients (23 IBS-D, 30 IBS-C and 38 IBS-M) and 57 HC in the study. We found a higher risk of having TMD (OR = 3.41, 95%CI: 1.66-7.01) compared to the HC. The risk of having TMD was independent of IBS-subtype. Multiple regression analysis showed that facial pain was positively related to abdominal pain and higher level of depression. CONCLUSION IBS patients had a more than three times greater risk of TMD compared to HC. The risk of having TMD was similar in different IBS subtypes. IBS patients that also fulfilled criteria for TMD seem to share along with chronic facial and abdominal pain a significant co-occurrence with psychiatric disorders and female preponderance.
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Affiliation(s)
- Serena Gallotta
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
| | - Vincenzo Bruno
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
| | - Santo Catapano
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
| | - Nicola Mobilio
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
| | - Carolina Ciacci
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
| | - Paola Iovino
- Serena Gallotta, Carolina Ciacci, Paola Iovino, Functional GI Disorders Center at Gastrointestinal Unit, AOU S. Giovanni di Dio e Ruggi d'Aragona, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, Italy
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Sanders C, Liegey-Dougall A, Haggard R, Buschang P, Karbowski S, Riggs R, Gatchel RJ. Temporomandibular Disorder Diagnostic Groups Affect Outcomes Independently of Treatment in Patients at Risk for Developing Chronicity: A 2-Year Follow-Up Study. J Oral Facial Pain Headache 2017; 30:187-202. [PMID: 27472521 DOI: 10.11607/ofph.1613] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
AIMS To evaluate whether a biobehavioral intervention would be more effective than a self-care intervention or no intervention in reducing psychosocial distress, reducing pain, and improving functioning in patients with an acute myofascial temporomandibular disorder (m-TMD). METHODS Participants (n = 435) were from community dental clinics in the Dallas-Fort Worth Metroplex who were seeking treatment for their acute TMD symptoms and were recruited between 2008 and 2013. The participants were diagnosed using the Research Diagnostic Criteria for TMD (RDC/TMD) and assigned to a biobehavioral intervention, self-care intervention, or no intervention. Three outcomes were assessed: psychosocial distress, pain, and functioning; and treatment effectiveness was assessed according to TMD diagnosis. Outcome evaluations were conducted immediately postintervention as well as at 1 and 2 years postintervention. Analyses were conducted using two-level hierarchical multilevel linear models (MLMs). RESULTS Contrary to expectations, patients did not respond differently to the intervention based on their TMD diagnosis. Acute m-TMD patients, especially those with other comorbid TMD diagnoses, reported the highest levels of pain and pain-related symptoms and disability. They also exhibited poorer jaw functioning, especially if they were at high risk for chronic TMD. CONCLUSION This study indicates that acute m-TMD tends to result in more severe symptom presentations, particularly if diagnosed in combination with other TMD comorbidities. Additionally, patients do not appear to respond better to biobehavioral or self-care intervention on the basis of their TMD diagnosis.
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Aryaei A, Vapniarsky N, Hu JC, Athanasiou KA. Recent Tissue Engineering Advances for the Treatment of Temporomandibular Joint Disorders. Curr Osteoporos Rep 2016; 14:269-279. [PMID: 27704395 PMCID: PMC5106310 DOI: 10.1007/s11914-016-0327-y] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Temporomandibular disorders (TMDs) are among the most common maxillofacial complaints and a major cause of orofacial pain. Although current treatments provide short- and long-term relief, alternative tissue engineering solutions are in great demand. Particularly, the development of strategies, providing long-term resolution of TMD to help patients regain normal function, is a high priority. An absolute prerequisite of tissue engineering is to understand normal structure and function. The current knowledge of anatomical, mechanical, and biochemical characteristics of the temporomandibular joint (TMJ) and associated tissues will be discussed, followed by a brief description of current TMD treatments. The main focus is on recent tissue engineering developments for regenerating TMJ tissue components, with or without a scaffold. The expectation for effectively managing TMD is that tissue engineering will produce biomimetic TMJ tissues that recapitulate the normal structure and function of the TMJ.
