1
|
Yan Q, Liao L, He D. Risk factors associated with temporomandibular joint disorder: A mendelian randomization analysis. J Oral Rehabil 2024; 51:2239-2247. [PMID: 39041331 DOI: 10.1111/joor.13795] [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: 04/20/2024] [Revised: 06/08/2024] [Accepted: 06/24/2024] [Indexed: 07/24/2024]
Abstract
BACKGROUND Temporomandibular joint disorder (TMD), a prevalent orofacial disorder with complex aetiologies and considerable socioeconomic costs. This underscores the critical importance of developing a comprehensive understanding of the risk factors associated with TMD, as existing research is hindered by deficiencies in establishing causal relationships and the limitations of traditional research methodologies. OBJECTIVES This research explores the causal link between certain risk factors and temporomandibular joint disorder (TMD) through Mendelian randomization (MR), providing multidimensional perspectives in addressing this worldwide health issue. METHODS Utilizing instrumental variables, we applied advanced statistical methods, including the weighted median, inverse variance weighted (IVW) and MR-Egger, to evaluate the impact of twelve potential risk factors on TMD. RESULTS Our results identified a significant positive association of TMD with malocclusion (p < .001), sleeping disorders (p = .006), anxiety (p = .002), major depression (p = .0002), daily cigarettes consumption (p = .029) and autoimmune diseases (p = .039). Conversely, a negative association was observed with educational attainment (p = .003). CONCLUSION These findings suggest that malocclusion, sleeping disorders, anxiety, major depression, daily cigarettes consumption and autoimmune diseases, could potentially increase TMD risk while educational attainment might mitigate its increase. No direct causal relationships were established between serum 25-hydroxyvitamin D levels, menopause, frequent alcohol consumption, coffee intake and severely worn dentition and TMD.
Collapse
Affiliation(s)
- Qinghan Yan
- The First School of Clinical Medicine, Lanzhou University, Lanzhou, China
| | - Lingzi Liao
- Department (Hospital) of Stomatology, Lanzhou University, Lanzhou, China
| | - Dengqi He
- Department (Hospital) of Stomatology, Lanzhou University, Lanzhou, China
- Department of Stomatology, The First Hospital of Lanzhou University, Lanzhou, China
| |
Collapse
|
2
|
Karpuz S, Yılmaz R, Yılmaz H. Evaluation of temporomandibular joint dysfunction in traumatic brain injury patients. J Oral Rehabil 2023; 50:476-481. [PMID: 36899453 DOI: 10.1111/joor.13445] [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: 10/13/2022] [Revised: 01/21/2023] [Accepted: 03/02/2023] [Indexed: 03/12/2023]
Abstract
BACKGROUND The aim of this study was to evaluate the frequency of temporomandibular joint dysfunction and related factors in patients with traumatic brain injury. METHODS A total of 60 participants, 30 patients with traumatic brain injury and 30 healthy volunteers of similar age, have been included in this study, which was designed as a hospital-based cross sectional study. Fonseca questionnaire was used to evaluate and classify the temporomandibular joint dysfunction. Temporomandibular joint range of motion was evaluated with a digital calliper, and masticatory muscles pressure pain threshold was evaluated with an algometer. Labial commissure angle measurement was used to evaluate the severity of facial paralysis. Complications related to traumatic brain injury were recorded in patients with traumatic brain injury. RESULTS According to Fonseca questionnaire score, 80% of traumatic brain injury patients and 16.7% of the control group had temporomandibular dysfunction (p < .001). In the intergroup comparison, a significant decrease was found in all temporomandibular range of motion and masticatory muscles pressure pain threshold parameters in favour of the traumatic brain injury group (p < .001). Labial commissure angle and Fonseca questionnaire scores were higher in the traumatic brain injury group (p < .001). The frequency of temporomandibular dysfunction was more common in traumatic brain injury patients with headache than in those without headache, as shown by the results of the Fonseca questionnaire (p = .044). CONCLUSION Compared to healthy controls, patients with traumatic brain injury experienced issues with the temporomandibular joint more frequently. Additionally, TBI patients with headaches had a greater frequency of temporomandibular joint dysfunction. Therefore, it is advised to check for temporomandibular joint dysfunction in traumatic brain injury patients during follow-up. In addition, the presence of headache in traumatic brain injury patients may be a stimulant for temporomandibular joint dysfunction.