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Affiliation(s)
- Ashkan Aryaei
- Department of Biomedical Engineering, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA
| | - Natalia Vapniarsky
- Department of Biomedical Engineering, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA
| | - Jerry C Hu
- Department of Biomedical Engineering, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA
| | - Kyriacos A Athanasiou
- Department of Biomedical Engineering, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA
- Department of Orthopedic Surgery, School of Medicine, University of California, Davis, Sacramento, CA 95817, USA
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Yiannios N, Kerstein RB, Radke J. Treatment of frictional dental hypersensitivity (FDH) with computer-guided occlusal adjustments. Cranio 2016; 35:347-357. [PMID: 27835932 DOI: 10.1080/08869634.2016.1251692] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To verify the efficacy of treating dentin/dental hypersensitivity (DH) to Cold Ice Water Swish testing before and after subjects undergo the Immediate Complete Anterior Guidance Development (ICAGD) computer-guided occlusal adjustment. METHODS One hundred chronically dysfunctional patients with known cold sensitivity swished ice water intraorally to elicit a DH response scored on a Visual Analog Scale (VAS). The subjects then underwent the ICAGD coronoplasty, which was followed by a second ice water swish scored with a second VAS. The pre to post ICAGD Disclusion Time values and VAS scores were statistically evaluated by the Wilcoxon Signed Rank for Paired Difference test. The subjects were divided into subgroups with DH sensitivities <4 and ≥4, and analyzed. Limitations were as follows: abfractions were not quantified, dysfunctional symptom resolution was not determined, each subject was their own control, one clinician administered all ice water tests, and protrusive excursions were not included. RESULTS Disclusion Time reductions from ICAGD were significant (2.11-0.55 s. p = 0.0000). The DH score changes showed highly significant decreases from pre to post ICAGD (p < 0.0001). CONCLUSIONS A partial etiology for cold tooth sensitivity exists, resultant from prolonged occlusal surface excursive movement frictional contacts. This cold sensitivity can be lessened with measured, computer-guided occlusal adjustments.
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Affiliation(s)
| | - Robert B Kerstein
- b BioResearch Associates, Inc. , Marquette University , Milwaukee , WI , USA
| | - John Radke
- b BioResearch Associates, Inc. , Marquette University , Milwaukee , WI , USA
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Yalçın Yeler D, Yılmaz N, Koraltan M, Aydın E. A survey on the potential relationships between TMD, possible sleep bruxism, unilateral chewing, and occlusal factors in Turkish university students. Cranio 2016; 35:308-314. [PMID: 27707365 DOI: 10.1080/08869634.2016.1239851] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To evaluate whether there is a relationship between possible sleep bruxism (PSB), temporomandibular disorders (TMD), unilateral chewing (UC), and occlusal factors in university students recruited from Cumhuriyet University in Turkey. METHODS For this cross-sectional survey, 519 (223 males, mean age 21.57 ± 2.3 years, 296 females, mean age 21.02 ± 2 years) university students who admitted to the Department of Oral and Maxillofacial Radiology of the Faculty of Dentistry, Cumhuriyet University for dental care between 2012 and 2014 were selected randomly. Students were asked to complete a questionnaire form including questions about TMD, PSB and UC. Presence and direction of malocclusion were recorded during clinical examination. Chi-square test was used for statistical analysis. RESULTS It was found that 96.6% of the students with PSB had TMD (p < 0.05). The prevalence of severe TMD was high among students with PSB. There was a significant association between UC, PSB and TMD (p < 0.05). No statistically significant association was found between occlusal factors and PSB and TMD (p > 0.05). CONCLUSION Sleep bruxism, which heavily depends on self-report, is significantly associated with TMD. Unilateral chewing seems to be a common factor for development of SB and TMD. However, further studies are needed to corroborate this finding. Additionally, this study supports the hypothesis that occlusal factors are not related to self-reported sleep bruxism.
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Affiliation(s)
- Defne Yalçın Yeler
- a Faculty of Dentistry, Department of Oral and Maxillofacial Radiology , Cumhuriyet University , Sivas , Turkey
| | - Nurbengu Yılmaz
- b Faculty of Dentistry, Department of Orthodontics , Cumhuriyet University , Sivas , Turkey
| | - Melike Koraltan
- a Faculty of Dentistry, Department of Oral and Maxillofacial Radiology , Cumhuriyet University , Sivas , Turkey
| | - Ezgi Aydın
- c Faculty of Dentistry, Department of Oral and Maxillofacial Surgery , Cumhuriyet University , Sivas , Turkey
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How accurate is information about diagnosis and management of temporomandibular disorders on dentist websites? Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122:306-9. [DOI: 10.1016/j.oooo.2016.04.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 04/19/2016] [Accepted: 04/27/2016] [Indexed: 11/20/2022]
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Abstract
Temporomandibular Disorders (TMD) represent a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint (TMJ), masticatory muscles and/or associated structures. They are a major cause of non-dental orofacial pain. As a group, they are often multi-factorial in nature and have no common etiology or biological explanations. TMD can be broadly divided into masticatory muscle and TMJ disorders. TMJ disorders are characterized by intra-articular positional and/or structural abnormalities. The most common type of TMJ disorders involves displacement of the TMJ articular disc that precedes progressive degenerative changes of the joint leading to osteoarthritis (OA). In the past decade, progress made in the development of stem cell-based therapies and tissue engineering have provided alternative methods to attenuate the disease symptoms and even replace the diseased tissue in the treatment of TMJ disorders. Resident mesenchymal stem cells (MSCs) have been isolated from the synovia of TMJ, suggesting an important role in the repair and regeneration of TMJ. The seminal discovery of pluripotent stem cells including embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) have provided promising cell sources for drug discovery, transplantation as well as for tissue engineering of TMJ condylar cartilage and disc. This review discusses the most recent advances in development of stem cell-based treatments for TMJ disorders through innovative approaches of cell-based therapeutics, tissue engineering and drug discovery.
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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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Role of Auriculotherapy in the Treatment of Temporomandibular Disorders with Anxiety in University Students. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2015; 2015:430143. [PMID: 26495012 PMCID: PMC4606196 DOI: 10.1155/2015/430143] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Accepted: 04/21/2015] [Indexed: 12/01/2022]
Abstract
Introduction. The aim of this study was to evaluate the role of auriculotherapy with mustard seeds in the treatment of temporomandibular disorders (TMDs), anxiety, and electromyographic (EMG) activity in university students. Methodology. The State Trait Anxiety Inventory (STAI), Research Diagnostic Criteria (RDC) for TMDs (RDC/TMDs), and electromyography were used in this study of 44 college students with high levels of anxiety and TMDs. The subjects were divided into two groups: an auriculotherapy (AA) group (n = 31) and an AA sham group (n = 13). The mustard seeds were applied to the shenmen, rim, sympathetic, brain stem, and temporomandibular joint (TMJ) points in the AA group and to sham points in the external ear and wrist in the AA sham group. The treatment protocol was 10 sessions (two treatments per week). Results. Anxiety (p < 0.01) was significantly reduced in the AA group. This group also showed a decrease in tender points in the mandibular posterior region (p = 0.04) and in the right side of the submandibular region (p = 0.02). Complaints of bilateral pain were reduced in the temporal tendon (p ≤ 0.01) and in the left side of the ATM (p < 0.01). In addition, electromyographic (EMG) activity was reduced during temporal muscle contraction (p = 0.03). Conclusion. Auriculotherapy was effective in the treatment of students with anxiety and TMDs.
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Muir B, Brown C, Brown T, Tatlow D, Buhay J. Immediate changes in temporomandibular joint opening and pain following vibration therapy: a feasibility pilot study. THE JOURNAL OF THE CANADIAN CHIROPRACTIC ASSOCIATION 2014; 58:467-480. [PMID: 25550672 PMCID: PMC4262808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE The purpose of this pilot study was to determine the scientific and process feasibility in an effort to direct future larger trials. METHODS Scientific Feasibility: Twelve subjects were randomly allocated to an intervention and a control group. The intervention protocol consisted of intraoral vibration therapy on the muscles of mastication bilaterally for a period of 1 minute per muscle. Process Feasibility: Several feasibility outcomes were examined including recruitment and retention rates and consent. RESULTS Scientific Feasibility: Large effect sizes were generated for both mouth opening and VAS in favour of the intervention group. Process Feasibility: a recruitment ratio of 2.3 respondents to 1 participant was determined, along with a retention to loss ratio of 13:1 and a consent to loss ratio of 12:0. CONCLUSION Scientific Feasibility: The scientific results should be interpreted with caution due to the small sample sizes employed. The study seems to support the scientific feasibility of a future larger single treatment trial. Process Feasibility: Recruitment and retention rates and ratios seem to support future studies. Utilizing the feasibility results of the current study to direct a future larger multiple treatment trial consistent with other comparable TMD studies however is limited.