Collapse
Affiliation(s)
- Savaş Karpuz
- Physical Medicine and Rehabilitation Clinic, Konya Beyhekim Training and Research Hospital, Konya, Turkey
| | - Ramazan Yılmaz
- Physical Medicine and Rehabilitation Clinic, Konya Beyhekim Training and Research Hospital, Konya, Turkey
| | - Halim Yılmaz
- Physical Medicine and Rehabilitation Clinic, Konya Beyhekim Training and Research Hospital, Konya, Turkey
| |
Collapse
|
3
|
Minervini G, Mariani P, Fiorillo L, Cervino G, Cicciù M, Laino L. Prevalence of temporomandibular disorders in people with multiple sclerosis: A systematic review and meta-analysis. Cranio 2022:1-9. [PMID: 36315017 DOI: 10.1080/08869634.2022.2137129] [Citation(s) in RCA: 31] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To explore the prevalence of temporomandibular disorders (TMD) in patients affected by multiple sclerosis (MS) and whether there is a correlation between TMD prevalence and MS severity. METHODS PubMed, Web of Science, and Lilacs were systematically searched until July 30 2022, to identify studies presenting patients affected by MS and whether there is a correlation between TMD prevalence and MS severity. RESULTS Out of 292 papers, 8 studies were included with 1312 study participants. Among the 8 studies, 5 had a control group; 5 used the RDC/TMD criteria, 1 used the NOT-S instrument, and 2 did not define a standardized method to define TMD symptoms. Meta-analysis revealed that the MS group had a higher rate than the control group, showing an association between MS and TMD (RR 2.10; 95% CI: 1.21-3.65). CONCLUSION These findings show an association between TMD and MS. ABBREVIATIONS Australian Longitudinal Study of MS (AMSLS); Computed Tomography (CT); Community Periodontal Index of Treatment Needs (CPITN); Central Nervous System (CNS); Decayed, Missing, and Filled (DMF); Decayed, Missing, or Filled Teeth Index (DMFT); Expanded Disability Status Scale (EDSS); European Academy of Craniomandibular Disorders (EACD); Healthy Controls (HC); International Prospective Register of Systematic Reviews (PROSPERO); Multiple Sclerosis (MS); Nordic Orofacial Test-Screening (NOT-S); Participants, model of Intervention, Comparison and Outcome (PICO); Preferred Reporting Items for Systematic Reviews (PRISMA); Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD); Temporomandibular Joint (TMJ); Temporomandibular Disorders (TMD); World Health Organization (WHO).
Collapse
Affiliation(s)
- Giuseppe Minervini
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Pierluigi Mariani
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, G. Martino Polyclinic, Messina, Italy
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, G. Martino Polyclinic, Messina, Italy
| | - Marco Cicciù
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, G. Martino Polyclinic, Messina, Italy
| | - Luigi Laino
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| |
Collapse
|
4
|
von Piekartz H, Schwiddessen J, Reineke L, Armijo-Olivio S, Bevilaqua-Grossi D, Biasotto Gonzalez DA, Carvalho G, Chaput E, Cox E, Fernández-de-Las-Peñas C, Gadotti IC, Gil Martínez A, Gross A, Hall T, Hoffmann M, Julsvoll EH, Karegeannes M, La Touche R, Mannheimer J, Pitance L, Rocabado M, Strickland M, Stelzenmüller W, Speksnijder C, van der Meer HA, Luedke K, Ballenberger N. International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study. J Oral Rehabil 2020; 47:685-702. [PMID: 32150764 DOI: 10.1111/joor.12959] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2019] [Revised: 02/11/2020] [Accepted: 02/25/2020] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). METHODS A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. RESULTS Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. CONCLUSION After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.
Collapse
Affiliation(s)
- Harry von Piekartz
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Julius Schwiddessen
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Lukas Reineke
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Susan Armijo-Olivio
- Faculty of Rehabilitation Medicine, Faculty of Medicine and Dentistry Rehabilitation Research Center, University of Alberta, Edmonton Institute of Health Economics (IHE), Edmonton, AB, Canada
| | | | | | - Gabriela Carvalho
- Lübeck University and Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,University of São Paulo, São Paulo, Brazil
| | - Eve Chaput
- University of Montreal and Western University, Montreal, QC, Canada.,Quebec Association of Orthopedic Manual Physiotherapy (AQPMO), Montreal, QC, Canada
| | - Erin Cox
- Kinatex Sports Physio, Laval, QC, Canada
| | - Cesar Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain.,Cátedra de Docencia, Clínica e Investigación en Fisioterapia: Terapia Manual, Punción Seca y Ejercicio Terapéutico - University Rey Juan Carlos of Madrid, Madrid, Spain
| | - Inae Caroline Gadotti
- Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, USA
| | | | - Anita Gross
- Rehabilitation Sciences - McMaster University, Hamilton, ON, Canada
| | - Toby Hall
- Curtin University, Perth, WA, Australia.,University of Western Australia, Perth, WA, Australia
| | | | | | | | - Roy La Touche
- Departamento de Fisioterapia, Centro Superior de Estudios - Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.,Grupo de Investigación Motion in Brains, Instituto de Neurociencia y Ciencias del Movimiento (INCIMOV), Centro Superior de Estudios, Universitarios La Salle - Universidad Autónoma de Madrid, Madrid, Spain.,Instituto de Neurociencia y Dolor Craneofacial (INDCRAN), Madrid, Spain
| | - Jeffrey Mannheimer
- Delaware Valley Physical Therapy Associates, New Jersey, NJ, USA.,Department of Regenerative and Rehabilitation Medicine, Columbia University, New York, NY, USA.,Physical Therapy Board of Craniofacial & Cervical Therapeutics Office for physical therapy, Lawrenceville, NJ, USA
| | - Laurent Pitance
- Faculté des Sciences de la Motricité FSM, Institut de Recherche Expetimentale et Clinique (IREC), Laboratoire de Neuro musculo squelettique (NMSK) - University catholic of Louvain, Neuve, Belgium
| | - Mariano Rocabado
- Dean Faculty of Rehabilitation Science, University Andrés Bello, Santiago, Chile
| | - Mark Strickland
- Operations Central Texas, For Health Sciences - University of St. Augustine, St. Augustine, FL, USA
| | | | - Caroline Speksnijder
- Division Surgical Specialty, Oral and Maxillofacial Surgery and Special Dental Care, Head and Neck Surgical Oncology - University Medical Center Utrecht, Utrecht, The Netherlands
| | - Hedwig Aleida van der Meer
- Centre for Applied Research on Education - Amsterdam University of Applied Sciences, Amsterdam Centre for Innovative Health Practice (ACHIEVE), Amsterdam, The Netherlands
| | - Kerstin Luedke
- Department of Physical Therapy, University Lübeck, Lübeck, Germany
| | - Nicolaus Ballenberger
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| |
Collapse
|
5
|
Manchery N, Henry JD, Nangle MR. A systematic review of oral health in people with multiple sclerosis. Community Dent Oral Epidemiol 2019; 48:89-100. [PMID: 31815299 DOI: 10.1111/cdoe.12512] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 10/24/2019] [Accepted: 11/18/2019] [Indexed: 01/09/2023]
Abstract
OBJECTIVES Despite more than 25 years of research focused on this topic, it remains unclear whether people with multiple sclerosis are more likely to present with oral health problems. The aim of this study was to provide the first systematic review of this literature. METHODS A literature search for studies focused on oral health and multiple sclerosis was conducted using PRISMA guidelines. Electronic databases (PubMed, Scopus, Web of Science, MEDLINE and CINAHL) were searched up until February 2019. Two independent coders extracted data, and study quality graded using the Newcastle-Ottawa Scale (NOS). RESULTS From 1281 articles identified, 17 met all the eligibility criteria. Of the seventeen studies, more than half included a nonclinical control group, and the majority were observational studies. The included studies were of poor to moderate quality. Taken together, the results provided only very limited evidence that people with multiple sclerosis are more likely to present with dental caries and gingival disease. There was suggestive evidence that people with multiple sclerosis may be at higher risk of periodontal disease and present with poorer oral hygiene, and moderate evidence for an association between multiple sclerosis and temporomandibular disorders. CONCLUSIONS This systematic review provides evidence of an association between multiple sclerosis and at least some oral health problems. When temporomandibular disorders and periodontal status specifically have been assessed, most studies provide evidence of an association with multiple sclerosis. However, this review also clearly highlights the need for further, high-quality studies in this area.