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Affiliation(s)
- Brad Muir
- Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada
- Associate Professor, Faculty of Clinical Education, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada
| | - Courtney Brown
- Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada
- Sports Sciences Resident, Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada
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Simm W, Guimarães AS. The teaching of temporomandibular disorders and orofacial pain at undergraduate level in Brazilian dental schools. J Appl Oral Sci 2014; 21:518-24. [PMID: 24473717 PMCID: PMC3891275 DOI: 10.1590/1679-775720130235] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Accepted: 08/12/2013] [Indexed: 11/23/2022] Open
Abstract
Objectives Evaluate the way the topics for the study of pain mechanisms in general, and
Orofacial Pain (OFP) and temporomandibular disorders (TMDs) more specifically, are
addressed in undergraduate courses curricula, and also to verify the existence of
specialist OFP/TMD teachers in Brazilian dental schools. Methods Between July 2010 and January 2011, course Coordinators/Directors of all dental
schools duly registered at the Ministry of Education were invited to answer a
questionnaire on topics related to OFP/TMD teaching in their institutions. Results Fifty-three dental schools representatives answered the questionnaire. The study
of pain mechanisms was found to cover an average of less than 10% of the courses'
total time. Pharmacology, Endodontics and Physiology were identified as the
departments usually responsible for addressing pain mechanisms in dental courses.
Psychosocial aspects were found to occupy a very small proportion in the syllabi,
while most of the content referred to biological or somatic aspects. OFP/TMD is
addressed by a specific department in only 28.4% of the participating dental
schools, while in most cases (46.3%), OFP/TMD is under the responsibility of the
Prosthodontics department. Only 38.5% of respondents indicated that they had a
specialist OFP/TMD teacher in their Schools. Conclusion Among the Brazilian dental schools participating in the study, the teaching of
OFP/TMD was found to be insufficient, segmented or with an extremely restricted
focus. This initial assessment indicates that Curricular Guidelines for the study
of OFP/TMD at undergraduate dental schools should be developed and implemented to
facilitate their appropriate inclusion into the curricula and in specific
pedagogical projects.
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Affiliation(s)
- Wagner Simm
- Research Institute São Leopoldo Mandic, Brazil
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Yoneda H, Niijima-Yaoita F, Tsuchiya M, Kumamoto H, Watanbe M, Ohtsu H, Yanai K, Tadano T, Sasaki K, Sugawara S, Endo Y. Roles played by histamine in strenuous or prolonged masseter muscle activity in mice. Clin Exp Pharmacol Physiol 2013; 40:848-55. [DOI: 10.1111/1440-1681.12167] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Revised: 08/29/2013] [Accepted: 09/02/2013] [Indexed: 11/28/2022]
Affiliation(s)
- Hiroyuki Yoneda
- Division of Oral Molecular Regulation; Graduate School of Dentistry; Tohoku University; Sendai Japan
- Division of Advanced Prosthetic Dentistry; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | | | - Masahiro Tsuchiya
- Division of Aging and Geriatric Dentistry; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | - Hiroyuki Kumamoto
- Division of Oral Pathology; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | - Makoto Watanbe
- Division of Aging and Geriatric Dentistry; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | - Hiroshi Ohtsu
- Department of Applied Quantum Medical Engineering; School of Engineering; Tohoku University; Sendai Japan
| | - Kazuhiko Yanai
- Department of Pharmacology; Graduate School of Medicine; Tohoku University; Sendai Japan
| | - Takeshi Tadano
- Laboratory of Environmental and Health Sciences; College of Medical Pharmaceutical and Health Sciences; Kanazawa University; Kanazawa Japan
| | - Keiichi Sasaki
- Division of Advanced Prosthetic Dentistry; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | - Shunji Sugawara
- Division of Oral Molecular Regulation; Graduate School of Dentistry; Tohoku University; Sendai Japan
| | - Yasuo Endo
- Division of Oral Molecular Regulation; Graduate School of Dentistry; Tohoku University; Sendai Japan
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Contesini N, Adami F, Blake MDT, Monteiro CB, Abreu LC, Valenti VE, Almeida FS, Luciano AP, Cardoso MA, Benedet J, de Assis Guedes de Vasconcelos F, Leone C, Frainer DES. Nutritional strategies of physically active subjects with muscle dysmorphia. Int Arch Med 2013; 6:25. [PMID: 23706013 PMCID: PMC3680023 DOI: 10.1186/1755-7682-6-25] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Accepted: 05/24/2013] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND The aim of this study was to identify dietary strategies for physically active individuals with muscle dysmorphia based on a systematic literature review. METHOD References were included if the study population consisted of adults over 18 years old who were physically active in fitness centers. We identified reports through an electronic search ofScielo, Lilacs and Medline using the following keywords: muscle dysmorphia, vigorexia, distorted body image, and exercise. We found eight articles in Scielo, 17 in Medline and 12 in Lilacs. Among the total number of 37 articles, only 17 were eligible for inclusion in this review. RESULTS The results indicated that the feeding strategies used by physically active individuals with muscle dysmorphia did not include planning or the supervision of a nutritionist. Diet included high protein and low fat foods and the ingestion of dietary and ergogenic supplements to reduce weight. CONCLUSION Physically active subjects with muscle dysmorphia could benefit from the help of nutritional professionals to evaluate energy estimation, guide the diet and its distribution in macronutrient and consider the principle of nutrition to functional recovery of the digestive process, promote liver detoxification, balance and guide to organic adequate intake of supplemental nutrients and other substances.
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Affiliation(s)
- Nadir Contesini
- Uniasselvi/FAMEBLU, R Dr Pedro Zimmermann, 385 89065-000, Blumenau, SC, Brazil.
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Xie Q, Li X, Xu X. The difficult relationship between occlusal interferences and temporomandibular disorder - insights from animal and human experimental studies. J Oral Rehabil 2013; 40:279-95. [PMID: 23356664 DOI: 10.1111/joor.12034] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/03/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Q. Xie
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
| | - X. Li
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
| | - X. Xu
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing China
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DeVocht JW, Goertz CM, Hondras MA, Long CR, Schaeffer W, Thomann L, Spector M, Stanford CM. A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. J Am Dent Assoc 2013; 144:1154-63. [PMID: 24080932 PMCID: PMC4103021 DOI: 10.14219/jada.archive.2013.0034] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs). METHODS The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders. RESULTS The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality. CONCLUSIONS The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study. PRACTICAL IMPLICATIONS This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.
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Affiliation(s)
- James W. DeVocht
- Palmer Center for Chiropractic Research, Palmer College of Chiropractic,
Davenport, Iowa
| | - Christine M. Goertz
- Research and Health Policy, and a professor, Palmer Center for Chiropractic
Research, Palmer College of Chiropractic, Davenport, Iowa
| | - Maria A. Hondras
- Palmer Center for Chiropractic Research, Palmer College of Chiropractic,
Davenport, Iowa
| | - Cynthia R. Long
- Palmer Center for Chiropractic Research, Palmer College of Chiropractic,
Davenport, Iowa
| | | | - Lauren Thomann
- Craniofacial Clinical Research Center, Dows Institute for Dental Research,
College of Dentistry, University of Iowa, Iowa City
| | - Michael Spector
- Craniofacial Clinical Research Center, Dows Institute for Dental Research,
College of Dentistry, University of Iowa, Iowa City
| | - Clark M. Stanford
- Dows Institute for Dental Research, College of Dentistry, University of Iowa,
N419 Dental Science Building, 801 Newton Road, Iowa City, Iowa 52242
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Ritenbaugh C, Hammerschlag R, Dworkin SF, Aickin MG, Mist SD, Elder CR, Harris RE. Comparative effectiveness of traditional Chinese medicine and psychosocial care in the treatment of temporomandibular disorders-associated chronic facial pain. THE JOURNAL OF PAIN 2012; 13:1075-89. [PMID: 23059454 DOI: 10.1016/j.jpain.2012.08.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2012] [Revised: 07/22/2012] [Accepted: 08/04/2012] [Indexed: 02/05/2023]
Abstract
UNLABELLED This dual-site study sought to identify the appropriate role for traditional Chinese medicine (TCM; acupuncture and herbs) in conjunction with a validated psychosocial self-care (SC) intervention for treating chronic temporomandibular disorders (TMD)-associated pain. Participants with Research Diagnostic Criteria for Temporomandibular Disorders-confirmed TMD (n = 168) entered a stepped-care protocol that began with a basic TMD class. At weeks 2 and 10, patients receiving SC whose worst facial pain was above predetermined levels were reallocated by minimization to SC or TCM with experienced practitioners. Characteristic facial pain (CFP: mean of worst pain, average pain when having pain, and current pain; each visual analog scale [VAS] 0-10) was the primary outcome. Social activity interference (VAS 0-10) was a secondary outcome. Patients were monitored for safety. TCM provided significantly greater short-term (8-week) relief than SC (CFP reduction difference, -.60 [standard deviation of the estimate .26], P = .020) and greater reduction in interference with social activities (-.81 [standard deviation of the estimate .33], P = .016). In 2 of 5 treatment trajectory groups, more than two thirds of participants demonstrated clinically meaningful responses (≥30% improvement) in pain interference over 16 weeks. This study provides evidence that TMD patients referred for TCM in a community-based model will receive safe treatment that is likely to provide some short-term pain relief and improved quality of life. Similar designs may also apply to evaluations of other kinds of chronic pain. (ClinicalTrials.gov number NCT00856167). PERSPECTIVE This short-term comparative effectiveness study of chronic facial pain suggests that TCM is safe and frequently efficacious alone or subsequent to standard psychosocial interventions. TCM is widely available throughout North America and may provide clinicians and patients with a reasonable addition or alternative to other forms of therapy.