Collapse
Affiliation(s)
- Nithin Manchery
- School of Dentistry, The University of Queensland, Brisbane, Qld, Australia
| | - Julie D Henry
- School of Psychology, The University of Queensland, Brisbane, Qld, Australia
| | - Matthew R Nangle
- School of Dentistry, The University of Queensland, Brisbane, Qld, Australia
| |
Collapse
|
6
|
Ohshita N, Gamoh S, Kanazumi M, Nakajima M, Momota Y, Tsutsumi YM. Anesthetic Management of a Patient With Multiple Sclerosis. Anesth Prog 2018; 64:97-101. [PMID: 28604090 PMCID: PMC5467764 DOI: 10.2344/anpr-64-02-10] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Accepted: 12/27/2016] [Indexed: 11/11/2022] Open
Abstract
A 54-year-old woman diagnosed with multiple sclerosis (MS) at the age of 19 years was scheduled to undergo temporomandibular joint mobilization. She was currently in a remission phase from her MS but with persistent sequelae, including impaired eyesight and muscle weakness of the limbs. In addition, the blood vessels in her upper limbs were compromised by the formation of internal shunts secondary to vascular prosthesis replacements for plasma exchange therapy in MS. After a previous joint mobilization surgery, her temporomandibular joint developed adhesions with resultant trismus. One of the adverse effects of general anesthesia can be exacerbations of MS symptoms. Minimizing mental and physical stress caused by surgical and anesthetic procedures and maintenance of stable body temperature are important considerations. Awake intubation was performed under sedation with midazolam and fentanyl. After intubation, anesthesia was induced with propofol, remifentanil, and rocuronium. Maintenance of anesthesia was achieved with oxygen-N2O-sevoflurane, remifentanil, fentanyl, and rocuronium. In this case, no adverse events occurred intraoperatively. However, the patient experienced lingering weakness of the limbs in the postoperative period, and activities of daily living of the patient were affected.
Collapse
Affiliation(s)
- Naohiro Ohshita
- Department of Anesthesiology, Osaka Dental University, Osaka, Japan
| | - Shoko Gamoh
- Department of Oral Radiology, Osaka Dental University, Osaka, Japan
| | | | - Masahiro Nakajima
- Second Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka, Japan
| | - Yoshihiro Momota
- Department of Anesthesiology, Osaka Dental University, Osaka, Japan
| | - Yasuo M. Tsutsumi
- Department of Anesthesiology, Tokushima University, Tokushima, Japan
| |
Collapse
|
7
|
Simma I, Simma L, Fleckenstein J. Muscular diagnostics and the feasibility of microsystem acupuncture as a potential adjunct in the treatment of painful temporomandibular disorders: results of a retrospective cohort study. Acupunct Med 2018; 36:415-421. [PMID: 29567668 DOI: 10.1136/acupmed-2017-011492] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/31/2017] [Indexed: 01/28/2023]
Abstract
AIMS To investigate the effect of microsystem acupuncture on painful temporomandibular disorders (TMD). METHODS We retrospectively analysed 887 treatments in 407 TMD-patients (mean age 45±1.5 years), who received microsystem acupuncture (mouth, scalp or fingers) with a focus on oral acupuncture. All patients systematically underwent palpation of specific muscular tender points and their pain rating was assessed on a four-point Likert scale (no pain to strong pain) before and after treatment. In 42 cases, the pain intensity was determined using a visual analogue scale (0-100 mm). As the data were normally distributed, analysis was performed with unpaired t-tests. RESULTS The pterygoid muscles were most painful to palpation, with the lateral pterygoid rated moderate to strong by 76% of patients and the medial pterygoid by 48% of patients. The palpation of microsystem acupuncture points revealed the strongest sensitivity (moderate or strong pain) of the oral retromolar points at the upper jaw (83%). After treatment, the pain intensity of all tender points had significantly decreased (P<0.001). The proportion of moderate to strong pain ratings was below 3% at most tender points. Overall pain intensity of the subjects (n=42) before treatment was 55.5±19.7 mm on the VAS scale and was significantly reduced to 29.6±20.9 mm (P<0.001) post-treatment. CONCLUSIONS This analysis suggests microsystem acupuncture could reduce the pain intensity of TMD in the short term. Considering the increased local muscular tenderness, further investigations regarding the key role of myofascial trigger points in the occurrence of TMDs are warranted and could lead to new comprehensive treatment strategies.
Collapse
Affiliation(s)
- Irmgard Simma
- CAM in Dentistry, ÖGZMK Association, Bregenz, Austria.,Clinic for Medical and Dental Medicine and Oral Health, University of Graz, Graz, Austria
| | | | - Johannes Fleckenstein
- Department of TCM/Acupuncture, Institute of Complementary Medicine, University of Bern, Bern, Switzerland.,Department of Sports Medicine, Institute of Sports Sciences, Goethe University, Frankfurt, Germany
| |
Collapse
|