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Affiliation(s)
- Cheryl Ritenbaugh
- Departments of Family and Community Medicine and Anthropology, University of Arizona, Tucson, AZ, USA.
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Wu G, Chen L, Zhu G, Su Y, Chen Y, Sun J, Wang Y. Psychological stress induces alterations in temporomandibular joint ultrastructure in a rat model of temporomandibular disorder. ACTA ACUST UNITED AC 2011; 112:e106-12. [PMID: 21906974 DOI: 10.1016/j.tripleo.2011.06.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2011] [Revised: 04/28/2011] [Accepted: 06/09/2011] [Indexed: 10/17/2022]
Abstract
OBJECTIVE The objective of this study was to investigate the effects of psychological stress on temporomandibular disorder (TMD). STUDY DESIGN A communication box was used to induce psychological stress (PS) in rats. Then, the ultrastructure of temporomandibular was observed using scanning electron microscopy. Interleukin-1 (IL-1) and IL-6 were measured with reverse transcription polymerase chain reaction. RESULTS The PS group showed evidence of ultrastructural changes in the condyle and articular disk after stimulation, i.e., incomplete gelatinlike material was observed on the condyle after 1 week of PS, wider waves on the articular disk and exposed condylar collagen were observed after 3 weeks of PS, and cracks were apparent on the surface of the condyle. The expression of IL-1 and IL-6 in the condyle cartilage significantly increased after exposure to psychological stress. CONCLUSIONS These results indicate that psychological stress induces ultrastructure alterations in the temporomandibular joint and plays an important role in TMD.
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Affiliation(s)
- Gaoyi Wu
- Department of Stomatology, Jinan General Military Hospital, Jinan, China
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LIU HX, LIANG QJ, XIAO P, JIAO HX, GAO Y, AHMETJIANG A. The effectiveness of cognitive-behavioural therapy for temporomandibular disorders: a systematic review. J Oral Rehabil 2011; 39:55-62. [DOI: 10.1111/j.1365-2842.2011.02239.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Jung A, Shin BC, Lee MS, Sim H, Ernst E. Acupuncture for treating temporomandibular joint disorders: a systematic review and meta-analysis of randomized, sham-controlled trials. J Dent 2011; 39:341-50. [PMID: 21354460 DOI: 10.1016/j.jdent.2011.02.006] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Revised: 02/13/2011] [Accepted: 02/21/2011] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE The aim of this article was to assess the clinical evidence for or against acupuncture and acupuncture-like therapies as treatments for temporomandibular joint disorder (TMD). DATA This systematic review includes randomized clinical trials (RCTs) of acupuncture as a treatment for TMD compared to sham acupuncture. The search terms were selected according to medical subject heading (MeSH). SOURCES Systematic searches were conducted in 13 electronic databases up to July 2010; Medline, PubMed, The Cochrane Library 2010 (Issue 7), CINAHL, EMBASE, seven Korean Medical Databases and a Chinese Medical Database. STUDY SELECTION All parallel or cross-over RCTs of acupuncture for TMD were searched without language restrictions. Studies in which no clinical data and complex interventions were excluded. Finally, total of 7 RCTs met our inclusion criteria. CONCLUSIONS In conclusion, our systematic review and meta-analysis demonstrate that the evidence for acupuncture as a symptomatic treatment of TMD is limited. Further rigorous studies are, however, required to establish beyond doubt whether acupuncture has therapeutic value for this indication.
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Affiliation(s)
- Aram Jung
- School of Korean Medicine, Pusan National University, Yangsan, South Korea
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Jerjes W, Upile T, Shah P, Abbas S, Vincent A, Hopper C. TMJ arthroscopy in patients with Ehlers Danlos syndrome: case series. ACTA ACUST UNITED AC 2010; 110:e12-20. [DOI: 10.1016/j.tripleo.2010.03.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2009] [Revised: 02/28/2010] [Accepted: 03/18/2010] [Indexed: 11/16/2022]
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